THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rod@welchco.com

S U M M A R Y


DIARY: January 1, 2020 07:02 AM Wednesday; Rod Welch

Exercise, diet, vitals and medication case study Jan 1, 2020.

1...Summary/Objective
....1...200101 0730............................................. summary vitals, ref SDS 69 TTRY
....2...200102 0735............................................. summary vitals, ref SDS 83 TTRY
....3...200103 0315............................................. summary vitals, ref SDS 83 TTRY
....4...200104 0635............................................. summary vitals, ref SDS 83 TTRY
....5...200105 0655............................................. summary vitals, ref SDS 83 TTRY
....6...200106 0640............................................. summary vitals, ref SDS 83 TTRY
....7...200107 0730............................................. summary vitals, ref SDS 83 TTRY
....8...200108 0630............................................. summary vitals, ref SDS 83 TTRY
....9...200109 0250............................................. summary vitals, ref SDS 83 TTRY
...10...200110 0550............................................. summary vitals, ref SDS 83 TTRY
...11...200111 0720............................................. summary vitals, ref SDS 83 TTRY
...12...200112 0720............................................. summary vitals, ref SDS 83 TTRY
...13...200113 0705............................................. summary vitals, ref SDS 83 TTRY
...14...200114 0715............................................. summary vitals, ref SDS 83 TTRY
...15...200115 0655............................................. summary vitals, ref SDS 83 TTRY
...16...200116 0645............................................. summary vitals, ref SDS 83 TTRY
...17...200117 0625............................................. summary vitals, ref SDS 83 TTRY
...18...200118 0725............................................. summary vitals, ref SDS 83 TTRY
...19...200119 0735............................................. summary vitals, ref SDS 83 TTRY
...20...200120 0615............................................. summary vitals, ref SDS 83 TTRY
...21...200121 0534............................................. summary vitals, ref SDS 83 TTRY
...22...200122 0610............................................. summary vitals, ref SDS 83 TTRY
...23...200123 0415............................................. summary vitals, ref SDS 83 TTRY
...24...200124 0700............................................. summary vitals, ref SDS 83 TTRY
...25...200125 0600............................................. summary vitals, ref SDS 83 TTRY
...26...200126 0820............................................. summary vitals, ref SDS 83 TTRY
...27...200127 0530............................................. summary vitals, ref SDS 83 TTRY
...28...200128 0245............................................. summary vitals, ref SDS 83 TTRY
...29...200129 0606............................................. summary vitals, ref SDS 83 TTRY
...30...200130 0256............................................. summary vitals, ref SDS 83 TTRY
...31...200131 0740............................................. summary vitals, ref SDS 83 TTRY
...32...200201 0720............................................. summary vitals, ref SDS 83 TTRY
...33...200202 0750............................................. summary vitals, ref SDS 83 TTRY
...34...200203 0640............................................. summary vitals, ref SDS 83 TTRY
...35...200204 0650............................................. summary vitals, ref SDS 83 TTRY
...36...200205 0700............................................. summary vitals, ref SDS 83 TTRY
...37...200206 0620............................................. summary vitals, ref SDS 83 TTRY
...38...200207 0640............................................. summary vitals, ref SDS 83 TTRY
...39...200208 0750............................................. summary vitals, ref SDS 83 TTRY
...40...200209 0720............................................. summary vitals, ref SDS 83 TTRY
...41...200210 0820............................................. summary vitals, ref SDS 83 TTRY
...42...200211 0730............................................. summary vitals, ref SDS 83 TTRY
...43...200212 0730............................................. summary vitals, ref SDS 83 TTRY
...44...200213 0810............................................. summary vitals, ref SDS 83 TTRY
...45...200214 0810............................................. summary vitals, ref SDS 83 TTRY
...46...200215 0740............................................. summary vitals, ref SDS 83 TTRY
...47...200216 0740............................................. summary vitals, ref SDS 83 TTRY
...48...200217 0650............................................. summary vitals, ref SDS 83 TTRY
...49...200218 0730............................................. summary vitals, ref SDS 83 TTRY
...50...200219 0230............................................. summary vitals, ref SDS 83 TTRY
...51...200220 0720............................................. summary vitals, ref SDS 83 TTRY
...52...200221 0240............................................. summary vitals, ref SDS 83 TTRY
...53...200222 0750............................................. summary vitals, ref SDS 83 TTRY
...54...200223 0720............................................. summary vitals, ref SDS 83 TTRY
...55...200224 0720............................................. summary vitals, ref SDS 83 TTRY
...56...200225 0730............................................. summary vitals, ref SDS 83 TTRY
...57...200226 0650............................................. summary vitals, ref SDS 83 TTRY
...58...200227 0640............................................. summary vitals, ref SDS 83 TTRY
...59...200228 0710............................................. summary vitals, ref SDS 83 TTRY
...60...200229 0740............................................. summary vitals, ref SDS 83 TTRY
...61...200301 0720............................................. summary vitals, ref SDS 83 TTRY
...62...200302 0710............................................. summary vitals, ref SDS 83 TTRY
...63...200303 0640............................................. summary vitals, ref SDS 83 TTRY
...64...200304 0640............................................. summary vitals, ref SDS 83 TTRY
...65...200305 0730............................................. summary vitals, ref SDS 83 TTRY
...66...200306 0630............................................. summary vitals, ref SDS 83 TTRY
...67...200307 0610............................................. summary vitals, ref SDS 83 TTRY
...68...200308 0740............................................. summary vitals, ref SDS 83 TTRY
...69...200309 0650............................................. summary vitals, ref SDS 83 TTRY
...70...200310 0440............................................. summary vitals, ref SDS 83 TTRY
...71...200311 0650............................................. summary vitals, ref SDS 83 TTRY
...72...200312 0640............................................. summary vitals, ref SDS 83 TTRY
...73...200313 0710............................................. summary vitals, ref SDS 83 TTRY
...74...200314 0620............................................. summary vitals, ref SDS 83 TTRY
...75...200315 0640............................................. summary vitals, ref SDS 83 TTRY
...76...200316 0710............................................. summary vitals, ref SDS 83 TTRY
...77...200317 0730............................................. summary vitals, ref SDS 83 TTRY
...78...200318 0710............................................. summary vitals, ref SDS 83 TTRY
...79...200319 0710............................................. summary vitals, ref SDS 83 TTRY
...80...200320 0730............................................. summary vitals, ref SDS 83 TTRY
...81...200321 0740............................................. summary vitals, ref SDS 83 TTRY
...82...200322 0650............................................. summary vitals, ref SDS 83 TTRY
...83...200323 0730............................................. summary vitals, ref SDS 83 TTRY
...84...200324 0520............................................. summary vitals, ref SDS 83 TTRY
...85...200325 0730............................................. summary vitals, ref SDS 83 TTRY
...86...200326 0720............................................. summary vitals, ref SDS 83 TTRY
...87...200327 0600............................................. summary vitals, ref SDS 83 TTRY
...88...200328 0720............................................. summary vitals, ref SDS 83 TTRY
...89...200329 0740............................................. summary vitals, ref SDS 83 TTRY
...90...200330 0710............................................. summary vitals, ref SDS 83 TTRY
...91...200331 0710............................................. summary vitals, ref SDS 83 TTRY
...92...200401 0610............................................. summary vitals, ref SDS 83 TTRY
...93...200402 0710............................................. summary vitals, ref SDS 83 TTRY
...94...200403 0700............................................. summary vitals, ref SDS 83 TTRY
...95...200404 0740............................................. summary vitals, ref SDS 83 TTRY
...96...200405 0710............................................. summary vitals, ref SDS 83 TTRY
...97...200406 0650............................................. summary vitals, ref SDS 83 TTRY
...98...200407 0715............................................. summary vitals, ref SDS 83 TTRY
...99...200408 0750............................................. summary vitals, ref SDS 83 TTRY
..100. 200409 0730............................................. summary vitals, ref SDS 83 TTRY
..101. 200410 0740............................................. summary vitals, ref SDS 83 TTRY
..102. 200411 0740............................................. summary vitals, ref SDS 83 TTRY
..103. 200412 0750............................................. summary vitals, ref SDS 83 TTRY
..104. 200413 0710............................................. summary vitals, ref SDS 83 TTRY
..105. 200414 0710............................................. summary vitals, ref SDS 83 TTRY
..106. 200415 0710............................................. summary vitals, ref SDS 83 TTRY
..107. 200416 0820............................................. summary vitals, ref SDS 83 TTRY
..108. 200417 0710............................................. summary vitals, ref SDS 83 TTRY
..109. 200418 0710............................................. summary vitals, ref SDS 83 TTRY
..110. 200419 0730............................................. summary vitals, ref SDS 83 TTRY
..111. 200420 0710............................................. summary vitals, ref SDS 83 TTRY
..112. 200421 0340............................................. summary vitals, ref SDS 83 TTRY
..113. 200422 0650............................................. summary vitals, ref SDS 83 TTRY
..114. 200423 0640............................................. summary vitals, ref SDS 83 TTRY
..115. 200424 0640............................................. summary vitals, ref SDS 83 TTRY
..116. 200425 0640............................................. summary vitals, ref SDS 83 TTRY
..117. 200426 0720............................................. summary vitals, ref SDS 83 TTRY
..118. 200427 0610............................................. summary vitals, ref SDS 83 TTRY
..119. 200428 0550............................................. summary vitals, ref SDS 83 TTRY
..120. 200429 0230............................................. summary vitals, ref SDS 83 TTRY
..121. 200430 0500............................................. summary vitals, ref SDS 83 TTRY
..122. 200501 0600............................................. summary vitals, ref SDS 83 TTRY
..123. 200502 0600............................................. summary vitals, ref SDS 83 TTRY
..124. 200503 0550............................................. summary vitals, ref SDS 83 TTRY
..125. 200504 0630............................................. summary vitals, ref SDS 83 TTRY
..126. 200505 0600............................................. summary vitals, ref SDS 83 TTRY
..127. 200506 0700............................................. summary vitals, ref SDS 83 TTRY
..128. 200507 0650............................................. summary vitals, ref SDS 83 TTRY
..129. 200508 0640............................................. summary vitals, ref SDS 83 TTRY
..130. 200509 0335............................................. summary vitals, ref SDS 83 TTRY
..131. 200510 0610............................................. summary vitals, ref SDS 83 TTRY
..132. 200511 0550............................................. summary vitals, ref SDS 83 TTRY
..133. 200512 0430............................................. summary vitals, ref SDS 83 TTRY
..134. 200513 0640............................................. summary vitals, ref SDS 83 TTRY
..135. 200514 0730............................................. summary vitals, ref SDS 83 TTRY
..136. 200515 0730............................................. summary vitals, ref SDS 83 TTRY
..137. 200516 0720............................................. summary vitals, ref SDS 83 TTRY
..138. 200517 0820............................................. summary vitals, ref SDS 83 TTRY
..139. 200518 0820............................................. summary vitals, ref SDS 83 TTRY
..140. 200519 0650............................................. summary vitals, ref SDS 83 TTRY
..141. 200520 0650............................................. summary vitals, ref SDS 83 TTRY
..142. 200521 0750............................................. summary vitals, ref SDS 83 TTRY
..143. 200522 0650............................................. summary vitals, ref SDS 83 TTRY
..144. 200523 0700............................................. summary vitals, ref SDS 83 TTRY
..145. 200524 0730............................................. summary vitals, ref SDS 83 TTRY
..146. 200525 0630............................................. summary vitals, ref SDS 83 TTRY
..147. 200526 0620............................................. summary vitals, ref SDS 83 TTRY
..148. 200527 0230............................................. summary vitals, ref SDS 83 TTRY
..149. 200528 0630............................................. summary vitals, ref SDS 83 TTRY
..150. 200529 0550............................................. summary vitals, ref SDS 83 TTRY
..151. 200530 0520............................................. summary vitals, ref SDS 83 TTRY
..152. 200531 0650............................................. summary vitals, ref SDS 83 TTRY
..153. 200601 0640............................................. summary vitals, ref SDS 83 TTRY
..154. 200602 0640............................................. summary vitals, ref SDS 83 TTRY
..155. 200603 0620............................................. summary vitals, ref SDS 83 TTRY
..156. 200604 0650............................................. summary vitals, ref SDS 83 TTRY
..157. 200605 0630............................................. summary vitals, ref SDS 83 TTRY
..158. 200606 0820............................................. summary vitals, ref SDS 83 TTRY
..159. 200607 0730............................................. summary vitals, ref SDS 83 TTRY
..160. 200608 0655............................................. summary vitals, ref SDS 83 TTRY
..161. 200609 0830............................................. summary vitals, ref SDS 83 TTRY
..162. 200610 0830............................................. summary vitals, ref SDS 83 TTRY
..163. 200611 0600............................................. summary vitals, ref SDS 83 TTRY
..164. 200612 0530............................................. summary vitals, ref SDS 83 TTRY
..165. 200613 0520............................................. summary vitals, ref SDS 83 TTRY
..166. 200614 0740............................................. summary vitals, ref SDS 83 TTRY
..167. 200615 0710............................................. summary vitals, ref SDS 83 TTRY
..168. 200616 0730............................................. summary vitals, ref SDS 83 TTRY
..169. 200617 0730............................................. summary vitals, ref SDS 83 TTRY
..170. 200618 0710............................................. summary vitals, ref SDS 83 TTRY
..171. 200619 0740............................................. summary vitals, ref SDS 83 TTRY
..172. 200620 0710............................................. summary vitals, ref SDS 83 TTRY
..173. 200621 0720............................................. summary vitals, ref SDS 83 TTRY
..174. 200622 0650............................................. summary vitals, ref SDS 83 TTRY
..175. 200623 0650............................................. summary vitals, ref SDS 83 TTRY
..176. 200624 0730............................................. summary vitals, ref SDS 83 TTRY
..177. 200625 0700............................................. summary vitals, ref SDS 83 TTRY
..178. 200626 0700............................................. summary vitals, ref SDS 83 TTRY
..179. 200627 0730............................................. summary vitals, ref SDS 83 TTRY
..180. 200628 0830............................................. summary vitals, ref SDS 83 TTRY
..181. 200629 0700............................................. summary vitals, ref SDS 83 TTRY
..182. 200630 0720............................................. summary vitals, ref SDS 83 TTRY
..183. 200701 0740............................................. summary vitals, ref SDS 83 TTRY
..184. 200702 0730............................................. summary vitals, ref SDS 83 TTRY
..185. 200703 0740............................................. summary vitals, ref SDS 83 TTRY
..186. 200704 0720............................................. summary vitals, ref SDS 83 TTRY
..187. 200705 0730............................................. summary vitals, ref SDS 83 TTRY
..188. 200706 0700............................................. summary vitals, ref SDS 83 TTRY
..189. 200707 0410............................................. summary vitals, ref SDS 83 TTRY
..190. 200708 0640............................................. summary vitals, ref SDS 83 TTRY
..191. 200709 0640............................................. summary vitals, ref SDS 83 TTRY
..192. 200710 0630............................................. summary vitals, ref SDS 83 TTRY
..193. 200711 0710............................................. summary vitals, ref SDS 83 TTRY
..194. 200712 0740............................................. summary vitals, ref SDS 83 TTRY
..195. 200713 0710............................................. summary vitals, ref SDS 83 TTRY
..196. 200714 0640............................................. summary vitals, ref SDS 83 TTRY
..197. 200715 0640............................................. summary vitals, ref SDS 83 TTRY
..198. 200716 0540............................................. summary vitals, ref SDS 83 TTRY
..199. 200717 0600............................................. summary vitals, ref SDS 83 TTRY
..200. 200718 0630............................................. summary vitals, ref SDS 83 TTRY
..201. 200719 0705............................................. summary vitals, ref SDS 83 TTRY
..202. 200720 0725............................................. summary vitals, ref SDS 83 TTRY
..203. 200721 0705............................................. summary vitals, ref SDS 83 TTRY
..204. 200722 0640............................................. summary vitals, ref SDS 83 TTRY
..205. 200723 0710............................................. summary vitals, ref SDS 83 TTRY
..206. 200724 0740............................................. summary vitals, ref SDS 83 TTRY
..207. 200725 0609............................................. summary vitals, ref SDS 83 TTRY
..208. 200726 0625............................................. summary vitals, ref SDS 83 TTRY
..209. 200727 0645............................................. summary vitals, ref SDS 83 TTRY
..210. 200728 0600............................................. summary vitals, ref SDS 83 TTRY
..211. 200729 0610............................................. summary vitals, ref SDS 83 TTRY
..212. 200730 0620............................................. summary vitals, ref SDS 83 TTRY
..213. 200731 0610............................................. summary vitals, ref SDS 83 TTRY
..214. 200801 0550............................................. summary vitals, ref SDS 83 TTRY
..215. 200802 0530............................................. summary vitals, ref SDS 83 TTRY
..216. 200803 0610............................................. summary vitals, ref SDS 83 TTRY
..217. 200804 0640............................................. summary vitals, ref SDS 83 TTRY
..218. 200805 0620............................................. summary vitals, ref SDS 83 TTRY
..219. 200806 0710............................................. summary vitals, ref SDS 83 TTRY
..220. 200807 0550............................................. summary vitals, ref SDS 83 TTRY
..221. 200808 0730............................................. summary vitals, ref SDS 83 TTRY
..222. 200809 0610............................................. summary vitals, ref SDS 83 TTRY
..223. 200810 0630............................................. summary vitals, ref SDS 83 TTRY
..224. 200811 0555............................................. summary vitals, ref SDS 83 TTRY
..225. 200812 0710............................................. summary vitals, ref SDS 83 TTRY
..226. 200813 0540............................................. summary vitals, ref SDS 83 TTRY
..227. 200814 0720............................................. summary vitals, ref SDS 83 TTRY
..228. 200815 0620............................................. summary vitals, ref SDS 83 TTRY
..229. 200816 0640............................................. summary vitals, ref SDS 83 TTRY
..230. 200817 0605............................................. summary vitals, ref SDS 83 TTRY
..231. 200818 0555............................................. summary vitals, ref SDS 83 TTRY
..232. 200819 0530............................................. summary vitals, ref SDS 83 TTRY
..233. 200820 0700............................................. summary vitals, ref SDS 83 TTRY
..234. 200821 0650............................................. summary vitals, ref SDS 83 TTRY
..235. 200822 0610............................................. summary vitals, ref SDS 83 MS9I
..236. 200823 0650............................................. summary vitals, ref SDS 83 MS9I
..237. 200824 0630............................................. summary vitals, ref SDS 83 MS9I
..238. 200825 0650............................................. summary vitals, ref SDS 83 MS9I
..239. 200826 0230............................................. summary vitals, ref SDS 83 MS9I
..240. 200827 0610............................................. summary vitals, ref SDS 83 MS9I
..241. 200828 0710............................................. summary vitals, ref SDS 83 MS9I
..242. 200829 0730............................................. summary vitals, ref SDS 83 MS9I
..243. 200830 0800............................................. summary vitals, ref SDS 83 MS9I
..244. 200831 0700............................................. summary vitals, ref SDS 83 MS9I
..245. 200901 0700............................................. summary vitals, ref SDS 83 MS9I
..246. 200902 0700............................................. summary vitals, ref SDS 83 MS9I
..247. 200903 0610............................................. summary vitals, ref SDS 83 MS9I
..248. 200904 0800............................................. summary vitals, ref SDS 83 MS9I
..249. 200905 0700............................................. summary vitals, ref SDS 83 MS9I
..250. 200906 0600............................................. summary vitals, ref SDS 83 MS9I
..251. 200907 0630............................................. summary vitals, ref SDS 83 MS9I
..252. 200908 0630............................................. summary vitals, ref SDS 83 MS9I
..253. 200909 0700............................................. summary vitals, ref SDS 83 MS9I
..254. 200910 0720............................................. summary vitals, ref SDS 83 MS9I
..255. 200911 0830............................................. summary vitals, ref SDS 83 MS9I
..256. 200912 0740............................................. summary vitals, ref SDS 83 MS9I
..257. 200913 0740............................................. summary vitals, ref SDS 83 MS9I
..258. 200914 0740............................................. summary vitals, ref SDS 83 MS9I
..259. 200915 0710............................................. summary vitals, ref SDS 83 MS9I
..260. 200916 0810............................................. summary vitals, ref SDS 83 MS9I
..261. 200917 0710............................................. summary vitals, ref SDS 83 MS9I
..262. 200918 0720............................................. summary vitals, ref SDS 83 MS9I
..263. 200919 0920............................................. summary vitals, ref SDS 83 MS9I
..264. 200920 0410............................................. summary vitals, ref SDS 83 MS9I
..265. 200921 0710............................................. summary vitals, ref SDS 83 MS9I
..266. 200922 0820............................................. summary vitals, ref SDS 83 MS9I
..267. 200923 0820............................................. summary vitals, ref SDS 83 MS9I
..268. 200924 0830............................................. summary vitals, ref SDS 83 MS9I
..269. 200925 0730............................................. summary vitals, ref SDS 83 MS9I
..270. 200926 0830............................................. summary vitals, ref SDS 83 MS9I
..271. 200927 0830............................................. summary vitals, ref SDS 83 MS9I
..272. 200928 0720............................................. summary vitals, ref SDS 83 MS9I
..273. 200929 0605............................................. summary vitals, ref SDS 83 MS9I
..274. 200930 0503............................................. summary vitals, ref SDS 83 MS9I
..275. 201001 0600............................................. summary vitals, ref SDS 83 MS9I
..276. 201002 0630............................................. summary vitals, ref SDS 83 MS9I
..277. 201003 0750............................................. summary vitals, ref SDS 83 MS9I
..278. 201004 0550............................................. summary vitals, ref SDS 83 MS9I
..279. 201005 0640............................................. summary vitals, ref SDS 83 MS9I
..280. 201006 0730............................................. summary vitals, ref SDS 83 MS9I
..281. 201007 0830............................................. summary vitals, ref SDS 83 MS9I
..282. 201008 0900............................................. summary vitals, ref SDS 83 MS9I
..283. 201009 0720............................................. summary vitals, ref SDS 83 MS9I
..284. 201010 0840............................................. summary vitals, ref SDS 83 MS9I
..285. 201011 0730............................................. summary vitals, ref SDS 83 MS9I
..286. 201012 0630............................................. summary vitals, ref SDS 83 MS9I
..287. 201013 0740............................................. summary vitals, ref SDS 83 MS9I
..288. 201014 0800............................................. summary vitals, ref SDS 83 MS9I
..289. 201015 0810............................................. summary vitals, ref SDS 83 MS9I
..290. 201016 0740............................................. summary vitals, ref SDS 83 MS9I
..291. 201017 0730............................................. summary vitals, ref SDS 83 MS9I
..292. 201018 0700............................................. summary vitals, ref SDS 83 MS9I
..293. 201019 0740............................................. summary vitals, ref SDS 83 MS9I
..294. 201020 0900............................................. summary vitals, ref SDS 83 MS9I
..295. 201021 0700............................................. summary vitals, ref SDS 83 MS9I
..296. 201022 0800............................................. summary vitals, ref SDS 83 MS9I
..297. 201023 0810............................................. summary vitals, ref SDS 83 MS9I
..298. 201024 0730............................................. summary vitals, ref SDS 83 MS9I
..299. 201025 0650............................................. summary vitals, ref SDS 83 MS9I
..300. 201026 0200............................................. summary vitals, ref SDS 83 MS9I
..301. 201027 0720............................................. summary vitals, ref SDS 83 MS9I
..302. 201028 0210............................................. summary vitals, ref SDS 83 MS9I
..303. 201029 0810............................................. summary vitals, ref SDS 83 MS9I
..304. 201030 0910............................................. summary vitals, ref SDS 83 MS9I
..305. 201031 0810............................................. summary vitals, ref SDS 83 MS9I
..306. 201101 0750............................................. summary vitals, ref SDS 83 MS9I
..307. 201102 0120............................................. summary vitals, ref SDS 83 MS9I
..308. 201103 0630............................................. summary vitals, ref SDS 83 MS9I
..309. 201104 0750............................................. summary vitals, ref SDS 83 MS9I
..310. 201105 0725............................................. summary vitals, ref SDS 83 MS9I
..311. 201106 0610............................................. summary vitals, ref SDS 83 MS9I
..312. 201107 0710............................................. summary vitals, ref SDS 83 MS9I
..313. 201108 0710............................................. summary vitals, ref SDS 83 MS9I
..314. 201109 0630............................................. summary vitals, ref SDS 83 XZ8H
..315. 201110 0830............................................. summary vitals, ref SDS 83 XZ8H
..316. 201111 0810............................................. summary vitals, ref SDS 83 XZ8H
..317. 201112 0820............................................. summary vitals, ref SDS 83 XZ8H
..318. 201113 0730............................................. summary vitals, ref SDS 83 XZ8H
..319. 201114 0740............................................. summary vitals, ref SDS 83 XZ8H
..320. 201115 0720............................................. summary vitals, ref SDS 83 XZ8H
..321. 201116 0630............................................. summary vitals, ref SDS 83 XZ8H
..322. 201117 0730............................................. summary vitals, ref SDS 83 XZ8H
..323. 201118 0740............................................. summary vitals, ref SDS 83 XZ8H
..324. 201119 0720............................................. summary vitals, ref SDS 83 XZ8H
..325. 201120 0700............................................. summary vitals, ref SDS 83 XZ8H
..326. 201121 0730............................................. summary vitals, ref SDS 83 XZ8H
..327. 201122 0740............................................. summary vitals, ref SDS 83 XZ8H
..328. 201123 0640............................................. summary vitals, ref SDS 83 XZ8H
..329. 201124 0710............................................. summary vitals, ref SDS 83 XZ8H
..330. 201125 0620............................................. summary vitals, ref SDS 83 XZ8H
..331. 201126 0710............................................. summary vitals, ref SDS 83 XZ8H
..332. 201127 0800............................................. summary vitals, ref SDS 83 XZ8H
..333. 201128 0700............................................. summary vitals, ref SDS 83 XZ8H
..334. 201129 0650............................................. summary vitals, ref SDS 83 XZ8H
..335. 201130 0630............................................. summary vitals, ref SDS 83 XZ8H
..336. 201201 0200............................................. summary vitals, ref SDS 83 XZ8H
..337. 201202 0750............................................. summary vitals, ref SDS 83 XZ8H
..338. 201203 0630............................................. summary vitals, ref SDS 83 XZ8H
..339. 201204 0630............................................. summary vitals, ref SDS 83 XZ8H
..340. 201205 0630............................................. summary vitals, ref SDS 83 XZ8H
..341. 201206 0630............................................. summary vitals, ref SDS 83 XZ8H
..342. 201207 0740............................................. summary vitals, ref SDS 83 XZ8H
..343. 201208 0740............................................. summary vitals, ref SDS 83 XZ8H
..344. 201209 0150............................................. summary vitals, ref SDS 83 XZ8H
..345. 201210 0530............................................. summary vitals, ref SDS 83 XZ8H
..346. 201211 0520............................................. summary vitals, ref SDS 83 XZ8H
..347. 201212 0750............................................. summary vitals, ref SDS 83 XZ8H
..348. 201213 0740............................................. summary vitals, ref SDS 83 XZ8H
..349. 201214 0645............................................. summary vitals, ref SDS 83 XZ8H
..350. 201215 0620............................................. summary vitals, ref SDS 83 XZ8H
..351. 201216 0620............................................. summary vitals, ref SDS 83 XZ8H
..352. 201217 0630............................................. summary vitals, ref SDS 83 XZ8H
..353. 201218 0700............................................. summary vitals, ref SDS 83 XZ8H
..354. 201219 0750............................................. summary vitals, ref SDS 83 XZ8H
..355. 201220 0710............................................. summary vitals, ref SDS 83 XZ8H
..356. 201221 0620............................................. summary vitals, ref SDS 83 XZ8H
..357. 201222 0720............................................. summary vitals, ref SDS 83 XZ8H
..358. 201223 0700............................................. summary vitals, ref SDS 83 XZ8H
..359. 201224 0700............................................. summary vitals, ref SDS 83 XZ8H
..360. 201225 0700............................................. summary vitals, ref SDS 83 XZ8H
..361. 201226 0700............................................. summary vitals, ref SDS 83 XZ8H
..362. 201227 0730............................................. summary vitals, ref SDS 83 XZ8H
..363. 201228 0730............................................. summary vitals, ref SDS 83 XZ8H
..364. 201229 0700............................................. summary vitals, ref SDS 83 XZ8H
..365. 201230 0700............................................. summary vitals, ref SDS 83 XZ8H
..366. 201231 0700............................................. summary vitals, ref SDS 83 XZ8H
2...Hiking Summary Past 10 Years Month to Month
........Lipid History


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CONTACTS 

SUBJECTS
Exercise Hiking Vitals Blood Pressure Pulse Heart Rate Medication Me                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
0803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0803 -    ..
0804 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
0805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080501 - Follow up ref SDS 69 0000. ref SDS 55 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
080502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080508 -  ..
0806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0808 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080901 - This record reports daily exercise, vitals diet and medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
080902 - mapped to labs for following periods...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
080903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080904 -            101010 - 111231............. ref SDS 6 QJ5I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080905 -            120101 - 131231............. ref SDS 11 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080906 -            140101 - 151231............. ref SDS 21 6F6G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080907 -            160101 - 171231............. ref SDS 36 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080908 -            180101 - 181231............. ref SDS 55 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080909 -            190101 - 191231............. ref SDS 69 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080916 -  ..
080917 - Mileage spreadsheet correlating HDL cholesterol...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080919 -              F:\05\00003\SM\CC\BNKG\120216cc\130101cc\hiking_miles_3.xlsx                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080928 -  ..
080929 - Case studies hiking, vitals, medication, injuries, BPPV, PRP, podiatry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080930 - care, reported in earlier record today on 200101 0701. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080935 -      *****************************                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080939 -   
080940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080943 -      *****************************                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080946 -         ..
080947 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
080948 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080949 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080950 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080951 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080952 -    1.  200101 0730............................................. summary vitals, ref SDS 69 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080953 -               0730....BP HR..................................................... 153  83  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080954 -               0735....BP HR..................................................... 147  81  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080955 -               0740....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080956 -               0740... 20 96260 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080957 -               0740... 80 165600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080958 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080959 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080960 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080961 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080962 -               0000... Oxycodone HCL Plain  5  135 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080963 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080964 -               1700... 40 52040 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
080965 -               1830............ 10 12980  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080966 -               1830............ 10 12570  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080967 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080968 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080969 -               2120... Oxycodone HCL Plain  5  140 mg RX90533728 took for restless legs out of Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080970 -               0000... Gabapentin 300MG   6600MB  feet hurting so took medication - 2120 feeling better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080971 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
080972 -               2100... 40 32180 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080973 -               2130... 1000  684000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080974 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080975 -               2210... 40 52080 Pantoprazole Rx 25009443 chest pain maybe indigestion, ate some banana - this resolved chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080976 -               2300... 80 165680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080977 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080979 -  ..
080980 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080981 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080982 - 1500. ref SDS 78 0001 - see history above. ref SDS 69 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080984 -  ..
080985 - Dizzy - this did not recur today, see case study above. ref SDS 69 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080987 -  ..
080988 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080990 -  ..
080991 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080992 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080994 -  ..
080995 - Vitals history listed on 181231, above. ref SDS 69 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080997 -  ..
080998 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080999 - ref SDS 69 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081001 -  ..
081002 - Pain medication - see study above. ref SDS 69 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081003 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081004 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081005 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081006 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081007 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081008 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081009 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081010 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081011 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081012 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081013 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081014 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081016 -  ..
081017 - Legs late at night - restless legs feeling; out of Tramadol, so took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081018 - oxycodone, see study above. ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081021 -  ..
081022 - Hiking - none today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081024 -  ..
081025 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081026 - Lunch - half sandwich tuna salmon spread, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081027 - Dinner - asparagus mushrooms onion avocado tomaro rice tuna salmon,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081028 - cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081030 -  ..
081031 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081036 -         ..
081037 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081038 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081039 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081040 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081041 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081042 -    2.  200102 0735............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081043 -               0740....BP HR..................................................... 129  70  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081044 -               0745....BP HR..................................................... 125  68  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081045 -               0750....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081046 -               0750... 20 96280 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081047 -               0750... 80 165760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081048 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081049 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081050 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081051 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081052 -               0000... Oxycodone HCL Plain  5  140 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081053 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081054 -               1700... 40 52120 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
081055 -             1 0000............ 10 12980  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081056 -             1 0000............ 10 12570  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081057 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081058 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081059 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081060 -               2100... 40 32220 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081061 -               2130... 1000  685000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081062 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081063 -               2200... 80 165840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081064 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081066 -  ..
081067 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081068 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081069 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081071 -  ..
081072 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081074 -  ..
081075 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081077 -  ..
081078 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081079 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081081 -  ..
081082 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081084 -  ..
081085 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081086 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081088 -  ..
081089 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081090 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081091 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081092 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081093 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081094 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081095 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081096 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081097 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081098 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081099 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081100 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081101 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081103 -  ..
081104 - Hiking - none today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081106 -  ..
081107 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081108 - Lunch - half hamburger fries, beer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081109 - Dinner - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081111 -  ..
081112 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081118 -         ..
081119 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081120 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081121 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081122 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081123 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081124 -    3.  200103 0315............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081125 -               0320....BP HR..................................................... 144  82  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081126 -               0325....BP HR..................................................... 140  79  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081127 -               0330....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081128 -               0330... 20 96300 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081129 -               0330... 80 165920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081130 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081131 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081132 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081133 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081134 -               0000... Oxycodone HCL Plain  5  140 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081135 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081136 -               0500....miles...........   4.0   4.0   70    70 minutes temp  70 (inside building)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081137 -               1545....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081138 -               1550....BP HR..................................................... 121  74  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081139 -               1555....BP HR..................................................... 119  70  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081140 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081141 -               0000....Iced left knee 20 minutes after blood pressure - it raises heart rate by 50%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081142 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081143 -               1700... 40 52160 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
081144 -               1830............ 10 12990  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081145 -               1830............ 10 12580  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081146 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081147 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081148 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081149 -               2100... 40 32260 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081150 -               2130... 1000  686000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081151 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081152 -               2200... 80 166000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081153 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081155 -  ..
081156 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081157 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081158 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081160 -  ..
081161 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081163 -  ..
081164 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081166 -  ..
081167 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081168 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081170 -  ..
081171 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081173 -  ..
081174 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081175 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081177 -  ..
081178 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081179 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081180 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081181 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081182 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081183 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081184 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081185 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081186 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081187 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081188 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081189 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081190 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081192 -  ..
081193 - Testing - carried 1 oxycodone and 2 gabapentin pills for 4.25 miles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081194 - did not take pain meds, because ended hike at 7 miles due to chest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081195 - pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081197 -  ..
081198 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081199 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081200 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081201 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081202 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081203 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081204 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081205 -        Bicep tendon strain across elbow right arm...   1        100  feels better with palm up can bend and extend arm without pain, but turning palm down pain level 4 bending and extend arm                                                                                                                                                                                                                                                                                                                                                                                                                    
081206 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081207 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081208 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081209 -        Swelled lower legs and feet after hike.......   0             after hike ridge at sock line and both feet swelled only slightly which is normal                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081210 -        Knee left meniscus...PRP 191009..............   0        100  with Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081211 -        Knee left patalla...PRP 191009...............   0        100  with Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081212 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081213 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081214 -        Knee right..PRP 190816.......................   0        100  with Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081215 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081216 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081217 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081218 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081219 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081220 -        Tailor's Bunion left foot.. PRP 190612.......   0        100  laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081221 -        Tailor's Bunion right foot..PRP 190816.......   0        100  laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081222 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081223 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081224 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081225 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081226 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081227 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081228 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081229 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081230 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081231 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081232 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081233 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081234 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081236 -  ..
081237 - Body feels okay after hiking 22 miles in 61 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081238 - on 191009 1500. ref SDS 78 0001
081240 - -
081241 - After hike left knee patella pain level 0; left knee meniscus slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081242 - swelled pain level 0, but knee mildly stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081243 - position.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081245 -  ..
081246 - Several hours after hike, feet and leg pain level 2, so did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081247 - medication, since took oxycodone and gabapentin before starting hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081248 - per above. ref SDS 69 KV9H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081250 -  ..
081251 - Legs 6 late at night - restless legs feeling; out of Tramadol, so took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081252 - oxycodone, see study above. ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081254 -  ..
081255 - Elastic bandage wrapped left knee - eliminated because causing heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081256 - pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081258 -  ..
081259 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081260 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081261 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081262 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081263 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081265 -     ..
081266 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081267 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081269 -  ..
081270 - Socks wearing 1 pair double layer Wrightsocks, received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081271 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081272 - on blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081274 -  ..
081275 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081276 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081277 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081279 -  ..
081280 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081281 - reduce pressure, shown above, ref SDS 69 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081282 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081283 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081284 - ref SDS 77 SM4M  After hike today on 191225 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081285 - and Tailor's Bunions, but did not apply Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081286 - both feet.  Before hike laced shoes less tightly.  These two (2)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081287 - measures seemed to prevent pain on Tailor's Bunions entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081289 -  ..
081290 - Hiking - throughout VAMC campus in San Francisco, reported in another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081291 - record on 200103 0700. ref SDS 85 NE9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081293 -  ..
081294 - Breakfast - eggs sausage after starting treadmill stress test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081295 - Lunch - half hamburger macaroni salad                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081296 - Dinner - salmon asparagus onion mushrooms mashed potatoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081298 -  ..
081299 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081304 -         ..
081305 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081306 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081307 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081308 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081309 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081310 -    4.  200104 0635............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081311 -               0920....BP HR..................................................... 154  83  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081312 -               0925....BP HR..................................................... 148  79  45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081313 -               0930....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081314 -               0930... 20 96320 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081315 -               0930... 80 166080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081316 -               0930... 05   10 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081317 -               0930... 25    50 Metoprolol Succinate RX 7088123 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081318 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081319 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081320 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081321 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081322 -               0000... Oxycodone HCL Plain  5  140 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081323 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081324 -               1050....miles...........   9.0  15.0  146   251 minutes temp  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081325 -               1320....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081326 -               1330....BP HR..................................................... 114  71  61  (very low after hike)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081327 -               1335....BP HR..................................................... 113  74  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081328 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081329 -               0000....Iced left knee 20 minutes after blood pressure - it raises heart rate by 50%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081330 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081331 -               1700... 40 52200 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
081332 -               1700... 05   15 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081333 -             1 0000............ 10 12990  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081334 -             1 0000............ 10 12580  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081335 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081336 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081337 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081338 -               2100... 40 32300 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081339 -               2130... 1000  687000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081340 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081341 -               2200... 80 166160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081342 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081344 -  ..
081345 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081346 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081347 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081349 -  ..
081350 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081352 -  ..
081353 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081355 -  ..
081356 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081357 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081359 -  ..
081360 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081362 -  ..
081363 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081364 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081366 -  ..
081367 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081368 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081369 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081370 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081371 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081372 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081373 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081374 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081375 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081376 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081377 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081378 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081379 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081381 -  ..
081382 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081383 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081384 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081385 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081386 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081387 -        Chest pain...................................   2         30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081388 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081389 -        Bicep tendon strain across elbow right arm...   1        100  feels better with palm up can bend and extend arm without pain, but turning palm down pain level 4 bending and extend arm                                                                                                                                                                                                                                                                                                                                                                                                                    
081390 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081391 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081392 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081393 -        Knee left meniscus...PRP 191009..............   0        100  with Glucosamine Chondroitin - forgot to take this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081394 -        Knee left patalla...PRP 191009...............   0        100  with Glucosamine Chondroitin - forgot to take this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081395 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081396 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081397 -        Knee right..PRP 190816.......................   0        100  with Glucosamine Chondroitin - forgot to take this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081398 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081399 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081400 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081401 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081402 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081403 -        Tailor's Bunion left foot.. PRP 190612.......   0        100  laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081404 -        Tailor's Bunion right foot..PRP 190816.......   0        100  laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081405 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081406 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081407 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081408 -        Metatarsalgia right foot..PRP 191009.........   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081409 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081410 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081411 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081412 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081413 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081414 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081415 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081416 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081417 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081419 -  ..
081420 - Body feels okay after hiking 9 miles in 58 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081421 - on 191009 1500. ref SDS 78 0001
081423 - -
081424 - After hike left knee patella pain level 0; left knee meniscus not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081425 - swelled pain level 0, but knee mildly stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081426 - position.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081428 -  ..
081429 - Several hours after hike, feet and leg pain level 2, so did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081430 - medication, since took oxycodone and gabapentin before starting hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081431 - per above. ref SDS 69 KV9H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081433 -  ..
081434 - Legs 6 hours after hike late at night - no restless legs feeling; out                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081435 - of Tramadol, did not take oxycodone, see study above. ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081437 -  ..
081438 - Elastic bandage wrapped left knee - eliminated because causing heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081439 - pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081441 -  ..
081442 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081443 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081444 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081445 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081446 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081448 -  ..
081449 - Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081450 - ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081452 -     ..
081453 -    Socks wearing 1 pair double layer Wrightsocks, received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081454 -    1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081455 -    on blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081457 -  ..
081458 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081459 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081460 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081462 -  ..
081463 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081464 - reduce pressure, shown above, ref SDS 69 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081465 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081466 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081467 - ref SDS 77 SM4M  After hike today on 191225 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081468 - and Tailor's Bunions, but did not apply Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081469 - both feet.  Before hike laced shoes less tightly.  These two (2)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081470 - measures seemed to prevent pain on Tailor's Bunions entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081472 -  ..
081473 - Concord 9 mile route.  Hiked extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081474 - energy good wearing Hoka Bondi 6 shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081475 - ref SDS 77 SM4M  Smartwool socks received on 190326 1004. ref SDS 71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081476 - V54H ---2-ply Wright socks received on 191010 1344. ref SDS 79 SM4M---                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081477 - Today, hiking without Glucosamine Chondroitin, oxycodone and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081478 - garbapentin, per above. ref SDS 0 M46G  Testing take Apixaban blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081479 - thinner Metoprolol Succinate to avoid chest pain from afib, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081480 - ref SDS 0 M46G  Hiking slow on Cuneo slight uphill - chest pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081481 - 1 after ending elastic bandage on 191223. ref SDS 69 RPVU  Hiking East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081482 - on Treat asphault pavement shoulder, pace slow.  Chest pain resolved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081483 - within .25 miles.  No left knee buckling and no weakness left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081484 - hamstring lateral and medial tendons despite not wearing elastic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081485 - bandage.  No electric shocks either foot entire hike.  Hiking up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081486 - slight hill to Turtle Creek Road chest pain level 1, resolved going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081487 - downhill.  Time to 1.25 miles 20 minutes.  Turned corner onto Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081488 - and hiked 2 miles South on concrete sidewalk.  No burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081489 - again today, and so far both feet Tailor's Bunion pain level 0, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081490 - because laced shoes loosley.  At mile 2.6 in parking lot Lucky Store                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081491 - pain level 2 bottom right foot metatarsalgia.  Turned corner heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081492 - West on Ygnacio Valley Road at mile 3.25.  About mile 3.75 crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081493 - from North to South side Ygnacio Valley Road to hike on asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081494 - pavement against oncoming traffic.  Continued to Pine Hollow road -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081495 - time to mile 4.25 about 74 minutes.  HR 67, but few minutes later 147.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081496 - Left foot Tailor's Bunion pain level 0.  Turned corner hiking South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081497 - 100 yards; turned onto Campus Road hiking West on asphault pavement 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081498 - mile uphill.  About .75 miles up slope increased causing chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081499 - level 2.  Slowed pace.  Decided not to turn South and hike .5 miles up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081500 - steeper hill to Califoria State University Concord Campus.  Instead,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081501 - hiked North .25 miles downhill to Ygnacio Valley Road.  This resolved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081502 - chest pain.  Turned corner and hiked West .5 miles to Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081503 - Road at mile 6 in the hike.  Today, did not turn corner onto Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081504 - Ranch Road.  Continued uphill on Ygnacio Valley Road .5 miles to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081505 - Cowell.  Turned North onto Cowell hiked 1-mile to Treat, then .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081506 - miles to Cuneo.  Hiked extra mile loop around the block to Kaski,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081507 - Cowell, Treat, Cuneo and home for 9 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081509 -  ..
081510 - Breakfast - cheerios milk with Metoprolol and Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081511 - Lunch - hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081512 - Dinner - chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081514 -  ..
081515 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081520 -         ..
081521 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081522 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081523 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081524 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081525 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081526 -    5.  200105 0655............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081527 -               0620....BP HR..................................................... 129  74  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081528 -               0635....BP HR..................................................... 121  68  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081529 -               0640....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081530 -               0640... 20 96340 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081531 -               0640... 80 166240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081532 -               0640... 05   20 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081533 -               0640... 25    75 Metoprolol Succinate RX 7088123 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081534 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081535 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081536 -               1030....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081537 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081538 -               0000... Oxycodone HCL Plain  5  140 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081539 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081540 -               1115....miles...........   9.0  24.0  145   396 minutes temp  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081541 -               1430....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081542 -               1440....BP HR..................................................... 118  78  65  (very low after hike)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081543 -               1445....BP HR..................................................... 118  68  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081544 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081545 -               0000....Iced left knee 20 minutes after blood pressure - it raises heart rate by 50%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081546 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081547 -               1700... 40 52240 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
081548 -               1700... 05   25 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081549 -               1830............ 10 13000  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081550 -               1830............ 10 12590  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081551 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081552 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081553 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081554 -               2100... 40 32340 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081555 -               2130... 1000  688000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081556 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081557 -               2200... 80 166320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081558 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081560 -  ..
081561 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081562 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081563 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081565 -  ..
081566 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081568 -  ..
081569 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081571 -  ..
081572 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081573 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081575 -  ..
081576 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081578 -  ..
081579 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081580 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081582 -  ..
081583 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081584 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081585 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081586 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081587 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081588 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081589 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081590 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081591 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081592 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081593 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081594 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081595 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081597 -  ..
081598 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081599 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081600 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081601 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081602 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081603 -        Chest pain...................................   1         20  on uphills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081604 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081605 -        Bicep tendon strain across elbow right arm...   1        100  feels better with palm up can bend and extend arm without pain, but turning palm down pain level 4 bending and extend arm                                                                                                                                                                                                                                                                                                                                                                                                                    
081606 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081607 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081608 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081609 -        Knee left meniscus...PRP 191009..............   0        100  with Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081610 -        Knee left patalla...PRP 191009...............   0        100  with Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081611 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081612 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081613 -        Knee right..PRP 190816.......................   0        100  with Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081614 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081615 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081616 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081617 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081618 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081619 -        Tailor's Bunion left foot.. PRP 190612.......   0        100  laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081620 -        Tailor's Bunion right foot..PRP 190816.......   0        100  laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081621 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081622 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081623 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081624 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081625 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081626 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081627 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081628 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081629 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081630 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081631 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081632 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081633 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081635 -  ..
081636 - Body feels okay after hiking 9 miles in 61 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081637 - on 191009 1500. ref SDS 78 0001
081639 - -
081640 - After hike left knee patella pain level 0; left knee meniscus not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081641 - swelled pain level 0, but knee mildly stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081642 - position.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081644 -  ..
081645 - Several hours after hike, feet and leg pain level 2, so did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081646 - medication - did not take oxycodone and gabapentin before starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081647 - hike, per above. ref SDS 0 P84F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081649 -  ..
081650 - Legs 6 hours after hike late at night - no restless legs feeling; out                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081651 - of Tramadol, did not take oxycodone, see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081652 - ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081654 -  ..
081655 - Elastic bandage wrapped left knee - eliminated because causing heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081656 - pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081658 -  ..
081659 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081660 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081661 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081662 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081663 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081665 -     ..
081666 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081667 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081669 -  ..
081670 - Socks wearing 1 pair double layer Wrightsocks, received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081671 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081672 - on blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081674 -  ..
081675 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081676 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081677 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081679 -  ..
081680 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081681 - reduce pressure, shown above, ref SDS 69 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081682 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081683 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081684 - ref SDS 77 SM4M  After hike today on 191225 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081685 - and Tailor's Bunions, but did not apply Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081686 - both feet.  Before hike laced shoes less tightly.  These two (2)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081687 - measures seemed to prevent pain on Tailor's Bunions entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081689 -  ..
081690 - Concord 9 mile route.  Hiked extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081691 - energy good wearing Hoka Bondi 6 shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081692 - ref SDS 77 SM4M  --- Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081693 - ref SDS 71 V54H --- 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081694 - ref SDS 79 SM4M  Today, hiking with Glucosamine Chondroitin, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081695 - without oxycodone and garbapentin, per above. ref SDS 0 P84F  Testing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081696 - take Apixaban blood thinner Metoprolol Succinate to avoid chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081697 - from afib, per above. ref SDS 0 P84F  Hiking slow on Cuneo slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081698 - uphill - chest pain level 0 first time in several hikes.  Hiking East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081699 - on Treat asphault pavement shoulder, pace slow.  No left knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081700 - and no weakness left knee hamstring lateral and medial tendons despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081701 - not wearing elastic bandage.  No electric shocks either foot entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081702 - hike.  Hiking up slight hill to Turtle Creek Road chest pain level .5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081703 - resolved going downhill.  Time to 1.25 miles 20 minutes.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081704 - corner onto Clayton and hiked 2 miles South on concrete sidewalk.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081705 - burning sensation again today, and so far both feet Tailor's Bunion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081706 - pain level 0, likely because laced shoes loosley.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081707 - heading West on Ygnacio Valley Road at mile 3.25.  About mile 3.75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081708 - crossed from North to South side Ygnacio Valley Road to hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081709 - asphault pavement against oncoming traffic.  Continued to Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081710 - road - time to mile 4.25 about 73 minutes.  Left foot Tailor's Bunion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081711 - pain level 0.  Turned corner hiking South 100 yards; turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081712 - Campus Road hiking West on asphault pavement 1 mile uphill.  About .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081713 - miles uphill, slope increased causing chest pain level 1.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081714 - South and hiked .5 miles up steeper hill to Califoria State University                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081715 - Concord Campus, causing pain level .5, better than expected.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081716 - Cellphone would not report HR, indicating PAF erratic signals in left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081717 - atria.  Continued around perimeter of faculty parking on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081718 - pavement; then hiked slightly downhill through student parking, back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081719 - to Campus Road.  Chest pain level 0.  Hiked North .25 miles downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081720 - to Ygnacio Valley Road.  Turned corner and hiked West .5 miles to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081721 - Crystal Ranch Road at mile 7 in the hike.  Today, did not turn corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081722 - onto Crystal Ranch Road.  Continued uphill on Ygnacio Valley Road .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081723 - miles to Cowell.  Turned North onto Cowell hiked 1-mile to Treat, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081724 - .25 miles to Cuneo for 9 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081726 -  ..
081727 - Breakfast - cheerios banana milk with Metoprolol and Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081728 - Lunch - triscuits cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081729 - Dinner - meatloaf brocolli mashed potatoes, pie ice cream                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081731 -  ..
081732 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081737 -         ..
081738 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081739 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081740 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081741 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081742 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081743 -    6.  200106 0640............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081744 -               0740....BP HR..................................................... 122  74  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081745 -               0745....BP HR..................................................... 121  72  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081746 -               0750....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081747 -               0750... 20 96360 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081748 -               0750... 80 166400 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081749 -               0750... 05   30 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081750 -               0750... 25    100 Metoprolol Succinate RX 7088123 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081751 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081752 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081753 -               1030....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081754 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081755 -               0000... Oxycodone HCL Plain  5  140 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081756 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081757 -               1115....miles...........   5.0   5.0   81    81 minutes temp  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081758 -               1250....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081759 -               1300....BP HR..................................................... 120  69  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081760 -               1305....BP HR..................................................... 117  71  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081761 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081762 -               0000....Iced left knee 20 minutes after blood pressure - it raises heart rate by 50%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081763 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081764 -               1700... 40 52280 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
081765 -               1700... 05   35 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081766 -             1 0000............ 10 13000  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081767 -             1 0000............ 10 12590  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081768 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081769 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081770 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081771 -               2100... 40 32380 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081772 -               2130... 1000  689000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081773 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081774 -               2200... 80 166480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081775 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081777 -  ..
081778 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081779 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081780 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081782 -  ..
081783 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081785 -  ..
081786 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081788 -  ..
081789 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081790 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081792 -  ..
081793 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081795 -  ..
081796 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081797 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081799 -  ..
081800 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081801 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081802 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081803 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081804 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081805 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081806 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081807 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081808 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081809 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081810 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081811 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081812 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081814 -  ..
081815 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081816 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081817 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081818 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081819 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081820 -        Chest pain...................................   1         40  on Clayton which is very slight hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081821 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081822 -        Bicep tendon strain across elbow right arm...   1        100  feels better with palm up can bend and extend arm without pain, but turning palm down pain level 4 bending and extend arm                                                                                                                                                                                                                                                                                                                                                                                                                    
081823 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081824 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081825 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081826 -        Knee left meniscus...PRP 191009..............   0        100  with Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081827 -        Knee left patalla...PRP 191009...............   0        100  with Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081828 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081829 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081830 -        Knee right..PRP 190816.......................   0        100  with Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081831 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081832 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081833 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081834 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081835 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081836 -        Tailor's Bunion left foot.. PRP 190612.......   0        100  laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081837 -        Tailor's Bunion right foot..PRP 190816.......   0        100  laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081838 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081839 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081840 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081841 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081842 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081843 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081844 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081845 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081846 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081847 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081848 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081849 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081850 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081852 -  ..
081853 - Body feels okay after hiking 5 miles in 61 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081854 - on 191009 1500. ref SDS 78 0001
081856 - -
081857 - After hike left knee patella pain level 0; left knee meniscus not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081858 - swelled pain level 0, but knee mildly stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081859 - position.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081861 -  ..
081862 - Several hours after hike, feet and leg pain level 1, so did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081863 - medication, since took oxycodone and gabapentin before starting hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081864 - per above. ref SDS 69 KV9H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081866 -  ..
081867 - Legs 6 hours after hike late at night - no restless legs feeling; out                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081868 - of Tramadol, did not take oxycodone, see study above. ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081870 -  ..
081871 - Elastic bandage wrapped left knee - eliminated because causing heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081872 - pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081874 -  ..
081875 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081876 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081877 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081878 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081879 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081881 -     ..
081882 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081883 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081885 -  ..
081886 - Socks wearing 1 pair double layer Wrightsocks, received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081887 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081888 - on blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081890 -  ..
081891 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081892 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081893 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081895 -  ..
081896 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081897 - reduce pressure, shown above, ref SDS 69 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081898 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081899 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081900 - ref SDS 77 SM4M  After hike today on 191225 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081901 - and Tailor's Bunions, but did not apply Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081902 - both feet.  Before hike laced shoes less tightly.  These two (2)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081903 - measures seemed to prevent pain on Tailor's Bunions entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081905 -  ..
081906 - Concord 5 mile route.  Did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081907 - Starting energy good wearing Hoka Bondi 6 shoes received on 190927                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081908 - 1110. ref SDS 77 SM4M  --- Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081909 - ref SDS 71 V54H --- 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081910 - ref SDS 79 SM4M  Today, hiking with Glucosamine Chondroitin, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081911 - without oxycodone and garbapentin, per above. ref SDS 0 P84F  Testing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081912 - take Apixaban blood thinner Metoprolol Succinate to avoid chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081913 - from afib, per above. ref SDS 0 Q95J  Hiking slow on Cuneo slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081914 - uphill - chest pain level 0 after ending elastic bandage on 191223.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081915 - ref SDS 69 RPVU  Hiking East on Treat asphault pavement shoulder, pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081916 - slow.  Going uphill to Turtle Creek Road pain level 0; cellphone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081917 - failed to report HR indicating erratic signals in left aorta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081918 - overwhelming sinus node signal in right arota, i.e., PAF episode.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081919 - left knee buckling and no weakness left knee hamstring lateral and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081920 - medial tendons despite not wearing elastic bandage.  No electric                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081921 - shocks either foot entire hike.  Hiking up hill slightly to Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081922 - Creek Road chest pain level 0.  So far good results.  Time to 1.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081923 - miles 20 minutes.  Turned corner onto Clayton and hiked 2 miles South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081924 - on concrete sidewalk.  At mile 2.25 HR 58 - slightly dizzy, perhaps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081925 - because normally hiking flat ground HR 100.  No burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081926 - again today, and so far both feet Tailor's Bunion pain level 0, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081927 - because laced shoes loosley.  Chest pain on 50% of Clayton despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081928 - only 1% slope uphill, so slowed pace.  Turned corner heading West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081929 - Ygnacio Valley Road at mile 3.25.  About mile 3.75 crossed from North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081930 - to South side Ygnacio Valley Road to hike on asphault pavement against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081931 - oncoming traffic.  Continued to Pine Hollow road - time to mile 4.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081932 - about 73 minutes.  Chest pain did not resolve, so called Kathy for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081933 - ride home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081935 -  ..
081936 - Breakfast - cheerios banana milk with Metoprolol and Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081937 - Lunch - hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081938 - Dinner - meatloaf brocolli mashed potatoes, pie ice cream                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081940 -  ..
081941 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081945 -         ..
081946 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081947 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081948 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081949 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081950 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081951 -    7.  200107 0730............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081952 -               0740....BP HR..................................................... 160  82  44                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081953 -               0745....BP HR..................................................... 123  67  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081954 -               0750....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081955 -               0750... 20 96380 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081956 -               0750... 80 166560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081957 -               0750... 05   40 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081958 -               0750... 25    125 Metoprolol Succinate RX 7088123 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081959 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081960 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081961 -               1030....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081962 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081963 -               0000... Oxycodone HCL Plain  5  140 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081964 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081965 -               1700... 40 52320 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
081966 -               1830............ 10 13010  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081967 -               1830............ 10 12600  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081968 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081969 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081970 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081971 -               2100... 40 32400 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081972 -               2130... 1000  690000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081973 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081974 -               2200... 05   45 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081975 -               2200... 80 166640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081976 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081978 -  ..
081979 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081980 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081981 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081983 -  ..
081984 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081986 -  ..
081987 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081989 -  ..
081990 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081991 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081993 -  ..
081994 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081996 -  ..
081997 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081998 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082000 -  ..
082001 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082002 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082003 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082004 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082005 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082006 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082007 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082008 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082009 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082010 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082011 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082012 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082013 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082015 -  ..
082016 - Hiking - none, deconditioning recover atrial fibrillation (AF), per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082017 - research on 200103 0700. ref SDS 85 477F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082019 -  ..
082020 - Breakfast - cheerios banana milk with Metoprolol and Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082021 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082022 - Dinner - eggs ham asparagus onion mushrooms cheese, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082024 -  ..
082025 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082030 -         ..
082031 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082032 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082033 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082034 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082035 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082036 -    8.  200108 0630............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082037 -               0640....BP HR..................................................... 138  82  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082038 -               0645....BP HR..................................................... 126  75  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082039 -               0650....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082040 -               0650... 20 96400 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082041 -               0650... 80 166720 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082042 -       paused  0000... 05   45 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082043 -               0650... 25    150 Metoprolol Succinate RX 7088123 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082044 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082045 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082046 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082047 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082048 -               0000... Oxycodone HCL Plain  5  140 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082049 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082050 -               1130....miles...........   2.0   7.0   35   107 minutes temp  70                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082051 -               1250....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082052 -               1300....BP HR..................................................... 120  69  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082053 -               1305....BP HR..................................................... 117  71  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082054 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082055 -               0000....Iced left knee 20 minutes after blood pressure - it raises heart rate by 50%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082056 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082057 -               1700... 40 52360 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
082058 -             1 0000............ 10 13010  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082059 -             1 0000............ 10 12600  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082060 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082061 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082062 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082063 -               2100... 40 32440 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082064 -               2130... 1000  691000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082065 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082066 -       paused  2200... 05   45 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082067 -               2200... 80 166800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082068 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082070 -  ..
082071 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082072 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082073 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082075 -  ..
082076 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082078 -  ..
082079 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082081 -  ..
082082 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082083 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082085 -  ..
082086 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082088 -  ..
082089 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082090 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082092 -  ..
082093 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082094 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082095 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082096 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082097 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082098 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082099 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082100 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082101 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082102 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082103 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082104 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082105 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082107 -  ..
082108 - Hiking - none today, but walked about 2 miles around campus at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082109 - VAMCSF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082111 -  ..
082112 - Breakfast - cheerios banana milk with Metoprolol and Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082113 - Lunch - hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082114 - Dinner - macaroni cheese onion tomato mushrooms, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082116 -  ..
082117 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082122 -         ..
082123 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082124 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082125 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082126 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082127 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082128 -    9.  200109 0250............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082129 -               0310....BP HR..................................................... 130  79  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082130 -               0315....BP HR..................................................... 141  77  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082131 -               0320....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082132 -               0320... 20 96420 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082133 -               0710... 80 166880 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082134 -       paused  0000... 05   45 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082135 -               0710... 25    175 Metoprolol Succinate RX 7088123 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082136 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082137 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082138 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082139 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082140 -               0000... Oxycodone HCL Plain  5  140 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082141 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082142 -               0530....miles...........   2.0   7.0   36   152 minutes temp  70                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082143 -               1250....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082144 -               1300....BP HR..................................................... 120  69  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082145 -               1305....BP HR..................................................... 117  71  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082146 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082147 -               0000....Iced left knee 20 minutes after blood pressure - it raises heart rate by 50%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082148 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082149 -               1700... 40 52400 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
082150 -               1830............ 10 13020  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082151 -               1830............ 10 12610  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082152 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082153 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082154 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082155 -               2100... 40 32480 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082156 -               2130... 1000  692000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082157 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082158 -       paused  2200... 05   45 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082159 -               2200... 80 166960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082160 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082162 -  ..
082163 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082164 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082165 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082167 -  ..
082168 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082170 -  ..
082171 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082173 -  ..
082174 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082175 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082177 -  ..
082178 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082180 -  ..
082181 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082182 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082184 -  ..
082185 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082186 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082187 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082188 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082189 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082190 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082191 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082192 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082193 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082194 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082195 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082196 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082197 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082199 -  ..
082200 - Hiking - none today, but walked about 2 miles around campus at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082201 - VAMCSF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082203 -  ..
082204 - Breakfast - cheerios banana milk with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082205 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082206 - Dinner - meat loaf asparagus mashed potatoes avocado, beer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082208 -  ..
082209 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082214 -         ..
082215 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082216 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082217 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082218 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082219 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082220 -   10.  200110 0550............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082221 -               0700....BP HR..................................................... 144  69  45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082222 -               0705....BP HR..................................................... 147  75  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082223 -               0710....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082224 -               0000... 20 96420 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082225 -               0000... 80 166880 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082226 -       paused  0000... 05   45 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082227 -       paused  0000... 25    175 Metoprolol Succinate RX 7088123 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082228 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082229 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082230 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082231 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082232 -               0000... Oxycodone HCL Plain  5  140 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082233 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082234 -               1700... 40 52400 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
082235 -             1 0000............ 10 13020  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082236 -             1 0000............ 10 12610  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082237 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082238 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082239 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082240 -               2100... 40 32480 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082241 -               2130... 1000  692000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082242 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082243 -      resumed  2200... 05   45 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082244 -               2200... 80 166960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082245 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082247 -  ..
082248 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082249 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082250 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082252 -  ..
082253 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082255 -  ..
082256 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082258 -  ..
082259 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082260 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082262 -  ..
082263 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082265 -  ..
082266 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082267 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082269 -  ..
082270 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082271 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082272 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082273 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082274 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082275 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082276 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082277 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082278 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082279 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082280 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082281 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082282 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082284 -  ..
082285 - Hiking - paused pending cardiac catheterization Angiogram resolve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082286 - chest pain with stent.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082288 -  ..
082289 - Breakfast - NPO for EGD procedure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082290 - Lunch - hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082291 - Dinner - rice hamburger cheese onnion mushroom, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082293 -  ..
082294 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082298 -        ..
082299 -                                                                       <LZ5O
082300 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082301 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082302 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082303 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082304 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082305 -   11.  200111 0720............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082306 -               0730....BP HR..................................................... 136  78  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082307 -               0735....BP HR..................................................... 126  72  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082308 -               0740....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082309 -               0740... 20 96440 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082310 -               0740... 80 167040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082311 -               0740... 05   50 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082312 -               0740... 25    200 Metoprolol Succinate RX 7088123 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082313 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082314 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082315 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082316 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082317 -               0000... Oxycodone HCL Plain  5  140 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082318 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082319 -               1700... 40 52440 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
082320 -               1830............ 10 13030  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082321 -               1830............ 10 12620  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082322 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082323 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082324 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082325 -               2100... 40 32520 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082326 -               2130... 1000  693000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082327 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082328 -               2200... 05   55 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082329 -               2200... 80 167120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082330 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082332 -  ..
082333 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082334 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082335 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082337 -  ..
082338 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082340 -  ..
082341 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082343 -  ..
082344 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082345 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082347 -  ..
082348 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082350 -  ..
082351 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082352 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082354 -  ..
082355 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082356 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082357 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082358 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082359 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082360 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082361 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082362 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082363 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082364 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082365 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082366 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082367 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082369 -  ..
082370 - Breakfast - cheerios chia seeds banana milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082371 - Lunch - hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082372 - Dinner - lasagna onion brocolli asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082374 -  ..
082375 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082380 -         ..
082381 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082382 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082383 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082384 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082385 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082386 -   12.  200112 0720............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082387 -               0730....BP HR..................................................... 145  79  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082388 -               0735....BP HR..................................................... 144  76  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082389 -               0740....weight.................................... 189                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082390 -               0740... 20 96460 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082391 -               0740... 80 167200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082392 -               0740... 05   60 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082393 -               0740... 25    225 Metoprolol Succinate RX 7088123 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082394 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082395 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082396 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082397 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082398 -               0000... Oxycodone HCL Plain  5  140 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082399 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082400 -               1700... 40 52480 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
082401 -             1 0000............ 10 13030  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082402 -             1 0000............ 10 12620  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082403 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082404 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082405 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082406 -               2100... 40 32560 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082407 -               2130... 1000  694000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082408 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082409 -               2200... 05   65 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082410 -               2200... 80 167280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082411 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082413 -  ..
082414 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082415 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082416 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082418 -  ..
082419 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082421 -  ..
082422 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082424 -  ..
082425 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082426 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082428 -  ..
082429 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082431 -  ..
082432 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082433 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082435 -  ..
082436 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082437 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082438 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082439 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082440 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082441 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082442 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082443 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082444 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082445 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082446 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082447 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082448 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082450 -  ..
082451 - Breakfast - eggs sausage toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082452 - Lunch - Triscuts cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082453 - Dinner - lasagna onion brocolli asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082455 -  ..
082456 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082460 -         ..
082461 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082462 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082463 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082464 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082465 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082466 -   13.  200113 0705............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082467 -               0710....BP HR..................................................... 131  77  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082468 -               0715....BP HR..................................................... 133  76  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082469 -               0720....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082470 -               0720... 20 96480 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082471 -               0720... 80 167360 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082472 -               0720... 05   70 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082473 -               0720... 25    250 Metoprolol Succinate RX 7088123 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082474 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082475 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082476 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082477 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082478 -               0000... Oxycodone HCL Plain  5  140 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082479 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082480 -               1700... 40 52520 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
082481 -               1830............ 10 13040  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082482 -               1830............ 10 12630  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082483 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082484 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082485 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082486 -               2100... 40 32600 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082487 -               2130... 1000  695000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082488 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082489 -               2200... 05   75 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082490 -               2200... 80 167440 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082491 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082493 -  ..
082494 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082495 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082496 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082498 -  ..
082499 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082501 -  ..
082502 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082504 -  ..
082505 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082506 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082508 -  ..
082509 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082511 -  ..
082512 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082513 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082515 -  ..
082516 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082517 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082518 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082519 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082520 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082521 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082522 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082523 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082524 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082525 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082526 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082527 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082528 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082530 -  ..
082531 - Hiking - none, rehabing paroxysmal atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082533 -  ..
082534 - Breakfast - cherrios banana chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082535 - Lunch - half hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082536 - Dinner - lasagna onion brocolli asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082538 -  ..
082539 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082545 -         ..
082546 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082547 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082548 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082549 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082550 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082551 -   14.  200114 0715............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082552 -               0720....BP HR..................................................... 132  79  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082553 -               0725....BP HR..................................................... 139  77  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082554 -               0730....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082555 -               0730... 20 96500 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082556 -               0730... 80 167520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082557 -               0730... 05   80 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082558 -               0730... 25    275 Metoprolol Succinate RX 7088123 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082559 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082560 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082561 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082562 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082563 -               0000... Oxycodone HCL Plain  5  140 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082564 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082565 -               1700... 40 52560 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
082566 -             1 0000............ 10 13040  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082567 -             1 0000............ 10 12630  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082568 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082569 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082570 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082571 -               2100... 40 32640 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082572 -               2130... 1000  696000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082573 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082574 -               2200... 05   85 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082575 -               2200... 80 167600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082576 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082578 -  ..
082579 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082580 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082581 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082583 -  ..
082584 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082586 -  ..
082587 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082589 -  ..
082590 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082591 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082593 -  ..
082594 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082596 -  ..
082597 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082598 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082600 -  ..
082601 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082602 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082603 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082604 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082605 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082606 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082607 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082608 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082609 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082610 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082611 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082612 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082613 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082615 -  ..
082616 - Hiking - none, rehabing paroxysmal atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082618 -  ..
082619 - Breakfast - toast banana                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082620 - Lunch - sandwich tuna salmon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082621 - Dinner - lasagna onion hamburger mushrooms asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082623 -  ..
082624 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082630 -         ..
082631 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082632 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082633 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082634 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082635 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082636 -   15.  200115 0655............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082637 -               0700....BP HR..................................................... 142  78  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082638 -               0705....BP HR..................................................... 127  72  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082639 -               0710....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082640 -               0710... 20 96520 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082641 -               0710... 80 167680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082642 -               0710... 05   90 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082643 -               0710... 25    300 Metoprolol Succinate RX 7088123 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082644 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082645 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082646 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082647 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082648 -               0000... Oxycodone HCL Plain  5  140 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082649 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082650 -               1700... 40 52600 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
082651 -               1830............ 10 13050  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082652 -               1830............ 10 12640  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082653 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082654 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082655 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082656 -               2100... 40 32680 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082657 -               2130... 1000  697000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082658 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082659 -               2200... 05   95 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082660 -               2200... 80 167760 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082661 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082663 -  ..
082664 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082665 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082666 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082668 -  ..
082669 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082671 -  ..
082672 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082674 -  ..
082675 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082676 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082678 -  ..
082679 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082681 -  ..
082682 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082683 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082685 -  ..
082686 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082687 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082688 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082689 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082690 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082691 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082692 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082693 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082694 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082695 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082696 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082697 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082698 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082700 -  ..
082701 - Hiking - none, rehabing paroxysmal atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082703 -  ..
082704 - Breakfast - eggs pancake                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082705 - Lunch - sandwich bologna onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082706 - Dinner - lasagna onion hamburger mushrooms asparagus, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082708 -  ..
082709 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082714 -         ..
082715 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082716 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082717 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082718 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082719 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082720 -   16.  200116 0645............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082721 -               0650....BP HR..................................................... 141  84  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082722 -               0655....BP HR..................................................... 145  85  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082723 -               0700....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082724 -               0700... 20 96540 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082725 -               0700... 80 167840 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082726 -               0700... 05  100 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082727 -               0700... 25    325 Metoprolol Succinate RX 7088123 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082728 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082729 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082730 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082731 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082732 -               0000... Oxycodone HCL Plain  5  140 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082733 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082734 -               1700... 40 52640 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
082735 -             1 0000............ 10 13050  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082736 -             1 0000............ 10 12640  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082737 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082738 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082739 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082740 -               2100... 40 32720 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082741 -               2130... 1000  698000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082742 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082743 -               2200... 05  105 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082744 -               2200... 80 167920 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082745 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082747 -  ..
082748 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082749 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082750 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082752 -  ..
082753 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082755 -  ..
082756 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082758 -  ..
082759 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082760 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082762 -  ..
082763 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082765 -  ..
082766 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082767 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082769 -  ..
082770 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082771 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082772 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082773 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082774 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082775 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082776 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082777 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082778 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082779 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082780 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082781 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082782 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082784 -  ..
082785 - Hiking - none, rehabing paroxysmal atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082787 -  ..
082788 - Breakfast - cheerios banana chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082789 - Lunch - tuna salmon cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082790 - Dinner - lasagna onion hamburger mushrooms asparagus, donut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082792 -  ..
082793 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082798 -         ..
082799 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082800 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082801 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082802 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082803 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082804 -   17.  200117 0625............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082805 -               0630....BP HR..................................................... 134  75  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082806 -               0635....BP HR..................................................... 139  80  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082807 -               0640....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082808 -               0640... 20 96560 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082809 -               0640... 80 168000 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082810 -               0640... 05  110 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082811 -               0640... 25    350 Metoprolol Succinate RX 7088123 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082812 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082813 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082814 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082815 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082816 -               0000... Oxycodone HCL Plain  5  140 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082817 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082818 -               1700... 40 52680 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
082819 -               1830............ 10 13060  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082820 -               1830............ 10 12650  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082821 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082822 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082823 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082824 -               2100... 40 32720 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082825 -               2130... 1000  699000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082826 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082827 -               2200... 05  115 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082828 -               2200... 80 168080 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082829 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082831 -  ..
082832 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082833 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082834 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082836 -  ..
082837 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082839 -  ..
082840 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082842 -  ..
082843 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082844 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082846 -  ..
082847 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082849 -  ..
082850 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082851 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082853 -  ..
082854 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082855 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082856 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082857 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082858 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082859 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082860 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082861 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082862 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082863 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082864 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082865 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082866 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082868 -  ..
082869 - Hiking - none, rehabing paroxysmal atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082871 -  ..
082872 - Breakfast - cheerios banana chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082873 - Lunch - chips cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082874 - Dinner - lasagna onion hamburger mushrooms asparagus, donut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082876 -  ..
082877 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082881 -         ..
082882 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082883 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082884 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082885 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082886 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082887 -   18.  200118 0725............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082888 -               0730....BP HR..................................................... 133  74  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082889 -               0735....BP HR..................................................... 119  75  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082890 -               0740....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082891 -               0740... 20 96580 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082892 -               0740... 80 168160 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082893 -               0740... 05  120 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082894 -               0740... 25    375 Metoprolol Succinate RX 7088123 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082895 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082896 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082897 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082898 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082899 -               0000... Oxycodone HCL Plain  5  140 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082900 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082901 -               1700... 40 52720 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
082902 -             1 0000............ 10 13060  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082903 -             1 0000............ 10 12650  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082904 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082905 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082906 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082907 -               2100... 40 32760 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082908 -               2130... 1000  700000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082909 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082910 -               2200... 05  125 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082911 -               2200... 80 168240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082912 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082914 -  ..
082915 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082916 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082917 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082919 -  ..
082920 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082922 -  ..
082923 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082925 -  ..
082926 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082927 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082929 -  ..
082930 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082932 -  ..
082933 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082934 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082936 -  ..
082937 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082938 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082939 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082940 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082941 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082942 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082943 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082944 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082945 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082946 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082947 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082948 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082949 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082951 -  ..
082952 - Hiking - none, rehabing paroxysmal atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082954 -  ..
082955 - Breakfast - cheerios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082956 - Lunch - hamburger tomato cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082957 - Dinner - pasta salmon asparagus onion avocado tomato, pie ice cream                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082959 -  ..
082960 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082964 -         ..
082965 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082966 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082967 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082968 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082969 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082970 -   19.  200119 0735............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082971 -               0740....BP HR..................................................... 140  79  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082972 -               0745....BP HR..................................................... 136  72  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082973 -               0750....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082974 -               0750... 20 96600 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082975 -               0750... 80 168320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082976 -               0750... 05  130 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082977 -               0750... 25    400 Metoprolol Succinate RX 7088123 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082978 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082979 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082980 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082981 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082982 -               0000... Oxycodone HCL Plain  5  140 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082983 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082984 -               1700... 40 52760 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
082985 -               1830............ 10 13070  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082986 -               1830............ 10 12660  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082987 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082988 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082989 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082990 -               2100... 40 32760 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082991 -               2130... 1000  701000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082992 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082993 -               2200... 05  135 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082994 -               2200... 80 168400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082995 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082997 -  ..
082998 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082999 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083000 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083002 -  ..
083003 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083005 -  ..
083006 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083008 -  ..
083009 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083010 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083012 -  ..
083013 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083015 -  ..
083016 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083017 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083019 -  ..
083020 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083021 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083022 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083023 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083024 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083025 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083026 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083027 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083028 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083029 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083030 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083031 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083032 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083034 -  ..
083035 - Hiking - none, rehabing paroxysmal atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083037 -  ..
083038 - Breakfast - cheerios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083039 - Lunch - hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083040 - Dinner - meatloaf potatoes asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083042 -  ..
083043 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083047 -         ..
083048 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083049 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083050 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083051 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083052 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083053 -   20.  200120 0615............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083054 -               0620....BP HR..................................................... 135  78  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083055 -               0625....BP HR..................................................... 135  74  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083056 -               0630....weight.................................... 189                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083057 -               0630... 20 96620 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083058 -               0630... 80 168480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083059 -               0630... 05  140 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083060 -               0630... 25    425 Metoprolol Succinate RX 7088123 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083061 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083062 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083063 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083064 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083065 -               0000... Oxycodone HCL Plain  5  140 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083066 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083067 -               1700... 40 52800 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
083068 -             1 0000............ 10 13070  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083069 -             1 0000............ 10 12660  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083070 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083071 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083072 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083073 -               1905... Nitroglycerin    1 pill 0.3 mg - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083074 -               2100... 40 32800 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083075 -               2130... 1000  702000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083076 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083077 -               2200... 05  145 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083078 -               2200... 80 168560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083079 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083081 -  ..
083082 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083083 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083084 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083086 -  ..
083087 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083089 -  ..
083090 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083092 -  ..
083093 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083094 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083096 -  ..
083097 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083099 -  ..
083100 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083101 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083103 -  ..
083104 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083105 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083106 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083107 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083108 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083109 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083110 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083111 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083112 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083113 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083114 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083115 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083116 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083118 -  ..
083119 - Hiking - none, rehabing paroxysmal atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083121 -  ..
083122 - Breakfast - cheerios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083123 - Lunch - rye bread tuna salmon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083124 - Dinner - meatloaf mashed potatoes asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083126 -  ..
083127 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083132 -         ..
083133 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083134 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083135 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083136 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083137 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083138 -   21.  200121 0534............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083139 -               0620....BP HR..................................................... 128  83  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083140 -               0625....BP HR..................................................... 133  79  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083141 -               0630....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083142 -               0000... 20 96620 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083143 -               0630... 80 168640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083144 -               0630... 05  150 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083145 -               0630... 25    450 Metoprolol Succinate RX 7088123 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083146 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083147 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083148 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083149 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083150 -               0000... Oxycodone HCL Plain  5  140 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083151 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083152 -               1700... 40 52880 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
083153 -               1830............ 10 13080  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083154 -               1830............ 10 12670  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083155 -               1950... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083156 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083157 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083158 -               0000... Nitroglycerin    1 pill 0.3 mg - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083159 -               2100... 40 32840 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083160 -               2130... 1000  703000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083161 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083162 -               0000... 05  155 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083163 -               2200... 80 168720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083164 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083166 -  ..
083167 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083168 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083169 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083171 -  ..
083172 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083174 -  ..
083175 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083177 -  ..
083178 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083179 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083181 -  ..
083182 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083184 -  ..
083185 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083186 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083188 -  ..
083189 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083190 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083191 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083192 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083193 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083194 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083195 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083196 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083197 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083198 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083199 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083200 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083201 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083203 -  ..
083204 - Hiking - none, rehabing paroxysmal atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083206 -  ..
083207 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083208 - Lunch - stew, ate few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083209 - Dinner -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083211 -  ..
083212 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083217 -         ..
083218 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083219 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083220 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083221 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083222 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083223 -   22.  200122 0610............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083224 -               0620....BP HR..................................................... 118  75  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083225 -               0625....BP HR..................................................... 116  77  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083226 -               0630....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083227 -               0000... 20 96620 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083228 -               0630... 80 168800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083229 -               0000... 05  150 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083230 -               0630... 25    475 Metoprolol Succinate RX 7088123 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083231 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083232 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083233 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083234 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083235 -               0000... Oxycodone HCL Plain  5  140 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083236 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083237 -               1700... 40 52920 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
083238 -             1 0000............ 10 13080  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083239 -             1 0000............ 10 12670  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083240 -               1950... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083241 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083242 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083243 -               0000... Nitroglycerin    1 pill 0.3 mg - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083244 -               2100... 40 32880 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083245 -               2130... 1000  704000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083246 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083247 -               0000... 05  155 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083248 -               2200... 80 168880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083249 -               2200... Melatonin  5    5 mg sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083250 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083252 -  ..
083253 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083254 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083255 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083257 -  ..
083258 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083260 -  ..
083261 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083263 -  ..
083264 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083265 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083267 -  ..
083268 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083270 -  ..
083271 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083272 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083274 -  ..
083275 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083276 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083277 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083278 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083279 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083280 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083281 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083282 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083283 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083284 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083285 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083286 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083287 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083289 -  ..
083290 - Hiking - none, rehabing paroxysmal atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083292 -  ..
083293 - Breakfast - toast egg, few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083294 - Lunch - NPO for Cath Lab, but did not occur                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083295 - Dinner - macaroni & cheese carrots, few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083297 -  ..
083298 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083303 -         ..
083304 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083305 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083306 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083307 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083308 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083309 -   23.  200123 0415............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083310 -               0950....BP HR..................................................... 130  77  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083311 -               0925....BP HR..................................................... 137  78  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083312 -               1000....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083313 -               0000... 20 96620 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083314 -               1000... 80 168960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083315 -               0000... 05  150 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083316 -               1000... 25    500 Metoprolol Succinate RX 7088123 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083317 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083318 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083319 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083320 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083321 -               0000... Oxycodone HCL Plain  5  140 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083322 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083323 -               1700... 40 52960 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
083324 -               1830............ 10 13090  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083325 -               1830............ 10 12680  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083326 -               1950... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083327 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083328 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083329 -               0000... Nitroglycerin    1 pill 0.3 mg - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083330 -               2100... 40 32920 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083331 -               2130... 1000  705000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083332 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083333 -               0000... 05  155 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083334 -               2200... Melatonin  5   10 mg sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083335 -               2200... 80 169040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083336 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083338 -  ..
083339 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083340 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083341 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083343 -  ..
083344 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083346 -  ..
083347 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083349 -  ..
083350 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083351 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083353 -  ..
083354 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083356 -  ..
083357 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083358 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083360 -  ..
083361 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083362 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083363 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083364 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083365 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083366 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083367 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083368 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083369 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083370 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083371 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083372 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083373 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083375 -  ..
083376 - Hiking - none, rehabing paroxysmal atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083378 -  ..
083379 - Breakfast - toast egg, few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083380 - Lunch - NPO for Cath Lab, but did not occur                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083381 - Dinner - macaroni & cheese carrots, few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083383 -  ..
083384 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083389 -         ..
083390 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083391 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083392 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083393 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083394 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083395 -   24.  200124 0700............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083396 -               0700....BP HR..................................................... 128  71  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083397 -               0705....BP HR.....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083398 -               0000....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083399 -               0000... 20 96620 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083400 -               0000... 80 169120 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083401 -               0000... 05  150 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083402 -               0000... 25    500 Metoprolol Succinate RX 7088123 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083403 -               0740... 12.5   12.5 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083404 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083405 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083406 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083407 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083408 -               0000... Oxycodone HCL Plain  5  140 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083409 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083410 -               1830... 40 53000 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
083411 -             1 0000............ 10 13090  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083412 -             1 0000............ 10 12680  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083413 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083414 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083415 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083416 -               0000... Nitroglycerin    1 pill 0.3 mg - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083417 -               2100... 40 32960 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083418 -               2130... 1000  705000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083419 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083420 -               0000... 05  155 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083421 -               0000... Melatonin  5   10 mg sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083422 -               2200... 12.5   25 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083423 -               2200... 80 169200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083424 -               0000... Gabapentin 300MG   8400MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083425 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083427 -  ..
083428 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083429 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083430 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083432 -  ..
083433 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083435 -  ..
083436 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083438 -  ..
083439 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083440 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083442 -  ..
083443 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083445 -  ..
083446 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083447 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083449 -  ..
083450 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083451 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083452 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083453 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083454 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083455 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083456 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083457 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083458 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083459 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083460 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083461 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083462 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083464 -  ..
083465 - Hiking - none, rehabing paroxysmal atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083467 -  ..
083468 - Breakfast - NPO for cardiac catheterization                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083469 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083470 - Dinner - lettuce asparagus avocado salmon onion tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083472 -  ..
083473 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083477 -         ..
083478 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083479 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083480 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083481 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083482 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083483 -   25.  200125 0600............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083484 -               0600....BP HR..................................................... 133  73  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083485 -               0605....BP HR..................................................... 129  71  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083486 -               0610....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083487 -               0610... 20 96640 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083488 -               0610... 80 169280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083489 -               0000... 05  150 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083490 -               0610... 75   75 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083491 -       BP 46   0000... 12.5   12.5 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083492 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083493 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083494 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083495 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083496 -               0000... Oxycodone HCL Plain  5  140 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083497 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083498 -               1700... 40 53040 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
083499 -               1830............ 10 13100  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083500 -               1830............ 10 12690  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083501 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083502 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083503 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083504 -               2100... 40 33000 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083505 -               2130... 1000  706000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083506 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083507 -               0000... 05  155 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083508 -               2200... 12.5   25 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083509 -               2200... 80 169360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083510 -               0000... Gabapentin 300MG   8400MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083511 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083512 -               2340... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083514 -  ..
083515 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083516 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083517 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083519 -  ..
083520 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083522 -  ..
083523 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083525 -  ..
083526 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083527 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083529 -  ..
083530 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083532 -  ..
083533 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083534 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083536 -  ..
083537 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083538 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083539 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083540 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083541 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083542 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083543 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083544 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083545 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083546 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083547 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083548 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083549 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083551 -  ..
083552 - Hiking - none, rehabing paroxysmal atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083554 -  ..
083555 - Breakfast - cheerios banana chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083556 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083557 - Dinner - lettuce asparagus avocado salmon onion tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083559 -  ..
083560 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083565 -         ..
083566 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083567 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083568 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083569 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083570 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083571 -   26.  200126 0820............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083572 -               0820....BP HR..................................................... 140  78  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083573 -               0825....BP HR..................................................... 131  74  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083574 -               0830....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083575 -               0830... 20 96660 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083576 -               0830... 80 169440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083577 -               0000... 05  150 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083578 -               0610... 75  150 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083579 -       BP 50   0830... 25    100.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083580 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083581 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083582 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083583 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083584 -               0000... Oxycodone HCL Plain  5  140 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083585 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083586 -               1700... 40 53080 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
083587 -             1 0000............ 10 13100  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083588 -             1 0000............ 10 12690  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083589 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083590 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083591 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083592 -               2000... 25    125 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083593 -               2100... 40 33040 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083594 -               2130... 1000  707000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083595 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083596 -               0000... 05  155 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083597 -               2200... 80 169520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083598 -               0000... Gabapentin 300MG   8400MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083599 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083600 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083602 -  ..
083603 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083604 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083605 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083607 -  ..
083608 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083610 -  ..
083611 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083613 -  ..
083614 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083615 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083617 -  ..
083618 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083620 -  ..
083621 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083622 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083624 -  ..
083625 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083626 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083627 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083628 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083629 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083630 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083631 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083632 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083633 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083634 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083635 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083636 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083637 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083639 -  ..
083640 - Hiking - none, rehabing paroxysmal atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083642 -  ..
083643 - Breakfast - cheerios banana chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083644 - Lunch - sandwich bologna onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083645 - Dinner - half hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083647 -  ..
083648 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083653 -         ..
083654 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083655 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083656 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083657 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083658 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083659 -   27.  200127 0530............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083660 -               0600....BP HR..................................................... 136  75  43                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083661 -               0605....BP HR..................................................... 135  73  42                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083662 -               0710....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083663 -               0710... 20 96680 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083664 -               0710... 80 169600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083665 -               0000... 05  150 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083666 -               0710... 75  225 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083667 -       BP 42   0800... 25    125.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083668 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083669 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083670 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083671 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083672 -               0000... Oxycodone HCL Plain  5  140 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083673 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083674 -               1530... 40 53120 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
083675 -               1630............ 10 13110  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083676 -               1630............ 10 12700  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083677 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083678 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083679 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083680 -               1800... 25    150 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083681 -               1830... 40 33080 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083682 -               1900... 1000  708000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083683 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083684 -               0000... 05  155 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083685 -               2000... 80 169680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083686 -               2000... Gabapentin 300MG   8700MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083687 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083688 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083690 -  ..
083691 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083692 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083693 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083695 -  ..
083696 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083698 -  ..
083699 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083701 -  ..
083702 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083703 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083705 -  ..
083706 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083708 -  ..
083709 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083710 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083712 -  ..
083713 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083714 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083715 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083716 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083717 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083718 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083719 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083720 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083721 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083722 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083723 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083724 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083725 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083727 -  ..
083728 - Hiking - none, rehabing paroxysmal atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083730 -  ..
083731 - Breakfast - cheerios banana chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083732 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083733 - Dinner - macaroni cheese roast beef onion asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083735 -  ..
083736 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083740 -         ..
083741 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083742 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083743 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083744 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083745 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083746 -   28.  200128 0245............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083747 -               0300....BP HR..................................................... 153  76  44                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083748 -               0305....BP HR..................................................... 152  72  43                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083749 -               0310....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083750 -               0000... 20 96680 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083751 -  Cath Lab no  0000... 80 169600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083752 -  Cath Lab yes 0820... 05  150 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083753 -  Cath Lab yes 0820... 75  225 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083754 -  Dr Simpson   1500... 25    125.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083755 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083756 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083757 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083758 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083759 -               0000... Oxycodone HCL Plain  5  140 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083760 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083761 -               1700... 40 53120 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
083762 -             1 0000............ 10 13110  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083763 -             1 0000............ 10 12700  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083764 -               1900... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083765 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083766 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083767 -  VA 3rd Flr   2100... 05  155 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083768 -  VA 3rd Flr   2100... 25    150 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083769 -  VA 3rd Flr   2100... 40 33080 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083770 -  VA 3rd Flr   2130... 1000  708000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083771 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083772 -  VA 3rd Flr   2200... 80 169680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083773 -  VA 3rd Flr   0000... Gabapentin 300MG   8700MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083774 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083775 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083777 -  ..
083778 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083779 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083780 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083782 -  ..
083783 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083785 -  ..
083786 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083788 -  ..
083789 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083790 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083792 -  ..
083793 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083795 -  ..
083796 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083797 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083799 -  ..
083800 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083801 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083802 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083803 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083804 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083805 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083806 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083807 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083808 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083809 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083810 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083811 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083812 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083814 -  ..
083815 - Hiking - none, rehabing paroxysmal atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083817 -  ..
083818 - Breakfast - NPO cardio catheteritization                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083819 - Lunch - hamburger macaroni cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083820 - Dinner - sandwich roast beef in Telemetry after medical procedure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083822 -  ..
083823 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083827 -         ..
083828 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083829 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083830 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083831 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083832 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083833 -   29.  200129 0606............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083834 -               0610....BP HR..................................................... 167  75  54  Elsie did BP at VAMCSF 3rd flr                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083835 -               0615....BP HR..................................................... 145  67  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083836 -               0620....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083837 -               0000... 20 96680 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083838 -               0900... 80 169760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083839 -               0900... 05  160 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083840 -               0900... 75  300 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083841 -               0900... 25    175.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083842 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083843 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083844 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083845 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083846 -               0000... Oxycodone HCL Plain  5  140 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083847 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083848 -               1700... 40 53160 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
083849 -               1830............ 10 13120  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083850 -               1830............ 10 12710  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083851 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083852 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083853 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083854 -               2100... 05  165 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083855 -               2100... 25    200 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083856 -               2100... 40 33080 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083857 -               2130... 1000  709000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083858 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083859 -               2200... 80 169840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083860 -               0000... Gabapentin 300MG   8700MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083861 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083862 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083865 -          ..
083866 -         Hiking 3rd Lap Around Ward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083868 -          ..
083869 -                  Heart   Chest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083870 -         Time      Rate   Pain     Sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083872 -         0700...... 46......0..... smooth/normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083873 -         0710...... 67......0..... jagged curve recognizable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083874 -         0711...... 70......0..... jagged curve recognizable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083876 -          ..
083877 -         Returned to bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083879 -         0714...... 55......0..... jagged curve recognizable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083880 -         0720...... 47......0..... smooth/normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083881 -         0724...... 63......1..... jagged curve barely recognizable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083882 -         0805...... 48......0..... smooth/normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083884 -  in bed 2107.....  68......0..... smooth/normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083885 -         2207..... 140......3..... smooth/normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083886 -         2215..... 148......4..... smooth/normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083887 -         2324.....  51......0..... Jagged curve recognizable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083888 -   asleep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083889 -         0300.....  52......0..... slightly jagged curve recognizable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083890 -         0321.....  50......0..... smooth/normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083892 -  ..
083893 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083894 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083895 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083897 -  ..
083898 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083900 -  ..
083901 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083903 -  ..
083904 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083905 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083907 -  ..
083908 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083910 -  ..
083911 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083912 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083914 -  ..
083915 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083916 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083917 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083918 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083919 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083920 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083921 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083922 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083923 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083924 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083925 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083926 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083927 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083929 -  ..
083930 - Hiking - none, rehabing paroxysmal atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083932 -  ..
083933 - Breakfast - half donut some milk in 3rd flr Telemetry observation before discharge VAMCSF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083934 - Lunch - half hamburger avocado onion few fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083935 - Dinner - macaroni cheese asparagus onion roast beef cut up and mixed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083937 -  ..
083938 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083942 -         ..
083943 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083944 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083945 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083946 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083947 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083948 -   30.  200130 0256............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083949 -               0750....BP HR..................................................... 124  70  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083950 -               0755....BP HR..................................................... 129  69  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083951 -               0800....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083952 -               0800... 20 96700 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083953 -               0800... 80 169920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083954 -               0800... 05  170 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083955 -               0800... 75  375 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083956 -               0800... 25    225.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083957 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083958 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083959 -               1000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083960 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083961 -               0000... Oxycodone HCL Plain  5  140 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083962 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083963 -               1040....miles...........   6.0   6.0  100   100 minutes temp  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083964 -               1250....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083965 -               1300....BP HR..................................................... 112  63  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083966 -               1305....BP HR..................................................... 122  70  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083967 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083968 -               1700... 40 53200 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
083969 -             1 0000............ 10 13120  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083970 -             1 0000............ 10 12710  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083971 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083972 -               2000... 25    250 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083973 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083974 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083975 -               2100... 40 33120 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083976 -               2130... 1000  710000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083977 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083978 -               2200... 05  175 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083979 -               2200... 80 170000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083980 -               0000... Gabapentin 300MG   8700MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083981 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083982 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083984 -  ..
083985 - Paroxysmal Atrial Fibrillation (PAF) study, reported on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083986 - ref SDS 83 PE9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083988 -  ..
083989 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083990 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083991 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083993 -  ..
083994 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083996 -  ..
083997 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083999 -  ..
084000 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084001 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084003 -  ..
084004 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084006 -  ..
084007 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084008 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084010 -  ..
084011 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084012 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084013 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084014 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084015 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084016 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084017 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084018 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084019 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084020 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084021 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084022 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084023 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084025 -  ..
084026 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084027 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084028 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084029 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084030 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084031 -        Chest pain...................................   0        100  seems like a miracle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084032 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084033 -        Bicep tendon strain across elbow right arm...   1        100  feels better with palm up can bend and extend arm without pain, but turning palm down pain level 4 bending and extend arm                                                                                                                                                                                                                                                                                                                                                                                                                    
084034 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084035 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084036 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084037 -        Knee left meniscus...PRP 191009..............   1         20  with Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084038 -        Knee left patalla...PRP 191009...............   1         20  with Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084039 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084040 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084041 -        Knee right..PRP 190816.......................   0        100  with Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084042 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084043 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084044 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084045 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084046 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084047 -        Tailor's Bunion left foot.. PRP 190612.......   2         10  thin socks laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084048 -        Tailor's Bunion right foot..PRP 190816.......   0        100  thin socks laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084049 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084050 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084051 -        Metatarsalgia left foot...PRP 191009.........   2         15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084052 -        Metatarsalgia right foot..PRP 191009.........   2         15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084053 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084054 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084055 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084056 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084057 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084058 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084059 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084060 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084061 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084063 -  ..
084064 - Body feels okay after hiking 6 miles in 65 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084065 - on 191009 1500. ref SDS 78 0001
084067 - -
084068 - After hike left knee patella pain level 0; left knee meniscus not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084069 - swelled pain level 2, and knee mildly stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084070 - position.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084072 -  ..
084073 - Several hours after hike, feet and leg pain level 2, so did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084074 - medication, despite not taking oxycodone and gabapentin before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084075 - starting hike, per above. ref SDS 0 EW6O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084077 -  ..
084078 - Legs 6 hours after hike late at night - no restless legs feeling; out                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084079 - of Tramadol, did not take gabopentiin, see study above. ref SDS 83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084080 - EW6O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084082 -  ..
084083 - Elastic bandage wrapped left knee - eliminated because causing heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084084 - pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084086 -  ..
084087 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084088 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084089 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084090 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084091 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084093 -     ..
084094 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084095 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084097 -  ..
084098 - Socks wearing 1 pair double layer Wrightsocks, received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084099 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084100 - on blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084102 -  ..
084103 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084104 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084105 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084107 -  ..
084108 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084109 - reduce pressure, shown above, ref SDS 69 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084110 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084111 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084112 - ref SDS 77 SM4M  After hike today on 191225 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084113 - and Tailor's Bunions, but did not apply Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084114 - both feet.  Before hike laced shoes less tightly.  These two (2)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084115 - measures seemed to prevent pain on Tailor's Bunions entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084117 -  ..
084118 - Concord 6 mile route.  Did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084119 - Starting energy okay wearing Hoka Bondi 6 shoes received on 190927                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084120 - 1110. ref SDS 77 SM4M  --- Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084121 - ref SDS 71 V54H --- 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084122 - ref SDS 79 SM4M  Today, hiking with Glucosamine Chondroitin, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084123 - without oxycodone and garbapentin, per above. ref SDS 0 EW6O  Testing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084124 - take Apixaban blood thinner Metoprolol Tartrate to avoid chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084125 - from afib, per above. ref SDS 0 EW6O  Hiking slow on Cuneo slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084126 - uphill - chest pain level 0 first hike in 4 weeks on 200106.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084127 - ref SDS 0 Q95J  Hiking East on Treat asphault pavement shoulder, pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084128 - slow.  No left knee buckling and no weakness left knee hamstring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084129 - lateral and medial tendons despite not wearing elastic bandage.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084130 - electric shocks either foot entire hike.  Hiking up slight hill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084131 - Turtle Creek Road chest pain level 0.  So far good results.  Time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084132 - 1.25 miles 20 minutes.  About mile 1.2 on Treat pain level 3 on ball                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084133 - of right foot metatarsalgia.  Turned corner onto Clayton and hiked 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084134 - miles South on concrete sidewalk.  About mile 2 metatarsalgia ball                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084135 - right foot pain level 0.  HR 78 jagged sinus curve, shows effect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084136 - metoprolol tartrate 25 mg.  No burning sensation again today, and so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084137 - far both feet Tailor's Bunion pain level 0, likely because laced shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084138 - loosley.  Chest pain level 0 on Clayton despite 1% slope uphill.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084139 - mile 3 HR 87 smooth sinus curve.  Turned corner heading West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084140 - Ygnacio Valley Road at mile 3.25.  About mile 3.75 crossed from North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084141 - to South side Ygnacio Valley Road to hike on asphault pavement against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084142 - oncoming traffic.  Continued to Pine Hollow road - time to mile 4.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084143 - about 72 minutes.  Stopped at Texaco gas station.  No chest pain so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084144 - continued hike West on Ygnacio Valley Road.  Mile 5 called Kathy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084145 - meet half way down Ygnacio Valley Road from Cowell.  If Chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084146 - occurs, will signal her to come get me.  Hiked uphill to her without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084147 - chest pain entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084149 -  ..
084150 - Breakfast - half donut some milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084151 - Lunch - hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084152 - Dinner - few crackers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084154 -  ..
084155 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084160 -         ..
084161 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084162 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084163 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084164 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084165 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084166 -   31.  200131 0740............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084167 -               0740....BP HR..................................................... 135  76  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084168 -               0745....BP HR..................................................... 133  72  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084169 -               0750....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084170 -               0750... 20 96720 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084171 -               0750... 80 170080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084172 -               0750... 05  180 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084173 -               0750... 75  450 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084174 -               0750... 25    275.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084175 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084176 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084177 -               1000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084178 -               0000... Gabapentin 300MG   7800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084179 -               0000... Oxycodone HCL Plain  5  140 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084180 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084181 -               1230....miles...........   7.0  13.0  112   212 minutes temp  66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084182 -               1505....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084183 -               1515....BP HR..................................................... 107  70  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084184 -               1520....BP HR.....................................................  99  69  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084185 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084186 -               1700... 40 53240 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
084187 -               1830............ 10 13130  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084188 -               1830............ 10 12720  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084189 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084190 -               2000... 25    300 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084191 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084192 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084193 -               2100... 40 33160 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084194 -               2130... 1000  711000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084195 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084196 -               2200... 05  185 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084197 -               2200... 80 170160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084198 -               0000... Gabapentin 300MG   8700MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084199 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084200 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084202 -  ..
084203 - Paroxysmal Atrial Fibrillation (PAF) study, reported on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084204 - ref SDS 83 9S6H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084206 -  ..
084207 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084208 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084209 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084211 -  ..
084212 - Dizzy - getting out of bed rolling to right side little dizzy;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084213 - resolved quickly, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084215 -  ..
084216 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084218 -  ..
084219 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084220 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084222 -  ..
084223 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084225 -  ..
084226 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084227 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084229 -  ..
084230 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084231 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084232 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084233 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084234 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084235 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084236 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084237 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084238 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084239 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084240 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084241 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084242 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084244 -  ..
084245 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084246 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084247 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084248 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084249 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084250 -        Chest pain...................................   0        100  seems like a miracle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084251 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084252 -        Bicep tendon strain across elbow right arm...   0        100  feels better with palm up can bend and extend arm without pain, but turning palm down pain level 4 bending and extend arm                                                                                                                                                                                                                                                                                                                                                                                                                    
084253 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084254 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084255 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084256 -        Knee left meniscus...PRP 191009..............   0        100  with Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084257 -        Knee left patalla...PRP 191009...............   0        100  with Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084258 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084259 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084260 -        Knee right..PRP 190816.......................   0        100  with Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084261 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084262 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084263 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084264 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084265 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084266 -        Tailor's Bunion left foot.. PRP 190612.......   0        100  thin socks laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084267 -        Tailor's Bunion right foot..PRP 190816.......   0        100  thin socks laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084268 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084269 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084270 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084271 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084272 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084273 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084274 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084275 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084276 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084277 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084278 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084279 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084280 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084282 -  ..
084283 - Body feels okay after hiking 7 miles in 66 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084284 - on 191009 1500. ref SDS 78 0001
084286 - -
084287 - After hike left knee patella pain level 0; left knee meniscus sightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084288 - swelled pain level 0, and knee mildly stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084289 - position.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084291 -  ..
084292 - Several hours after hike, feet and leg pain level 1, so did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084293 - medication, despite not taking oxycodone and gabapentin before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084294 - starting hike, per above. ref SDS 0 EW6O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084296 -  ..
084297 - Legs 6 hours after hike late at night - no restless legs feeling; out                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084298 - of Tramadol, did not take gabopentiin, see study above. ref SDS 83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084299 - EW6O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084301 -  ..
084302 - Elastic bandage wrapped left knee - eliminated because causing heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084303 - pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084305 -  ..
084306 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084307 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084308 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084309 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084310 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084312 -     ..
084313 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084314 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084316 -  ..
084317 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084318 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084319 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084321 -  ..
084322 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084323 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084324 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084326 -  ..
084327 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084328 - reduce pressure, shown above, ref SDS 69 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084329 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084330 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084331 - ref SDS 77 SM4M  After hike today on 191225 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084332 - and Tailor's Bunions, but did not apply Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084333 - both feet.  Wore Wrightsock thin double ply and laced shoes less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084334 - tightly.  These two (2) measures seemed to prevent pain on Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084335 - Bunions entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084337 -  ..
084338 - Concord 7 mile route.  Did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084339 - Starting energy okay wearing Hoka Bondi 6 shoes received on 190927                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084340 - 1110. ref SDS 77 SM4M  --- Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084341 - ref SDS 71 V54H --- 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084342 - ref SDS 79 SM4M  Today, hiking with Glucosamine Chondroitin, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084343 - without oxycodone and garbapentin, per above. ref SDS 0 3F8H  Testing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084344 - take Apixaban blood thinner Metoprolol Tartrate to avoid chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084345 - from PAF, per above. ref SDS 0 3F8H  Starting HR 58 sinus curve very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084346 - jagged indicating PAF.  Hiking slow on Cuneo slight uphill - chest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084347 - pain level 0 2nd hike in 4 weeks on 200106. ref SDS 0 Q95J  Hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084348 - East on Treat flat asphault pavement shoulder, pace slow.  No left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084349 - knee buckling and no weakness left knee hamstring lateral and medial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084350 - tendons despite not wearing elastic bandage.  No electric shocks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084351 - either foot entire hike.  Hiking up slight hill to Turtle Creek Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084352 - at mile .75 chest pain level 0.  So far good results again.  Time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084353 - 1.25 miles 20 minutes.  HR 85 no chest pain - HR closer to normal 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084354 - hiking without metoprolol.  Turned corner onto Clayton and hiked 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084355 - miles South on concrete sidewalk.  About halfway feeling tired due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084356 - 4-week layoff hiking.  No burning sensation again today, and so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084357 - both feet Tailor's Bunion pain level 0, likely because laced shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084358 - loosley and wearing thin Wrightsocks.  Chest pain level 0 on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084359 - despite 1% slope uphill.  Turned corner heading West on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084360 - Road at mile 3.25.  About mile 3.75 crossed from North to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084361 - Ygnacio Valley Road to hike on asphault pavement against oncoming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084362 - traffic.  Continued to Pine Hollow road - time to mile 4.25 about 72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084363 - minutes.  Stopped at Texaco gas station.  No chest pain.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084364 - hiking West on Ygnacio Valley Road.  Energy increased, possibly from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084365 - collateral blood vessels opening to bring nutrients and oxygen to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084366 - legs, heart and lungs.  At Mile 5 did not turn corner onto Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084367 - Ranch Road and hike 6-mile uphill loop.  Continued up less steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084368 - Ygnacio Valley Road to mile 6.  Turned corner at Cowell and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084369 - downhill 1 mile to Treat.  Turned corner and hiked home for 7 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084370 - hike.  No chest pain and no episodes AF heart rate spikes entire hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084371 - reported in case study on 200101 0701. ref SDS 83 9S6H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084373 -  ..
084374 - Breakfast - cheerios banana chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084375 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084376 - Dinner - eggs hamburger asparagus onion fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084378 -  ..
084379 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084384 -         ..
084385 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084386 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084387 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084388 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084389 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084390 -   32.  200201 0720............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084391 -               0720....BP HR..................................................... 138  75  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084392 -               0725....BP HR..................................................... 127  74  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084393 -               0730....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084394 -               0730... 20 96740 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084395 -               0730... 80 170240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084396 -               0730... 05  190 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084397 -               0730... 75  525 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084398 -               0730... 25    325.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084399 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084400 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084401 -               1225... Gabapentin 300MG   8400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084402 -               1225... Oxycodone HCL Plain  5  150 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084403 -               1225....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084404 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084405 -               1230....miles...........  10.0  23.0  159   371 minutes temp  66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084406 -               1600....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084407 -               1615....BP HR..................................................... 104  57  55   AF body swaying sinus curve erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084408 -               1620....BP HR..................................................... 103  52  50   AF ended normal BP - HR too low for 10 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084409 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084410 -               1700... 40 53280 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
084411 -             1 0000............ 10 13130  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084412 -             1 0000............ 10 12720  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084413 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084414 -               2000... 25    350 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084415 -               2040....Tramadol 50 1600 at 2045 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084416 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084417 -               2100... 40 33200 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084418 -               2130... 1000  712000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084419 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084420 -               2200... 05  195 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084421 -               2200... 80 170320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084422 -               0000... Gabapentin 300MG   8700MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084423 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084424 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084426 -  ..
084427 - Paroxysmal Atrial Fibrillation (PAF) study, reported on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084428 - ref SDS 83 NW8N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084430 -  ..
084431 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084432 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084433 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084435 -  ..
084436 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084438 -  ..
084439 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084441 -  ..
084442 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084443 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084445 -  ..
084446 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084448 -  ..
084449 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084450 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084452 -  ..
084453 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084454 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084455 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084456 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084457 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084458 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084459 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084460 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084461 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084462 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084463 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084464 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084465 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084467 -  ..
084468 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084469 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084470 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084471 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084472 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084473 -        Chest pain...................................   0        100  seems like a miracle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084474 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084475 -        Bicep tendon strain across elbow right arm...   0        100  feels better with palm up can bend and extend arm without pain, but turning palm down pain level 4 bending and extend arm                                                                                                                                                                                                                                                                                                                                                                                                                    
084476 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084477 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084478 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084479 -        Knee left meniscus...PRP 191009..............   0        100  with oxycodone gabapentin Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084480 -        Knee left patalla...PRP 191009...............   0        100  with oxycodone gabapentin Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084481 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084482 -        Knee left cruciate ligaments back of knee....   2          5  with oxycodone gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084483 -        Knee right..PRP 190816.......................   0        100  with oxycodone gabapentin Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084484 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084485 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084486 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084487 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084488 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084489 -        Tailor's Bunion left foot.. PRP 190612.......   0        100  thin socks laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084490 -        Tailor's Bunion right foot..PRP 190816.......   0        100  thin socks laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084491 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084492 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084493 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084494 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084495 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084496 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084497 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084498 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084499 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084500 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084501 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084502 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084503 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084505 -  ..
084506 - Body feels okay after hiking 10 miles in 66 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084507 - on 191009 1500. ref SDS 78 0001
084509 - -
084510 - After hike left knee patella pain level 0; left knee meniscus slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084511 - swelled pain level 0, and knee mildly stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084512 - position.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084514 -  ..
084515 - Several hours after hike, feet and leg pain level 0, so did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084516 - medication; but, took oxycodone and gabapentin before starting hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084517 - per above. ref SDS 0 KR9F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084519 -  ..
084520 - Legs 6 hours after hike late at night - no restless legs feeling; out                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084521 - of Tramadol, did not take gabopentiin, see study above. ref SDS 83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084522 - EW6O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084524 -  ..
084525 - Elastic bandage wrapped left knee - eliminated because causing heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084526 - pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084528 -  ..
084529 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084530 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084531 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084532 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084533 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084535 -     ..
084536 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084537 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084539 -  ..
084540 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084541 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084542 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084544 -  ..
084545 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084546 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084547 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084549 -  ..
084550 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084551 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084552 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084553 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084554 - ref SDS 77 SM4M  Befor hike today on 200201 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084555 - and Tailor's Bunions.  After hike applied apply Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084556 - lotion both feet.  Wore Wrightsock thin double ply and laced shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084557 - less tightly.  These two (2) measures seemed to prevent pain on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084558 - Tailor's Bunions entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084560 -  ..
084561 - Concord 10 mile route.  Hiked extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084562 - energy okay wearing Hoka Bondi 6 shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084563 - ref SDS 77 SM4M  --- Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084564 - ref SDS 71 V54H --- 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084565 - ref SDS 79 SM4M  Today, hiking with Glucosamine Chondroitin, and with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084566 - oxycodone and garbapentin, per above. ref SDS 0 KR9F  Testing take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084567 - Apixaban blood thinner Metoprolol Tartrate to avoid chest pain from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084568 - PAF, per above. ref SDS 0 KR9F  Hiking normal pace on Cuneo slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084569 - uphill - chest pain level 0 for 3rd hike in 4 weeks on 200106.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084570 - ref SDS 0 Q95J  Hiking East on Treat flat asphault pavement shoulder,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084571 - pace normal.  No left knee buckling and no weakness left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084572 - hamstring lateral and medial tendons despite not wearing elastic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084573 - bandage.  No electric shocks either foot entire hike.  Hiking up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084574 - slight hill to Turtle Creek Road at mile .75 chest pain level 0, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084575 - feel pressure.  Cellphone shows at 1257 sinus curve very jagged and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084576 - fails to report HR, all indicating PAF.  So far good results hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084577 - with PAF.  Time to 1.25 miles 19 minutes at 1204 and HR 57.  Hiking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084578 - this pace HR should be 100+, so cellphone is dividing actual HR in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084579 - half due to erratic signals in left atrial that overwhelm sinus node                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084580 - signals in right atrial.  Chest pain 0, but feel chest pressure, so in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084581 - PAF.  Turned corner onto Clayton and hiked 2 miles South on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084582 - sidewalk.  About halfway feeling tired again due to 4-week layoff                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084583 - hiking.  However, chest pressure has subsided, so think PAV has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084584 - subsided.  Cellphone shows sinus curve smooth/normal, further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084585 - indicating PAV ended.  Stopped to assist a driver find an address for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084586 - a veterinarian.  His cellphone GPS wasn't working.  Found his address                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084587 - was just 2 blocks away.  No burning sensation both feet and Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084588 - Bunion pain level 0, likely because laced shoes loosley and wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084589 - thin Wrightsocks.  Also shaved calluses this morning before hike, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084590 - above. ref SDS 0 SWRU  Right foot metatarsalgia pain level 2.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084591 - corner heading West on Ygnacio Valley Road at mile 3.25.  About mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084592 - 3.75 crossed from North to South side Ygnacio Valley Road to hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084593 - asphault pavement against oncoming traffic.  Continued to Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084594 - road - time to mile 4.25 about 72 minutes.  Stopped at Texaco gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084595 - station.  No chest pain and still sinus curve smooth/normal.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084596 - corner hiked about 100 yards South on Pin Hollow and turned West onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084597 - Campus Road.  Hiked .5 miles uphill to the campus.  Don't feel any                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084598 - fatigue, breathing through nose and chest pain level 0 all the way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084599 - Pain level 0 for everything.  Might be possible that PAF was triggered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084600 - because collateral blood vessels that open on heavy exercise might be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084601 - pulling blood from the heart and lungs, which then triggers the heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084602 - to pump faster, i.e., erratically.  At mile 6.7, HR 97 and sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084603 - is smooth/normal, i.e. beautiful.  Hiked loop around faculty parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084604 - lot, then hiked North down hill .5 miles to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084605 - Turned and hiked West on Ygnacio Valley Road.  Energy increased,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084606 - possibly from collateral blood vessels opening to bring nutrients and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084607 - oxygen to legs, heart and lungs.  At Mile 7 did not turn corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084608 - Crystal Ranch Road and hike 6-mile uphill loop.  Hiked .5 miles uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084609 - now about mile 8.  Turned corner at Cowell and hiked downhill 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084610 - to Treat.  Turned corner and hiked back to Cuneo.  Hiked another loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084611 - around several blocks, arriving home for 10 miles.  No chest pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084612 - no episodes AF heart rate spikes entire hike, reported in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084613 - on 200101 0701. ref SDS 83 NW8N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084615 -  ..
084616 - Breakfast - cheerios banana chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084617 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084618 - Dinner - macaroni cheese tuna asparagus onion mushrooms, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084620 -  ..
084621 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084626 -         ..
084627 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084628 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084629 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084630 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084631 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084632 -   33.  200202 0750............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084633 -               0800....BP HR..................................................... 117  66  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084634 -               0805....BP HR..................................................... 122  66  41                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084635 -               0810....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084636 -               0810... 20 96760 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084637 -               0810... 80 170400 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084638 -               0810... 05  200 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084639 -               0810... 75  600 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084640 -               0810... 25    375.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084641 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084642 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084643 -               1000... Gabapentin 300MG   8400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084644 -               1000... Oxycodone HCL Plain  5  150 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084645 -               1000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084646 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084647 -               1700... 80 53360 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
084648 -               1830............ 10 13140  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084649 -               1830............ 10 12730  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084650 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084651 -               2000... 25    400 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084652 -               2040....Tramadol 50 1600 at 2045 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084653 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084654 -               2100... 40 33240 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084655 -               2130... 1000  713000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084656 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084657 -               2200... 05  205 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084658 -               2200... 80 170480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084659 -               0000... Gabapentin 300MG   8700MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084660 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084661 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084663 -  ..
084664 - Paroxysmal Atrial Fibrillation (PAF) study, reported on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084665 - ref SDS 83 XL3J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084667 -     ..
084668 -    Chest after hike pain level 2 sinus curve erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084670 -     ..
084671 -    Chest 8 minutes after hike pain level 0 sinus curve normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084673 -  ..
084674 - Medications cause bloating feeling while hiking 13 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084675 - - took 2 Pentoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084677 -            [...below on 200330 in case study 200101 0702, notified VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084678 -            pausing Metoprolol and Amiodarone due to ARDS symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084679 -            (shortness of breath). ref SDS 0 KB45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084681 -  ..
084682 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084683 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084684 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084686 -  ..
084687 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084689 -  ..
084690 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084692 -  ..
084693 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084694 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084696 -  ..
084697 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084699 -  ..
084700 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084701 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084703 -  ..
084704 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084705 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084706 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084707 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084708 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084709 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084710 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084711 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084712 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084713 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084714 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084715 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084716 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084718 -  ..
084719 - Hiking none due to gale force winds.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084721 -  ..
084722 - Breakfast - cheerios banana chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084723 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084724 - Dinner - rice broccoli hamburger squash avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084726 -  ..
084727 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084732 -         ..
084733 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084734 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084735 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084736 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084737 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084738 -   34.  200203 0640............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084739 -               0650....BP HR..................................................... 112  62  43                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084740 -               0655....BP HR..................................................... 114  61  45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084741 -               0700....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084742 -               0700... 20 96780 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084743 -               0700... 80 170560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084744 -               0700... 05  210 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084745 -               0700... 75  675 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084746 -               0700... 25    425.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084747 -               0000... Naproxen (Aleve) 2 pills 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084748 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084749 -               0000... Gabapentin 300MG   8700MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084750 -               0000... Oxycodone HCL Plain  5  150 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084751 -               1000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084752 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084753 -               1205....miles...........  10.0  10.0  162   162 minutes temp  51 strong Northly wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084754 -               1535....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084755 -               1550....BP HR..................................................... 104  57  49   Sinus curve normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084756 -               1555....BP HR..................................................... 102  57  47   Sinus curve irregular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084757 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084758 -               1700... 40 53400 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
084759 -             1 0000............ 10 13140  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084760 -             1 0000............ 10 12730  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084761 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084762 -               2000... 25    450 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084763 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084764 -               0000... Naproxen (Aleve) 1 pill 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084765 -               2100... 40 33280 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084766 -               2130... 1000  714000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084767 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084768 -               2200... 05  215 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084769 -               2200... 80 170640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084770 -               0000... Gabapentin 300MG   8700MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084771 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084772 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084774 -  ..
084775 - Paroxysmal Atrial Fibrillation (PAF) study, reported on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084776 - ref SDS 83 FS6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084778 -     ..
084779 -    Chest after hike pain level 0 sinus curve erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084781 -     ..
084782 -    Chest 20 minutes after hike pain level 0 sinus curve normal HR 47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084784 -  ..
084785 - Medications cause bloating feeling while hiking; not sure which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084786 - combinations.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084788 -  ..
084789 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084790 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084791 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084793 -  ..
084794 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084796 -  ..
084797 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084799 -  ..
084800 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084801 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084803 -  ..
084804 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084806 -  ..
084807 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084808 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084810 -  ..
084811 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084812 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084813 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084814 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084815 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084816 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084817 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084818 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084819 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084820 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084821 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084822 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084823 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084825 -  ..
084826 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084827 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084828 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084829 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084830 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084831 -        Chest pain...................................   0        100  After hike pain level 2 for about 8 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084832 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084833 -        Bicep tendon strain across elbow right arm...   0        100  feels better with palm up can bend and extend arm without pain, but turning palm down pain level 4 bending and extend arm                                                                                                                                                                                                                                                                                                                                                                                                                    
084834 -        Hip left.....................................   2         50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084835 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084836 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084837 -        Knee left meniscus...PRP 191009..............   0        100  with oxycodone gabapentin Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084838 -        Knee left patalla...PRP 191009...............   0        100  with oxycodone gabapentin Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084839 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084840 -        Knee left cruciate ligaments back of knee....   2         10  with oxycodone gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084841 -        Knee right..PRP 190816.......................   0        100  with oxycodone gabapentin Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084842 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084843 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084844 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084845 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084846 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084847 -        Tailor's Bunion left foot.. PRP 190612.......   0        100  thin socks laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084848 -        Tailor's Bunion right foot..PRP 190816.......   0        100  thin socks laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084849 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084850 -        Electric shocks middle 3 toes right foot.....   1         10 starting hike for about 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084851 -        Metatarsalgia left foot...PRP 191009.........   3         20 last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084852 -        Metatarsalgia right foot..PRP 191009.........   3         20 last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084853 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084854 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084855 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084856 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084857 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084858 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084859 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084860 -        Peripheral neruopathy right foot.............   2          5 occured hiking through parking lot Lucky Store on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084861 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084863 -  ..
084864 - Body feels very fatigued after hiking 13 miles in 53 degrees,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084865 - following PRP on 191009 1500. ref SDS 78 0001
084867 - -
084868 - After hike left knee patella pain level 0; left knee meniscus slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084869 - swelled pain level 0, and knee mildly stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084870 - position; cruciate ligaments pain level 2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084872 -  ..
084873 - Several hours after hike, feet and leg pain level 0, so did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084874 - medication; but, took oxycodone and gabapentin before starting hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084875 - per above. ref SDS 0 KR9F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084877 -  ..
084878 - Legs 6 hours after hike late at night - body still aches and restless                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084879 - legs feeling, so took last Tramadol.  Calmed leg pain within a few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084880 - minutes - see study above. ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084882 -  ..
084883 - Elastic bandage wrapped left knee - eliminated because causing heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084884 - pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084886 -  ..
084887 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084888 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084889 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084890 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084891 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084893 -     ..
084894 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084895 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084897 -  ..
084898 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084899 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084900 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084902 -  ..
084903 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084904 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084905 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084907 -  ..
084908 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084909 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084910 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084911 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084912 - ref SDS 77 SM4M  Befor hike today on 200201 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084913 - and Tailor's Bunions.  After hike applied apply Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084914 - lotion both feet.  Wore Wrightsock thin double ply and laced shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084915 - less tightly.  These two (2) measures seemed to prevent pain on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084916 - Tailor's Bunions entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084918 -  ..
084919 - Concord 10 mile route.  Did not extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084920 - Starting energy okay wearing Hoka Bondi 6 shoes received on 190927                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084921 - 1110. ref SDS 77 SM4M  --- Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084922 - ref SDS 71 V54H --- 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084923 - ref SDS 79 SM4M  Today, hiking with Glucosamine Chondroitin, and with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084924 - oxycodone and garbapentin, per above. ref SDS 0 DG3I  Testing take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084925 - Apixaban blood thinner Metoprolol Tartrate to avoid chest pain from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084926 - PAF, per above. ref SDS 0 DG3I  At start HR 48 and sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084927 - severely jagged indicating PAV, so conflicting low HR 48.  Hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084928 - normal pace on Cuneo slight uphill - chest pain level 0 but chest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084929 - pressure for 4th hike in 4 weeks on 200106. ref SDS 0 Q95J  Hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084930 - with strong Westerly wind on Treat flat asphault pavement shoulder,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084931 - pace normal.  No left knee buckling and no weakness left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084932 - hamstring lateral and medial tendons despite not wearing elastic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084933 - bandage.  Left knee curciate ligaments pain level 1, but dissipated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084934 - after a few miles.  Electric shocks right foot toes for about 2 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084935 - Hiking up slight hill to Turtle Creek Road at mile .75 chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084936 - level 0, but chest pressure evident.  Time to 1.25 miles 19 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084937 - Cellphone shows sinus curve very erratic, won't report HR.  Slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084938 - pace to try restoring sinus.  Turned corner onto Clayton and hiked 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084939 - miles South on concrete sidewalk.  Normally checking HR with cellphone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084940 - while hiking, yields very erratic sinus curve and fails to report HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084941 - with notice to "Stay Still."  Today, after failing to get HR while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084942 - stopping 2 or 3 times in a row, tried checking HR while hiking.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084943 - yielded smooth/normal sinus curve and HR 118, about what it should be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084944 - for hiking in AF, i.e., elevated in that normal HR hiking on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084945 - ground is about 100, so HR 118 indicates slight AF effect held in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084946 - check by metoprolol.  About halfway on Clayton at McDonald's mile 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084947 - feeling tired again due to 4-week layoff hiking.  Left hip pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084948 - 1, and declining, as oxycodone and gabapentin increase in effect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084949 - Burning sensation bottom right foot, and electrical shock on toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084950 - right foot, indicating need PRP treatment.  Tailor's Bunion pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084951 - 0, because laced shoes loosley and wearing thin Wrightsocks.  Also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084952 - shaved calluses on 200201, per above. ref SDS 0 SWRU  Still on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084953 - about mile 2.85 hiking through parking lot at Lucky store notice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084954 - peripheral neuropathy bottom right foot.  This has not occurred in a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084955 - long time.  Turned corner heading West on Ygnacio Valley Road at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084956 - 3.8 - back in PAV; cellphone shows sinus curve severely erratic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084957 - cannot recognize a curve, and does not report HR.  Slowed pace again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084958 - Left hip pain level 0, maybe due to oxycodone and gabapentin.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084959 - mile 3.75 crossed from North to South side Ygnacio Valley Road to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084960 - on asphault pavement against oncoming traffic.  Continued to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084961 - Hollow road - time to mile 4.75 about 73 minutes.  Stopped at Texaco                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084962 - gas station.  Bought small cherry pie and milk for energy to do                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084963 - Crystal Ranch Road.  Cellphone still shows extremely erratic sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084964 - curve, and does not report HR.  Turned corner hiked about 100 yards                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084965 - South on Pin Hollow and turned West onto Campus Road.  Hiked .75 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084966 - uphill to the campus.  Breathing through nose and chest pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084967 - all the way, but feel chest pressure.  Cellphone showed smooth/normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084968 - sinus curve and HR 120 while hiking uphill.  Hiked loop around faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084969 - parking lot, and another mile around student parking; then hiked North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084970 - downhill .5 miles to Ygnacio Valley Road.  Turned and hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084971 - Ygnacio Valley Road.  Did not seem to get energy boost as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084972 - yesterday, so at Mile 7 did not turn corner onto Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084973 - and hike 6-mile uphill loop.  Hiked 1 mile uphill and turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084974 - onto Cowell.  Hiked downhill 1 mile to Treat - notice metatarsalgia on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084975 - balls of both feet pain level 3, and left knee curdiate ligaments pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084976 - level 2.  Turned corner and hiked back to Cuneo.  Did not hike another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084977 - loop around several blocks, so arrived home for 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084979 -  ..
084980 - Breakfast - cheerios banana chia seeds milk with oxycodone gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084981 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084982 - Dinner - lettuce salmon asparagus mushrooms onion broccoli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084983 - avocado, cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084985 -  ..
084986 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084992 -         ..
084993 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084994 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084995 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084996 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084997 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084998 -   35.  200204 0650............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084999 -               0650....BP HR..................................................... 135  65  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085000 -               0655....BP HR..................................................... 118  67  44                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085001 -               0700....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085002 -               0700... 20 96800 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085003 -               0700... 80 170720 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085004 -               0700... 05  220 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085005 -               0700... 75  750 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085006 -               0700... 25    475.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085007 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085008 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085009 -               0900... Gabapentin 300MG   9000MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085010 -               0900... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085011 -               1000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085012 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085013 -               1700... 40 53440 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
085014 -               1830............ 10 13150  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085015 -               1830............ 10 12740  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085016 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085017 -               2000... 25    500 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085018 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085019 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085020 -               2100... 40 33320 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085021 -               2130... 1000  715000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085022 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085023 -               2200... 05  225 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085024 -               2200... 80 170800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085025 -               0000... Gabapentin 300MG   8700MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085026 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085027 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085029 -  ..
085030 - Paroxysmal Atrial Fibrillation (PAF) study, reported on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085031 - ref SDS 83 RS8H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085033 -     ..
085034 -    Chest after hike pain level 0 sinus curve erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085036 -     ..
085037 -    Chest 20 minutes after hike pain level 0 sinus curve normal HR 47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085039 -  ..
085040 - Medications cause bloating feeling while hiking 10 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085042 -  ..
085043 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085044 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085045 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085047 -  ..
085048 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085050 -  ..
085051 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085053 -  ..
085054 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085055 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085057 -  ..
085058 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085060 -  ..
085061 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085062 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085064 -  ..
085065 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085066 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085067 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085068 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085069 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085070 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085071 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085072 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085073 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085074 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085075 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085076 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085077 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085079 -  ..
085080 - Breakfast - cheerios banana chia seeds milk with oxycodone gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085081 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085082 - Dinner - pasta tuna asparagus mushrooms onion avocado, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085084 -  ..
085085 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085090 -         ..
085091 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085092 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085093 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085094 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085095 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085096 -   36.  200205 0700............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085097 -               0700....BP HR..................................................... 140  78  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085098 -               0705....BP HR..................................................... 132  72  44                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085099 -               0710....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085100 -               0710... 20 96820 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085101 -               0710... 80 170880 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085102 -               0710... 05  230 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085103 -               0710... 75  825 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085104 -               0710... 25    525.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085105 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085106 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085107 -               0000... Gabapentin 300MG   9000MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085108 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085109 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085110 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085111 -               1700... 40 53480 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
085112 -             1 0000............ 10 13150  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085113 -             1 0000............ 10 12740  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085114 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085115 -               2000... 25    550 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085116 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085117 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085118 -               2100... 40 33360 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085119 -               2130... 1000  716000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085120 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085121 -               2200... 05  235 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085122 -               2200... 80 170960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085123 -               0000... Gabapentin 300MG   8700MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085124 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085125 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085127 -  ..
085128 - Paroxysmal Atrial Fibrillation (PAF) study, reported on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085129 - ref SDS 83 YJ5M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085131 -  ..
085132 - Peripheral neuropathy mild about level 3 on scale 1 - 10, with 10 worst                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085133 - (cannot feel the ground).  This is tingling like foot is going to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085134 - sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085136 -  ..
085137 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085138 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085139 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085141 -  ..
085142 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085144 -  ..
085145 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085147 -  ..
085148 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085149 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085151 -  ..
085152 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085154 -  ..
085155 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085156 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085158 -  ..
085159 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085160 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085161 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085162 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085163 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085164 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085165 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085166 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085167 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085168 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085169 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085170 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085171 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085173 -  ..
085174 - Breakfast - cheerios banana chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085175 - Lunch - hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085176 - Dinner - pasta tuna asparagus mushrooms onion avocado, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085178 -  ..
085179 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085183 -         ..
085184 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085185 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085186 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085187 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085188 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085189 -   37.  200206 0620............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085190 -               0700....BP HR..................................................... 128  71  45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085191 -               0705....BP HR..................................................... 130  72  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085192 -               0710....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085193 -               0710... 20 96840 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085194 -               0710... 80 171040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085195 -               0710... 05  240 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085196 -               0710... 75  900 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085197 -               0710... 25    575.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085198 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085199 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085200 -               0000... Gabapentin 300MG   9000MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085201 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085202 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085203 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085204 -               1700... 40 53520 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
085205 -               1830............ 10 13160  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085206 -               1830............ 10 12750  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085207 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085208 -               2000... 25    600 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085209 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085210 -               2040... Naproxen (Aleve) 1 pill 250 mg - for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085211 -               2100... 40 33400 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085212 -               2130... 1000  717000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085213 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085214 -               2200... 05  245 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085215 -               2200... 80 171120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085216 -               0000... Gabapentin 300MG   8700MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085217 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085218 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085220 -  ..
085221 - Paroxysmal Atrial Fibrillation (PAF) study, reported on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085222 - ref SDS 83 ZV6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085224 -  ..
085225 - Peripheral neuropathy - none today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085227 -  ..
085228 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085229 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085230 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085232 -  ..
085233 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085235 -  ..
085236 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085238 -  ..
085239 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085240 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085242 -  ..
085243 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085245 -  ..
085246 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085247 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085249 -  ..
085250 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085251 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085252 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085253 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085254 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085255 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085256 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085257 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085258 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085259 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085260 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085261 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085262 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085265 -  ..
085266 - Breakfast - cheerios banana chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085267 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085268 - Dinner - pasta tuna asparagus mushrooms avocado cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085270 -  ..
085271 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085275 -         ..
085276 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085277 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085278 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085279 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085280 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085281 -   38.  200207 0640............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085282 -               0730....BP HR..................................................... 135  71  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085283 -               0735....BP HR..................................................... 137  77  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085284 -               0720....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085285 -               0720... 20 96860 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085286 -               0720... 80 171200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085287 -               0720... 05  250 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085288 -               0720... 75  975 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085289 -               0720... 25    625.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085290 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085291 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085292 -               0810... Gabapentin 300MG   9300MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085293 -               0810... Oxycodone HCL Plain  5  165 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085294 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085295 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085296 -               1700... 40 53560 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
085297 -             1 0000............ 10 13160  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085298 -             1 0000............ 10 12750  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085299 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085300 -               2000... 25    650 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085301 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085302 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085303 -               2100... 40 33440 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085304 -               2130... 1000  718000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085305 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085306 -               2200... 05  255 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085307 -               2200... 80 171280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085308 -               0000... Gabapentin 300MG   8700MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085309 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085310 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085312 -  ..
085313 - Paroxysmal Atrial Fibrillation (PAF) study, reported on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085314 - ref SDS 83 3D3K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085316 -  ..
085317 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS - left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085318 - foot getting out of bed and placing feet on the ground.  Less severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085319 - about level 2 on scale 1 - 10, with 10 worst (cannot feel the ground).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085320 - This is tingling like foot is going to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085322 -  ..
085323 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085324 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085325 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085327 -  ..
085328 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085330 -  ..
085331 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085333 -  ..
085334 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085335 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085337 -  ..
085338 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085340 -  ..
085341 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085342 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085344 -  ..
085345 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085346 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085347 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085348 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085349 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085350 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085351 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085352 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085353 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085354 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085355 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085356 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085357 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085359 -  ..
085360 - Breakfast - cheerios banana chia seeds milk with oxycodone gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085361 - Lunch - sandwich bologna tomato onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085362 - Dinner - macaroni cheese broccoli asparagus mushrooms onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085364 -  ..
085365 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085370 -         ..
085371 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085372 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085373 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085374 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085375 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085376 -   39.  200208 0750............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085377 -               0810....BP HR..................................................... 132  73  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085378 -               0815....BP HR..................................................... 129  69  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085379 -               0820....weight.................................... 190                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085380 -               0820... 20 96880 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085381 -               0820... 80 171360 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085382 -               0820... 05  260 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085383 -               0820... 75 1050 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085384 -               0820... 25    675.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085385 -               1030... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085386 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085387 -               1030... Gabapentin 300MG   9000MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085388 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085389 -               1030....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085390 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085391 -               1250....miles...........  17.0  27.0  269   162 minutes temp  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085392 -               1810....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085393 -               1820....BP HR.....................................................  78  63 152   Sinus curve erratic PAF chest swaying left right                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085394 -               1825....BP HR.....................................................  85  66 150   Sinus curve erratic PAF chest swaying left right                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085395 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085396 -               1920... 40 53600 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
085397 -               2010............ 10 13170  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085398 -               2010............ 10 12760  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085399 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085400 -               2030... 25    700 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085401 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085402 -               2050... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085403 -               2140... 40 33480 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085404 -               2150... 1000  719000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085405 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085406 -               2200... 05  265 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085407 -               2200... 80 171440 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085408 -               0000... Gabapentin 300MG   8700MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085409 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085410 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085412 -  ..
085413 - Paroxysmal Atrial Fibrillation (PAF) study, reported on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085414 - ref SDS 83 AE4J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085416 -  ..
085417 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085418 - during hike after mile 12 right foot felt thicker, numb, no tingling.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085420 -  ..
085421 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085422 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085423 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085425 -  ..
085426 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085428 -  ..
085429 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085431 -  ..
085432 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085433 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085435 -  ..
085436 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085438 -  ..
085439 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085440 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085442 -  ..
085443 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085444 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085445 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085446 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085447 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085448 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085449 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085450 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085451 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085452 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085453 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085454 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085455 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085457 -  ..
085458 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085459 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085460 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085461 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085462 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085463 -        Chest pain...................................   2         10  After hike pain level 2 for about 8 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085464 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085465 -        Bicep tendon strain across elbow right arm...   0        100  feels better with palm up can bend and extend arm without pain, but turning palm down pain level 4 bending and extend arm                                                                                                                                                                                                                                                                                                                                                                                                                    
085466 -        Hip left.....................................   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085467 -        Back lower side..............................   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085468 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085469 -        Knee left meniscus...PRP 191009..............   0        100  with naproxen gabapentin Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085470 -        Knee left patalla...PRP 191009...............   0        100  with naproxen gabapentin Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085471 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085472 -        Knee left cruciate ligaments back of knee....   1          5  with naproxen gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085473 -        Knee right cruciate ligaments back of knee...   1          5  with naproxen gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085474 -        Knee right..PRP 190816.......................   1          5  with naproxen gabapentin Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085475 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085476 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085477 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085478 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085479 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085480 -        Tailor's Bunion left foot.. PRP 190612.......   0        100  thin socks laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085481 -        Tailor's Bunion right foot..PRP 190816.......   0        100  thin socks laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085482 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085483 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085484 -        Metatarsalgia left foot...PRP 191009.........   2          3 about mile 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085485 -        Metatarsalgia right foot..PRP 191009.........   2          3 about mile 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085486 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085487 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085488 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085489 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085490 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085491 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085492 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085493 -        Peripheral neruopathy right foot.............   2          5 occured hiking along perimeter path at Safeway shopping center on Ygnacio Valley Roa                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085494 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085496 -  ..
085497 - Body feels fatigued after hiking 17 miles in 64 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085498 - on 191009 1500. ref SDS 78 0001
085500 - -
085501 - After hike left knee patella pain level 0; left knee meniscus slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085502 - swelled pain level 0, and knee mildly stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085503 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085505 -  ..
085506 - Several hours after hike, feet and leg pain level 0, so did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085507 - medication; but, took naproxen and gabapentin before starting hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085508 - per above. ref SDS 0 7E5G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085510 -  ..
085511 - Legs 6 hours after hike late at night - body still aches and restless                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085512 - legs feeling, so took last naproxen.  Calmed leg pain within a few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085513 - minutes - see study above. ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085515 -  ..
085516 - Elastic bandage wrapped left knee - eliminated because causing heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085517 - pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085519 -  ..
085520 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085521 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085522 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085523 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085524 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085526 -     ..
085527 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085528 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085530 -  ..
085531 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085532 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085533 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085535 -  ..
085536 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085537 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085538 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085540 -  ..
085541 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085542 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085543 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085544 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085545 - ref SDS 77 SM4M  Befor hike today on 200201 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085546 - and Tailor's Bunions.  After hike applied apply Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085547 - lotion both feet.  Wore Wrightsock thin double ply and laced shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085548 - less tightly.  These two (2) measures seemed to prevent pain on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085549 - Tailor's Bunions entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085551 -  ..
085552 - Concord 17 mile route.  Did extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085553 - energy good wearing Hoka Bondi 6 shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085554 - ref SDS 77 SM4M  --- Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085555 - ref SDS 71 V54H --- 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085556 - ref SDS 79 SM4M  Today, hiking with Glucosamine Chondroitin, and with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085557 - naproxen and garbapentin, per above. ref SDS 0 7E5G  Testing take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085558 - Apixaban blood thinner Metoprolol Tartrate to avoid chest pain from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085559 - PAF, per above. ref SDS 0 7E5G  At 1245 cellphone would report HR due                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085560 - to severe erratic (jagged/unreadable) sinus curve, while standing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085561 - still, i.e., at rest.  Started hiking and cellphone reported HR 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085562 - with recognizable sinus curve, indicting PAF.  Hiking normal pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085563 - Cuneo slight uphill chest pain level 0.  After about 80 yards hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085564 - up slight hill on Cuneo HR 118.  Hiking normal pace East on Treat flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085565 - asphault pavement shoulder.  No left knee buckling and no weakness                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085566 - left knee hamstring lateral and medial tendons despite not wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085567 - elastic bandage.  Left knee curciate ligaments pain level 0.  Hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085568 - up slight hill to intersection with Turtle Creek Road at mile .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085569 - chest pain level 0, time 1302, HR 123, sinus curve jagged recognizable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085570 - while hiking.  Still won't report HR while stopped - gives message to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085571 - "stay still" sensing movement, even though actually stopped.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085572 - Continued on Treat to Clayton mile 1.25 - elapsed time 19 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085573 - About halfway on Clayton at mile 2.75 time 1351, hiking through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085574 - asphault parking lot at Kmart and Lucky store shopping complex.  Nice,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085575 - smooth sinus curve when moving HR 118.  Feeling tired again due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085576 - 4-week layoff hiking.  Metatarsalgia both feet pain level 2.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085577 - burning sensation bottom right foot, and no electrical shock on toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085578 - right foot.  Tailor's Bunion pain level 0, because laced shoes loosely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085579 - and wearing thin Wrightsocks.  Also shaved calluses on 200201, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085580 - above. ref SDS 0 SWRU  Turned corner heading West on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085581 - Road at mile 3.8 - back in PAF; cellphone shows sinus curve severely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085582 - erratic, cannot recognize curve, and does not report HR.  Slowed pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085583 - again.  Left hip pain level 0, maybe due to naproxen and gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085584 - About mile 3.75 crossed from North to South side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085585 - to hike on asphault pavement against oncoming traffic.  Continued to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085586 - Pine Hollow road - time to mile 4.75 about 71 minutes.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085587 - Texaco gas station.  Cellphone shows sinus curve and HR 52 standing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085588 - still.  Turned corner hiked about 100 yards South on Pine Hollow and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085589 - turned West onto Campus Road.  Hiked .75 mile uphill to the campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085590 - Breathing through nose and chest pain level 0 all the way.  Cellphone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085591 - showed perfect smooth/normal sinus curve and HR 120 while hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085592 - uphill.  Hiked loop around faculty parking lot, and another mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085593 - around student parking; feeling good so hiked 2nd loop around parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085594 - lots.  Hiked North downhill .5 miles to Ygnacio Valley Road.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085595 - corner and hiked West on Ygnacio Valley Road.  Still uneasy about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085596 - tackling Crystal Ranch Road, since last time on 191226, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085597 - case study on 190101 0730. ref SDS 69 RXTP  Feeling slight chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085598 - level 1... seem to be in PAF - cellphone not reporting HR, sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085599 - smooth when moving, but erratic when stop.  Did not turn corner at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085600 - mile 8, onto Crystal Ranch Road and hike up steep hill 6-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085601 - Continued on Ygnacio Valley Road hiking 1 mile uphill.  Felt energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085602 - boost from collateral blood vessels opening vasodilation (?) drawing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085603 - blood from other systems, explained on 180602 1806. ref SDS 60 O842                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085604 - Increased pace breathing thorugh nose all the way to summit.  Chest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085605 - pain increased to level 2.  Slowed pace.  Continued past Cowell and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085606 - over the summit.  Hiked 2 miles downhill on Ygnacio Valley road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085607 - Chest pain decreased to level 0.  About .5 miles before Oak Grove, at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085608 - break in traffic crossed to North side Ygnacio Valley Road, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085609 - continued to Oak Grove.  Crossed to West side Oak Grove and continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085610 - West parallel to Ygnacio Velley Road on paved path around the parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085611 - lot for the Safeway shopping complex.  Hiked .25 miles to North Via                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085612 - Monte.  Turned right and hiked North .25 miles to Shadelands.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085613 - Reversed and hiked South on North Via Monte back to Ygnaco Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085614 - Road.  Feeling peripheral neuropathy right foot - numb, but not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085615 - tingling.  Left knee doing well, pain level 0.  Turned left hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085616 - .25 miles on paved path back to Oak Grove.  Felt good, chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085617 - continued level 0.  Cellphone reporting HR very erratic, so must be in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085618 - PAF.  Did not call Kathy for ride at Treat and Oak Grove.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085619 - and hiked North 1 mile on West side Oak Grove which has a paved path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085620 - most of the way, and wide paved shoulder all the way to Treat.  Stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085621 - light was green at Treat, so crossed to North side and turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085622 - hiking East on Treat using concrete sidewalk, because there is no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085623 - paved shoulder, and traffic is heavy on Treat.  Hiked 1 mile to San                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085624 - Miguel.  Continued on Treat increased pace uphill 1 mile breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085625 - through nose about 50% of the way.  Then shortness of breath occurred,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085626 - so switched to breathing through mouth on up to flat ground.  Side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085627 - pain level 2.  Left hip pain level 1.  Left knee and feet pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085628 - - seems like a miracle.  Chest pain level decreased to level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085629 - Starting to feel fatigue.  Continued on Treat to Cuneo; turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085630 - and hiked 1-mile loop to Kaski, sinus curve looks good HR 126; Cowell,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085631 - back to Treat, back to Cuneo and then home for 17 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085633 -  ..
085634 - Breakfast - cheerios banana chia seeds milk with naproxen gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085635 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085636 - Dinner - lettuce tomato onion cumcumber avocado potatoes, pie ice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085637 - cream                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085639 -  ..
085640 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085645 -         ..
085646 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085647 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085648 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085649 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085650 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085651 -   40.  200209 0720............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085652 -               0710....BP HR..................................................... 128  67  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085653 -               0715....BP HR..................................................... 119  61  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085654 -               0720....weight.................................... 189                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085655 -               0720... 20 96900 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085656 -               0720... 80 171520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085657 -               0720... 05  270 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085658 -               0720... 75 1125 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085659 -               0720... 25    725.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085660 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085661 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085662 -               0000... Gabapentin 300MG   9000MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085663 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085664 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085665 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085666 -               1700... 40 53640 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
085667 -             1 0000............ 10 13170  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085668 -             1 0000............ 10 12760  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085669 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085670 -               2000... 25    750 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085671 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085672 -               2100... 40 33520 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085673 -               2130... 1000  720000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085674 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085675 -               2200... 05  275 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085676 -               2200... 80 171600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085677 -               2340... Gabapentin 300MG   9000MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085678 -               2340... Naproxen (Aleve) 1 pill 250 mg - restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085679 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085680 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085682 -  ..
085683 - Paroxysmal Atrial Fibrillation (PAF) study, reported on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085684 - ref SDS 83 L55H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085686 -  ..
085687 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085689 -  ..
085690 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085691 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085692 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085694 -  ..
085695 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085697 -  ..
085698 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085700 -  ..
085701 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085702 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085704 -  ..
085705 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085707 -  ..
085708 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085709 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085711 -  ..
085712 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085713 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085714 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085715 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085716 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085717 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085718 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085719 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085720 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085721 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085722 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085723 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085724 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085726 -  ..
085727 - Breakfast - eggs sausage toast with apixaban motoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085728 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085729 - Dinner - steak lettuce tomato onion cumcumber avocado potatoes, pie ice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085730 - cream                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085732 -  ..
085733 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085737 -         ..
085738 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085739 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085740 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085741 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085742 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085743 -   41.  200210 0820............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085744 -               0910....BP HR..................................................... 136  76  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085745 -               0915....BP HR..................................................... 129  74  41                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085746 -               0920....weight.................................... 191                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085747 -               0920... 20 96920 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085748 -               0920... 80 171680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085749 -               0920... 05  280 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085750 -               0920... 75 1200 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085751 -               0920... 25    775.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085752 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085753 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085754 -               0000... Gabapentin 300MG   8700MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085755 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085756 -               1030....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085757 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085758 -               1235....miles...........  11.0  11.0  176   176 minutes temp  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085759 -               1530....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085760 -               1540....BP HR..................................................... 118  60  45   Sinus curve smooth no PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085761 -               1545....BP HR..................................................... 125  62  54   Sinus curve smooth starting to be irregular beginning PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085762 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085763 -               1700... 40 53680 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
085764 -               1830............ 10 13180  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085765 -               1830............ 10 12770  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085766 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085767 -               2000... 25    800 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085768 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085769 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085770 -               2100... 40 33560 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085771 -               2130... 1000  721000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085772 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085773 -               2200... 05  285 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085774 -               2200... 80 171760 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085775 -               0000... Gabapentin 300MG   8700MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085776 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085777 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085779 -  ..
085780 - Paroxysmal Atrial Fibrillation (PAF) study, reported on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085781 - ref SDS 83 MU4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085783 -  ..
085784 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085786 -  ..
085787 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085788 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085789 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085791 -  ..
085792 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085794 -  ..
085795 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085797 -  ..
085798 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085799 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085801 -  ..
085802 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085804 -  ..
085805 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085806 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085808 -  ..
085809 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085810 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085811 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085812 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085813 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085814 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085815 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085816 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085817 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085818 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085819 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085820 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085821 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085823 -  ..
085824 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085825 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085826 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085827 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085828 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085829 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085830 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085831 -        Bicep tendon strain across elbow right arm...   0        100  feels better with palm up can bend and extend arm without pain, but turning palm down pain level 4 bending and extend arm                                                                                                                                                                                                                                                                                                                                                                                                                    
085832 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085833 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085834 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085835 -        Knee left meniscus...PRP 191009..............   2          5  with no medications except Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085836 -        Knee left patalla...PRP 191009...............   0        100  with no medications except Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085837 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085838 -        Knee left cruciate ligaments back of knee....   1          5  with no medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085839 -        Knee right cruciate ligaments back of knee...   1          5  with no medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085840 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085841 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085842 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085843 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085844 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085845 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085846 -        Tailor's Bunion left foot.. PRP 190612.......   0        100  thin socks laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085847 -        Tailor's Bunion right foot..PRP 190816.......   0        100  thin socks laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085848 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085849 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085850 -        Metatarsalgia left foot...PRP 191009.........   0        100 about mile 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085851 -        Metatarsalgia right foot..PRP 191009.........   0        100 about mile 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085852 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085853 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085854 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085855 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085856 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085857 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085858 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085859 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085860 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085862 -  ..
085863 - Body feels little fatigued after hiking 11 miles in 74 degrees,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085864 - following PRP on 191009 1500. ref SDS 78 0001
085866 - -
085867 - After hike left knee patella pain level 0; left knee meniscus slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085868 - swelled pain level 0, and knee mildly stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085869 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085871 -  ..
085872 - Several hours after hike, feet and leg pain level 0, so did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085873 - medication; but, took naproxen and gabapentin before starting hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085874 - per above. ref SDS 0 7E5G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085876 -  ..
085877 - Legs 6 hours after hike late at night - body slightly aches and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085878 - restless legs feeling, so did not take naproxen. - see study above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085879 - ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085881 -  ..
085882 - Elastic bandage wrapped left knee - eliminated because causing heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085883 - pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085885 -  ..
085886 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085887 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085888 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085889 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085890 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085892 -     ..
085893 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085894 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085896 -  ..
085897 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085898 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085899 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085901 -  ..
085902 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085903 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085904 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085906 -  ..
085907 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085908 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085909 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085910 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085911 - ref SDS 77 SM4M  Befor hike today on 200201 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085912 - and Tailor's Bunions.  After hike applied apply Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085913 - lotion both feet.  Wore Wrightsock thin double ply and laced shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085914 - less tightly.  These two (2) measures seemed to prevent pain on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085915 - Tailor's Bunions entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085917 -  ..
085918 - Concord 11 mile route.  Did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085919 - Starting energy okay wearing Hoka Bondi 6 shoes received on 190927                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085920 - 1110. ref SDS 77 SM4M  --- Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085921 - ref SDS 71 V54H --- 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085922 - ref SDS 79 SM4M  Today, hiking with Glucosamine Chondroitin only, no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085923 - oxycodone and garbapentin, nor neproxen per above. ref SDS 0 W95G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085924 - Testing take Apixaban blood thinner Metoprolol Tartrate to avoid chest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085925 - pain from PAF, per above. ref SDS 0 DG3I  At start sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085926 - severely jagged indicating PAF, so conflicting low HR 48.  Hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085927 - normal pace on Cuneo slight uphill - HR 118, indicating starting HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085928 - 48 reported by cellphone initially.  Chest pain level 0 but chest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085929 - pressure for 4th hike in 4 weeks on 200106. ref SDS 0 Q95J  Hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085930 - with strong Westerly wind on Treat flat asphault pavement shoulder,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085931 - pace normal.  No left knee buckling and no weakness left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085932 - hamstring lateral and medial tendons despite not wearing elastic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085933 - bandage.  Left knee curciate ligaments pain level 1, but dissipated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085934 - after a few miles.  Electric shocks right foot toes for about 2 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085935 - Hiking up slight hill to Turtle Creek Road at mile .75 chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085936 - level 0.  Cellphone would not report HR, sinus curve extremely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085937 - erratic, unlike yesterday when cellphone showed smooth/normal sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085938 - curve, thus yesterday was not in PAF and today now in PAF.  Goal is to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085939 - hike out of PAF.  So far good results hiking with PAF.  Time to 1.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085940 - miles 19 minutes.  Cellphone still shows sinus curve very erratic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085941 - won't report HR.  Slowed pace to try restoring sinus.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085942 - onto Clayton and hiked 2 miles South on concrete sidewalk.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085943 - halfway at corner of Clayton and Indian Lane mile 2.25.  Feeling tired                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085944 - again due to 4-week layoff hiking.  Left hip pain level 1.  Burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085945 - sensation bottom right foot, and electrical shock on toes right foot,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085946 - indicating need PRP treatment.  Tailor's Bunion pain level 0, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085947 - because laced shoes loosley and wearing thin Wrightsocks.  Also shaved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085948 - calluses yesterday before hike, per above. ref SDS 0 SWRU  Chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085949 - level 0 on Clayton despite 1% slope uphill.  At mile 2.85 miles now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085950 - have smooth/normal sinus curve and HR 121, which indicates now in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085951 - sinus, and normal HR is above 100.  Turned corner heading West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085952 - Ygnacio Valley Road at mile 3.8 - back in PAV; cellphone shows sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085953 - curve severely erratic, cannot recognize a curve, and does not report                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085954 - HR.  Slowed pace again.  Left hip pain level 0, maybe due to oxycodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085955 - and gabapentin.  About mile 3.75 crossed from North to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085956 - Ygnacio Valley Road to hike on asphault pavement against oncoming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085957 - traffic.  Continued to Pine Hollow road - time to mile 4.75 about 73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085958 - minutes.  Stopped at Texaco gas station.  No chest pain.  Cellphone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085959 - still shows extremely erratic sinus curve - reports HR 118.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085960 - corner hiked about 100 yards South on Pine Hollow and turned West onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085961 - Campus Road.  Hiked .75 mile uphill to the campus.  Breathing through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085962 - nose and chest pain level 0 all the way, but still feel chest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085963 - pressure.  HR 100.  Pain level 2 left knee.  Hiked loop around faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085964 - parking lot, and another mile around student parking; coming uphill HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085965 - 120.  Then hiked North down hill .5 miles to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085966 - Turned and hiked West on Ygnacio Valley Road.  Energy increased,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085967 - possibly from collateral blood vessels opening to bring nutrients and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085968 - oxygen to legs, heart and lungs.  At Mile 8 did not turn corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085969 - Crystal Ranch Road and hike 6-mile uphill loop.  Hiked 1 mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085970 - on Ygnacio Valley Road.  Turned corner at Cowell and hiked downhill 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085971 - mile to Treat.  Turned corner and hiked back to Cuneo.  Hiked another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085972 - loop around several blocks, arriving home for 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085974 -  ..
085975 - Breakfast - cheerios banana chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085976 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085977 - Dinner - tuna lettuce tomato onion cumcumber avocado broccoli, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085979 -  ..
085980 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085985 -         ..
085986 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085987 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085988 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085989 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085990 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085991 -   42.  200211 0730............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085992 -               0710....BP HR..................................................... 161  73  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085993 -               0715....BP HR..................................................... 131  73  44                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085994 -               0720....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085995 -               0720... 20 96940 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085996 -               0720... 80 171840 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085997 -               0720... 05  290 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085998 -               0720... 75 1275 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085999 -               0720... 25    825.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086000 -               1030... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086001 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086002 -               1030... Gabapentin 300MG   9000MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086003 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086004 -               1030....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086005 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086006 -               1145....miles...........  13.0  24.0  205   381 minutes temp  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086007 -               1550....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086008 -               1600....BP HR.....................................................  86  72 144   Sinus curve smooth/perfect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086009 -               1605....BP HR.....................................................  88  76 145   Sinus curve smooth/perfect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086010 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086011 -               1700... 40 53720 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
086012 -             1 0000............ 10 13180  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086013 -             1 0000............ 10 12770  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086014 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086015 -               2000... 25    850 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086016 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086017 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086018 -               2100... 40 33600 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086019 -               2130... 1000  722000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086020 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086021 -               2200... 05  295 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086022 -               2200... 80 171920 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086023 -               0000... Gabapentin 300MG   8700MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086024 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086025 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086027 -  ..
086028 - Paroxysmal Atrial Fibrillation (PAF) study, reported on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086029 - ref SDS 83 965K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086031 -  ..
086032 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086034 -  ..
086035 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086036 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086037 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086039 -  ..
086040 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086042 -  ..
086043 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086045 -  ..
086046 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086047 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086049 -  ..
086050 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086052 -  ..
086053 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086054 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086056 -  ..
086057 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086058 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086059 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086060 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086061 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086062 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086063 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086064 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086065 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086066 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086067 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086068 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086069 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086071 -  ..
086072 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086073 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086074 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086075 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086076 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086077 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086078 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086079 -        Bicep tendon strain across elbow right arm...   0        100  feels better with palm up can bend and extend arm without pain, but turning palm down pain level 4 bending and extend arm                                                                                                                                                                                                                                                                                                                                                                                                                    
086080 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086081 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086082 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086083 -        Knee left meniscus...PRP 191009..............   1          3  with naproxen gabapentin Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086084 -        Knee left patalla...PRP 191009...............   0        100  with naproxen gabapentin Glucosamine Chondroitin n                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086085 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086086 -        Knee left cruciate ligaments back of knee....   1          5  with naproxen gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086087 -        Knee right cruciate ligaments back of knee...   0        100  with naproxen gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086088 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086089 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086090 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086091 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086092 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086093 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086094 -        Tailor's Bunion left foot.. PRP 190612.......   0        100  thin socks laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086095 -        Tailor's Bunion right foot..PRP 190816.......   0        100  thin socks laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086096 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086097 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086098 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086099 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086100 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086101 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086102 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086103 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086104 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086105 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086106 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086107 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086108 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086110 -  ..
086111 - Body feels little fatigued after hiking 13 miles in 76 degrees,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086112 - following PRP on 191009 1500. ref SDS 78 0001
086114 - -
086115 - After hike left knee patella pain level 0; left knee meniscus slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086116 - swelled pain level 0, and knee mildly stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086117 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086119 -  ..
086120 - Several hours after hike, feet and leg pain level 0, so did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086121 - medication; but, took naproxen and gabapentin before starting hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086122 - per above. ref SDS 0 WU5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086124 -  ..
086125 - Legs 6 hours after hike late at night - body slightly aches and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086126 - restless legs feeling, so did not take naproxen. - see study above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086127 - ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086129 -  ..
086130 - Elastic bandage wrapped left knee - eliminated because causing heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086131 - pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086133 -  ..
086134 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086135 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086136 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086137 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086138 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086140 -     ..
086141 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086142 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086144 -  ..
086145 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086146 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086147 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086149 -  ..
086150 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086151 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086152 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086154 -  ..
086155 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086156 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086157 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086158 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086159 - ref SDS 77 SM4M  Befor hike today on 200201 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086160 - and Tailor's Bunions.  After hike applied apply Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086161 - lotion both feet.  Wore Wrightsock thin double ply and laced shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086162 - less tightly.  These two (2) measures seemed to prevent pain on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086163 - Tailor's Bunions entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086165 -  ..
086166 - Concord 11 mile route.  Did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086167 - Starting energy okay wearing Hoka Bondi 6 shoes received on 190927                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086168 - 1110. ref SDS 77 SM4M  --- Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086169 - ref SDS 71 V54H --- 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086170 - ref SDS 79 SM4M  Today, hiking with Glucosamine Chondroitin only, no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086171 - oxycodone and garbapentin, nor neproxen per above. ref SDS 0 W95G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086172 - Testing take Apixaban blood thinner Metoprolol Tartrate to avoid chest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086173 - pain from PAF, per above. ref SDS 0 DG3I  At start HR 48 and sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086174 - curve severely jagged indicating PAF and HR 60.  Hiking normal pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086175 - Cuneo slight uphill - chest pain level 0.  No left knee buckling and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086176 - no weakness left knee hamstring lateral and medial tendons despite not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086177 - wearing elastic bandage.  Left knee curciate ligaments pain level 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086178 - but dissipated after a few miles.  Electric shocks right foot toes for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086179 - about 2 miles.  Hiking up slight hill to Turtle Creek Road at mile .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086180 - chest pain level 0.  Cellphone would not report HR, sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086181 - extremely erratic, unlike yesterday when cellphone showed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086182 - smooth/normal sinus curve, thus yesterday was not in PAV and today now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086183 - in PAV.  Goal is to hike out of PAF.  So far good results hiking with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086184 - PAF.  Time to 1.25 miles 19 minutes - HR 120.  Cellphone still shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086185 - sinus curve very erratic, won't report HR.  Slowed pace to try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086186 - restoring sinus.  Turned corner onto Clayton and hiked 2 miles South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086187 - on concrete sidewalk.  About halfway at corner of Clayton and Indian                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086188 - Lane mile 2.25.  Feeling tired again due to 4-week layoff hiking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086189 - Left hip pain level 1.  Burning sensation bottom right foot, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086190 - electrical shock on toes right foot, indicating need PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086191 - Tailor's Bunion pain level 0, likely because laced shoes loosley and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086192 - wearing thin Wrightsocks.  Also shaved calluses yesterday before hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086193 - per above. ref SDS 0 SWRU  Chest pain level 0 on Clayton despite 1%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086194 - slope uphill.  At mile 2.85 miles now have smooth/normal sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086195 - and HR 121, which indicates now in sinus, and normal HR is above 100.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086196 - Turned corner heading West on Ygnacio Valley Road at mile 3.8 - back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086197 - in PAV; cellphone shows sinus curve severely erratic, cannot recognize                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086198 - a curve, and does not report HR.  Slowed pace again.  Left hip pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086199 - level 0, maybe due to oxycodone and gabapentin.  About mile 3.75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086200 - crossed from North to South side Ygnacio Valley Road to hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086201 - asphault pavement against oncoming traffic.  Continued to Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086202 - road - time to mile 4.75 about 73 minutes.  Stopped at Texaco gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086203 - station.  No chest pain.  Cellphone still shows extremely erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086204 - sinus curve, and does not report HR.  Turned corner hiked about 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086205 - yards South on Pine Hollow and turned West onto Campus Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086206 - .25 mile uphill to the campus.  Breathing through nose and chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086207 - level 0 all the way.  Hiked 3 1.25-mile loops around faculty parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086208 - lot, and student parking lots; hiking uphill in student parking on 3rd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086209 - loop HR 157.  After completing 3rd loop mileage 9.6 miles.  Then hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086210 - North down hill .5 miles to Ygnacio Valley Road.  Turned and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086211 - West on Ygnacio Valley Road.  Energy increased, possibly from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086212 - collateral blood vessels opening to bring nutrients and oxygen to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086213 - legs, heart and lungs.  Did not turn corner onto Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086214 - and hike 6-mile uphill loop.  Hiked .5 mile uphill - HR 147 - and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086215 - turned right onto Cowell.  Hiked 1 mile downhill to Treat.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086216 - left and hiked West .25 miles to Cuneo.  Hiked .25 miles North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086217 - Kaski, turned right and hiked .25 miles back to Cowell; then hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086218 - West back to Cuneo and home for 13 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086220 -  ..
086221 - Breakfast - cheerios banana chia seeds milk with naproxen gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086222 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086223 - Dinner - tuna lettuce tomato onion cumcumber avocado broccoli, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086225 -  ..
086226 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086231 -         ..
086232 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086233 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086234 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086235 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086236 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086237 -   43.  200212 0730............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086238 -               0710....BP HR..................................................... 130  72  43                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086239 -               0715....BP HR..................................................... 136  79  53  AF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086240 -               0720....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086241 -               0720... 20 96960 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086242 -               0720... 80 172000 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086243 -               0720... 05  300 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086244 -               0720... 75 1350 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086245 -               0720... 25    875.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086246 -               1030... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086247 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086248 -               1030... Gabapentin 300MG   9000MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086249 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086250 -               1030....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086251 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086252 -               1150....miles...........  18.0  42.0  268   381 minutes temp  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086253 -               1710....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086254 -               1735....BP HR.........Omron cuff can't recognize BP and HR........  79  62 144   Sinus curve very erratic - cellphone reported HR 149                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086255 -               1750....BP HR.....................................................  82  67 147   Sinus curve smooth/normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086256 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086257 -               1700... 40 53760 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
086258 -               1830............ 10 13190  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086259 -               1830............ 10 12780  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086260 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086261 -               2000... 25    900 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086262 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086263 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086264 -               2100... 40 33640 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086265 -               2130... 1000  723000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086266 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086267 -               2200... 05  305 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086268 -               2200... 80 172080 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086269 -               0000... Gabapentin 300MG   8700MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086270 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086271 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086273 -  ..
086274 - Paroxysmal Atrial Fibrillation (PAF) study, reported on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086275 - ref SDS 83 9D6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086277 -  ..
086278 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086280 -  ..
086281 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086282 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086283 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086285 -  ..
086286 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086288 -  ..
086289 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086291 -  ..
086292 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086293 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086295 -  ..
086296 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086298 -  ..
086299 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086300 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086302 -  ..
086303 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086304 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086305 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086306 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086307 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086308 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086309 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086310 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086311 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086312 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086313 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086314 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086315 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086317 -  ..
086318 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086319 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086320 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086321 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086322 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086323 -        Chest pain...................................   1        for about 30 minutes after ending hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086324 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086325 -        Bicep tendon strain across elbow right arm...   0        100  feels better with palm up can bend and extend arm without pain, but turning palm down pain level 4 bending and extend arm                                                                                                                                                                                                                                                                                                                                                                                                                    
086326 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086327 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086328 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086329 -        Knee left meniscus...PRP 191009..............   0        100  with naproxen gabapentin Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086330 -        Knee left patalla...PRP 191009...............   0        100  with naproxen gabapentin Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086331 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086332 -        Knee left cruciate ligaments back of knee....   1          5  with naproxen gabapentin felt slight pain last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086333 -        Knee right cruciate ligaments back of knee...   0        100  with naproxen gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086334 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086335 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086336 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086337 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086338 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086339 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086340 -        Tailor's Bunion left foot.. PRP 190612.......   1          5  thin socks laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086341 -        Tailor's Bunion right foot..PRP 190816.......   0        100  thin socks laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086342 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086343 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086344 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086345 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086346 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086347 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086348 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086349 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086350 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086351 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086352 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086353 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086354 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086356 -  ..
086357 - Body feels fatigued after hiking 18 miles in 67 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086358 - on 191009 1500. ref SDS 78 0001
086360 - -
086361 - After hike left knee patella pain level 0; left knee meniscus slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086362 - swelled pain level 0, and knee mildly stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086363 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086365 -  ..
086366 - Several hours after hike, feet and leg pain level 0, so did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086367 - medication; but, took naproxen and gabapentin before starting hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086368 - per above. ref SDS 0 7E5G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086370 -  ..
086371 - Legs 6 hours after hike late at night - body does not still ache and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086372 - restless legs minimum feeling, so did not take naproxen - - see study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086373 - above. ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086375 -  ..
086376 - Elastic bandage wrapped left knee - eliminated because causing heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086377 - pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086379 -  ..
086380 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086381 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086382 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086383 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086384 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086386 -     ..
086387 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086388 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086390 -  ..
086391 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086392 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086393 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086395 -  ..
086396 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086397 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086398 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086400 -  ..
086401 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086402 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086403 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086404 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086405 - ref SDS 77 SM4M  Befor hike today on 200201 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086406 - and Tailor's Bunions.  After hike applied apply Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086407 - lotion both feet.  Wore Wrightsock thin double ply and laced shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086408 - less tightly.  These two (2) measures seemed to prevent pain on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086409 - Tailor's Bunions entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086411 -  ..
086412 - Concord 18 mile route.  Did extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086413 - energy good wearing Hoka Bondi 6 shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086414 - ref SDS 77 SM4M  --- Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086415 - ref SDS 71 V54H --- 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086416 - ref SDS 79 SM4M  Today, hiking with Glucosamine Chondroitin, and with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086417 - naproxen and garbapentin, per above. ref SDS 0 E86N  Testing take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086418 - Apixaban blood thinner Metoprolol Tartrate to avoid chest pain from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086419 - PAF, per above. ref SDS 0 E86N  At 1150 cellphone reported HR 115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086420 - before starting hike with severe erratic (jagged/unreadable) sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086421 - curve, while standing still, i.e., at rest.  So starting with PAF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086422 - Hiking normal pace on Cuneo slight uphill chest pain level 0.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086423 - about 80 yards hiking up slight hill on Cuneo HR 122.  Hiking normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086424 - pace East on Treat flat asphault pavement shoulder.  No left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086425 - buckling and no weakness left knee hamstring lateral and medial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086426 - tendons despite not wearing elastic bandage.  Left knee curciate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086427 - ligaments pain level 0.  Hiking up slight hill to intersection with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086428 - Turtle Creek Road at mile .75 chest pain level 0. sinus curve jagged                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086429 - recognizable while hiking, cellphone reports HR 126.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086430 - Treat to Clayton mile 1.25 - elapsed time 18 minutes and HR 126.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086431 - Clayton at Newhall about mile 2.9 legs feeling tired again.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086432 - burning sensation bottom right foot, and no electrical shock on toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086433 - right foot.  Left foot Tailor's Bunion pain level 1, despite lacing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086434 - shoes loosley and wearing thin Wrightsocks.  Also shaved calluses on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086435 - 200201, per above. ref SDS 0 SWRU  Turned corner heading West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086436 - Ygnacio Valley Road at mile 3.8.  About mile 3.75 crossed from North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086437 - to South side Ygnacio Valley Road to hike on asphault pavement against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086438 - oncoming traffic.  About mile 4 felt energy surge, as collateral blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086439 - vessels open and expand.  Continued to Pine Hollow road - time to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086440 - 4.75 about 73 minutes.  Stopped at Texaco gas station.  Cellphone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086441 - shows smooth/normal sinus curve HR 86, indicating back in sinus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086442 - Turned corner hiked about 50 yards South on Pine Hollow and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086443 - West onto Campus Road.  Hiked .75 mile uphill to the campus visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086444 - parking.  Breathing through nose and chest pain level 0 all the way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086445 - At bottom of hill cellphone showed perfect smooth/normal sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086446 - at 1408 and HR 96 while hiking uphill.  At 75% to top of hill HR 126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086447 - On reaching level ground at top of hill where the college campus is on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086448 - flat ground HR 103.  Hiked loop around faculty parking lot, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086449 - another mile around student parking, which has .5 mile uphill; feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086450 - good so hiked 2nd loop around parking lot, then a 3rd loop making 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086451 - miles.  Moving HR 126.  Now 9.5 miles into hike.  Hiked North downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086452 - .5 miles to Ygnacio Valley Road.  Turned corner and hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086453 - Ygnacio Valley Road.  Still uneasy about Crystal Ranch Road, since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086454 - last time on 191226, reported in case study on 190101 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086455 - ref SDS 69 RXTP  Did not turn corner at mile 10, onto Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086456 - Road and hike up steep hill 6-mile loop.  Continued on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086457 - Road hiking 1 mile uphill.  Felt another energy boost from collateral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086458 - blood vessels opening vasodilation (?) drawing blood from other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086459 - systems, explained on 180602 1806. ref SDS 60 O842  Increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086460 - breathing thorugh nose all the way to summit.  Chest pain level 0; may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086461 - have flipped into sinus.  Left knee curciate ligaments pain level 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086462 - Continued past Cowell and over the summit.  Hiked 2 miles downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086463 - Ygnacio Valley road.  Feeling again numbness (peripheral neuropathy)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086464 - right foot - no tingling).  Subsided in .5 mile.  Left knee cruciate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086465 - ligaments pain level 0 rest of hike.  About .5 miles before Oak Grove,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086466 - at break in traffic crossed to North side Ygnacio Valley Road, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086467 - continued to Oak Grove.  Crossed to West side Oak Grove and continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086468 - West parallel to Ygnacio Velley Road on paved path around the parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086469 - lot for the Safeway shopping complex.  Hiked .25 miles to North Via                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086470 - Monte.  Turned right and hiked North .25 miles to Shadelands.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086471 - Reversed and hiked South on North Via Monte back to Ygnaco Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086472 - Road.  Turned left hiked East .25 miles on paved path back to Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086473 - Grove.  Turned left and hiked North 1 mile on West side Oak Grove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086474 - which has a paved path most of the way, and wide paved shoulder all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086475 - the way to Treat.  Stop light was green at Treat, so crossed to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086476 - side and turned right hiking East on Treat using concrete sidewalk,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086477 - because there is no paved shoulder, and traffic is heavy on Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086478 - Starting to feel fatigue.  Hiked 1 mile to San Miguel.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086479 - Treat increased pace uphill 1 mile breathing through nose all the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086480 - to summit.  Left knee and feet pain level 0 - seems like a miracle.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086481 - Continued on Treat to Cuneo; turned left and hiked 1-mile loop to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086482 - Kaski, Cowell, back to Treat, back to Cuneo and then home for 17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086483 - miles.  After hike while writing up the record, feel chest swaying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086484 - left and right - time 1748 and HR 147 in PAF; chest pain level 2 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086485 - about 30 minutes after hike.  At 1833 HR 50 out of PAF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086487 -  ..
086488 - Breakfast - cheerios banana chia seeds milk with naproxen gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086489 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086490 - Dinner - tuna lettuce tomato broccoli onion cumcumber avocado, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086492 -  ..
086493 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086497 -         ..
086498 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086499 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086500 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086501 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086502 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086503 -   44.  200213 0810............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086504 -               0820....BP HR..................................................... 110  64  56  AF Omron cuff won't report BP HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086505 -               0825....BP HR..................................................... 117  68  57  AF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086506 -               0830....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086507 -               0830... 20 96980 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086508 -               0830... 80 172160 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086509 -               0830... 05  310 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086510 -               0830... 75 1425 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086511 -               0830... 25    925.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086512 -               1030... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086513 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086514 -               1030... Gabapentin 300MG   9300MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086515 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086516 -               1030....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086517 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086518 -          *cr  1210....miles...........  16.0  58.0  255   922 minutes temp  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086519 -               1710....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086520 -               1735....BP HR....................................................  98  57  81   Sinus curve erratic - cellphone reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086521 -               1750....BP HR.....................................................  97  56  65   Sinus curve smooth/normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086522 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086523 -               1700... 40 53800 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
086524 -             1 0000............ 10 13190  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086525 -             1 0000............ 10 12780  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086526 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086527 -               2000... 25    950 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086528 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086529 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086530 -               2100... 40 33680 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086531 -               2130... 1000  724000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086532 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086533 -               2200... 05  315 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086534 -               2200... 80 172240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086535 -               0000... Gabapentin 300MG   8700MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086536 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086537 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086539 -  ..
086540 - * cr - hiked Crystal Ranch Road 5-mile loop with 3 major hills.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086541 - was first time, since pausing on 191228, shown in case study on 190101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086542 - 0730. ref SDS 69 4F9L  On 181029, 1st time hiking 4 in a row Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086543 - Ranch Road 4-mile loops, as part of daily hike, see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086544 - 180101 0820. ref SDS 55 E55K 61 E55K On 191004 changed route going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086545 - and coming down .5 miles very steep section Crystal Ranch Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086546 - deadend at top of mountain. ref SDS 0 2T9L  Makes 6-mile loop with 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086547 - major hills.  Today, didn't do this steep section, while recoverying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086548 - from proxysmal atrial fibrillation; hoping can return after getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086549 - pulmonary vein isolation, to be discussed with Cardiology in meeting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086550 - on 200219 at VAMCSF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086552 -  ..
086553 - Paroxysmal Atrial Fibrillation (PAF) study, reported on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086554 - ref SDS 83 NJ3K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086556 -  ..
086557 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086559 -  ..
086560 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086561 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086562 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086564 -  ..
086565 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086567 -  ..
086568 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086570 -  ..
086571 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086572 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086574 -  ..
086575 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086577 -  ..
086578 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086579 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086581 -  ..
086582 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086583 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086584 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086585 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086586 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086587 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086588 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086589 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086590 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086591 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086592 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086593 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086594 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086596 -  ..
086597 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086598 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086599 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086600 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086601 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086602 -        Chest pain...................................   0        100 none after strenuous hikes doing Crystal Ranch Road loop 1st time in 2 months                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086603 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086604 -        Bicep tendon strain across elbow right arm...   0        100  feels better with palm up can bend and extend arm without pain, but turning palm down pain level 4 bending and extend arm                                                                                                                                                                                                                                                                                                                                                                                                                    
086605 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086606 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086607 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086608 -        Knee left meniscus...PRP 191009..............   0        100  with naproxen gabapentin Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086609 -        Knee left patalla...PRP 191009...............   1          5  with naproxen gabapentin Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086610 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086611 -        Knee left cruciate ligaments back of knee....   1          5  with naproxen gabapentin - stiff, sore after hike pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086612 -        Knee right cruciate ligaments back of knee...   0        100  with naproxen gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086613 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086614 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086615 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086616 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086617 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086618 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086619 -        Tailor's Bunion left foot.. PRP 190612.......   0        100  thin socks laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086620 -        Tailor's Bunion right foot..PRP 190816.......   0        100  thin socks laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086621 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086622 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086623 -        Metatarsalgia left foot...PRP 191009.........   1          5  with naproxen gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086624 -        Metatarsalgia right foot..PRP 191009.........   1          5  with naproxen gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086625 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086626 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086627 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086628 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086629 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086630 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086631 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086632 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086633 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086635 -  ..
086636 - Body feels very fatigued after hiking 16 miles in 61 degrees,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086637 - following PRP on 191009 1500, ref SDS 78 0001, and after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086638 - Crystal Ranch 7 mile loop resuming since last hiking on 191228.
086640 - -
086641 - After hike left knee patella pain level 0; left knee meniscus slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086642 - swelled pain level 0, and knee mildly stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086643 - position; cruciate ligaments pain level 3.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086645 -  ..
086646 - Several hours after hike, feet and leg pain level 0, so did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086647 - medication; but, took naproxen and gabapentin before starting hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086648 - per above. ref SDS 0 7E5G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086650 -  ..
086651 - Legs 6 hours after hike late at night - body does not still ache and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086652 - restless legs minimum feeling, so did not take naproxen - - see study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086653 - above. ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086655 -  ..
086656 - Elastic bandage wrapped left knee - eliminated because causing heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086657 - pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086659 -  ..
086660 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086661 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086662 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086663 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086664 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086666 -     ..
086667 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086668 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086670 -  ..
086671 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086672 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086673 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086675 -  ..
086676 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086677 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086678 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086680 -  ..
086681 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086682 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086683 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086684 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086685 - ref SDS 77 SM4M  Befor hike today on 200213 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086686 - and Tailor's Bunions.  After hike applied apply Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086687 - lotion both feet.  Wore Wrightsock thin double ply and laced shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086688 - less tightly.  These two (2) measures seemed to prevent pain on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086689 - Tailor's Bunions entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086691 -  ..
086692 - Concord 18 mile route.  Hiked extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086693 - energy okay wearing Hoka Bondi 6 shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086694 - ref SDS 77 SM4M  Also wearing 2-ply Wright socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086695 - 1344. ref SDS 79 SM4M  Today, hiking with naproxen and Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086696 - Chondroitin - no oxycodone, per above. ref SDS 0 GW6J  Testing take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086697 - Apixaban blood thinner Metoprolol Tartrate to avoid chest pain from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086698 - PAF, per above. ref SDS 0 DG3I  At start cellphone shows sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086699 - erratic - won't report HR, indicating PAF.  Hiking normal pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086700 - Cuneo slight uphill 80 yards.  Hiking on Treat flat asphault pavement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086701 - shoulder, pace normal.  Left knee patella pain level 1 and curciate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086702 - ligaments pain level 1.  Cellphone shows smooth/normal sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086703 - when moving, and erratic curve when standing still, which is opposite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086704 - of what should occur.  Hiking up slight hill to Turtle Creek Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086705 - mile .75 chest pain level 0.  Time to 1.25 miles 19 minutes.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086706 - corner onto Clayton and hiked 2 miles South on concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086707 - Turned corner heading West on Ygnacio Valley Road at mile 3.8 - back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086708 - in PAF; cellphone shows sinus curve severely erratic, cannot recognize                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086709 - a curve, and does not report HR.  About mile 3.75 crossed from North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086710 - to South side Ygnacio Valley Road to hike on asphault pavement against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086711 - oncoming traffic.  Time 1320 mile 4 - noticed just gliding along with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086712 - boost in energy indicating collateral blood vessels opening that bring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086713 - surge in blood with oxygen nd nutrients to muscle cells.  Moving HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086714 - 128, so may be in PAF.  Everything pain level 0 maybe due to naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086715 - and gabapentin.  Continued to Pine Hollow road - time to mile 4.75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086716 - about 73 minutes.  Stopped at Texaco gas station.  No chest pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086717 - Cellphone still shows extremely erratic sinus curve, and does not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086718 - report HR.  Turned corner hiked about 50 yards South on Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086719 - and turned West onto Campus Road.  Hiked .75 mile uphill to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086720 - campus.  Breathing through nose and chest pain level 0 all the way,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086721 - and no evident chest pressure.  Stopped and cellphone showed smooth                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086722 - sinus curve with HR 131 - about right going uphill - indicates back in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086723 - sinus.  Everything pain level 0.  Hiked loop around faculty parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086724 - lot, and another mile around student parking; then hiked North down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086725 - hill .5 miles to Ygnacio Valley Road.  Turned and hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086726 - Ygnacio Valley Road.  Energy increased, possibly from collateral blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086727 - vessels opening to bring nutrients and oxygen to legs, heart and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086728 - lungs.  At Mile 7 turned corner onto Crystal Ranch Road and hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086729 - 6-mile uphill loop - first time since 191228, shown in case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086730 - 190101 0730, ref SDS 69 4F9L  Hiked uphill 1 mile breathing nose until                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086731 - storm drain 4, about half way, then difficulty breathing caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086732 - switching to breathing through mouth rest of way to summit.  Difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086733 - physically, but did not stop.  At summit continued another mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086734 - flat terrain to .25 mile downhill.  Left knee patella and cruciate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086735 - ligaments pain level 1 part way down the hill.  Since there was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086736 - shortness of breath hiking up Crystal Ranch Road from Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086737 - Road, decided not to hike steepest hill .5 mile up to top of mountain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086738 - on Crystal Ranch Way.  Turned left onto Rolling Woods Way - hiked .33                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086739 - miles up steep hill - difficult shortness of breath, but breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086740 - through mouth all the way.  By 25% of way uphill on Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086741 - patella and cruciate ligaments pain level 0.  Hiked .66 miles downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086742 - on Rolling Woods Way to Pine Hollow.  Turned North (left) onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086743 - Hollow and hiked 1 mile back to Ygnacio Valley Road.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086744 - Texaco station again.  Cellphone would not report HR, sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086745 - erratic.  Turned corner hiked about 50 yards South on Pine Hollow and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086746 - turned West onto Campus Road.  Hiked .75 mile uphill to the campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086747 - Breathing through nose and chest pain level 0 all the way, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086748 - evident chest pressure.  Hiked loop around faculty parking lot again,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086749 - and another mile around student parking; then hiked North down hill .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086750 - miles to Ygnacio Valley Road.  Turned and hiked West on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086751 - Road.  Hiked 1 mile uphill to Cowell.  Turned North and hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086752 - downhill to Treat.  Part way down felt left leg quadracep tendon pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086753 - level 2, may involve patella.  Left knee cruciate ligaments has been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086754 - on and off entire hike.  Turned left and hiked West .25 miles, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086755 - turned North onto cuneo and hiked home for 16 mile hike.  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086756 - metatarsalgia breakthrough pain level 1 last 1 mile.  No chest pain,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086757 - but seemed like PAF episodes most of hike with erratic sinus curve and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086758 - could not get HR until last 2 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086760 -  ..
086761 - Breakfast - cheerios banana chia seeds milk with naproxen gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086762 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086763 - Dinner - hamburger tuna lettuce tomato broccoli onion cumcumber                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086764 - avocado, few bites rasberry pie with milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086766 -  ..
086767 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086771 -         ..
086772 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086773 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086774 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086775 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086776 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086777 -   45.  200214 0810............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086778 -               0830....BP HR..................................................... 125  68  51  no AF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086779 -               0835....BP HR..................................................... 129  71  53  mild AF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086780 -               0840....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086781 -               0840... 20 97000 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086782 -               0840... 80 172320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086783 -               0840... 05  320 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086784 -               0840... 75 1500 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086785 -               0840... 25    975.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086786 -               1030... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086787 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086788 -               1030... Gabapentin 300MG   9300MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086789 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086790 -               1030....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086791 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086792 -               1230....miles...........  16.0  74.0  256  1178 minutes temp  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086793 -               1740....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086794 -               1755....BP HR....Omron cuff required 3 tries......................  98  79 149   Sinus curve erratic - cellphone reported HR 55 then 5 minutes later HR 148 after Omron reported 149                                                                                                                                                                                                                                                                                                                                                                                                                
086795 -               1812....BP HR..................................................... 128  74  76   Sinus curve erratic - cellphone reported HR 53                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086796 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086797 -               1750... 40 53840 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
086798 -               1930............ 10 13200  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086799 -               1930............ 10 12790  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086800 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086801 -               2000... 25   1000 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086802 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086803 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086804 -               2100... 40 33720 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086805 -               2130... 1000  725000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086806 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086807 -               2200... 05  325 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086808 -               2200... 80 172400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086809 -               0000... Gabapentin 300MG   8700MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086810 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086811 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086813 -  ..
086814 - Paroxysmal Atrial Fibrillation (PAF) study, reported on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086815 - ref SDS 83 K64L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086817 -  ..
086818 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086820 -  ..
086821 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086822 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086823 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086825 -  ..
086826 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086828 -  ..
086829 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086831 -  ..
086832 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086833 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086835 -  ..
086836 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086838 -  ..
086839 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086840 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086842 -  ..
086843 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086844 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086845 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086846 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086847 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086848 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086849 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086850 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086851 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086852 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086853 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086854 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086855 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086857 -  ..
086858 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086859 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086860 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086861 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086862 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086863 -        Chest pain...................................   0        100  none, but feeling post hike PAF with chest swaying left and right and no pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086864 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086865 -        Bicep tendon strain across elbow right arm...   0        100  feels better with palm up can bend and extend arm without pain, but turning palm down pain level 4 bending and extend arm                                                                                                                                                                                                                                                                                                                                                                                                                    
086866 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086867 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086868 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086869 -        Knee left meniscus...PRP 191009..............   0        100  with naproxen gabapentin Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086870 -        Knee left patalla...PRP 191009...............   0        100  with naproxen gabapentin Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086871 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086872 -        Knee left cruciate ligaments back of knee....   1          2  with naproxen gabapentin - stiff, sore after hike pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086873 -        Knee right cruciate ligaments back of knee...   0        100  with naproxen gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086874 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086875 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086876 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086877 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086878 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086879 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086880 -        Tailor's Bunion left foot.. PRP 190612.......   0        100  thin socks laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086881 -        Tailor's Bunion right foot..PRP 190816.......   0        100  thin socks laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086882 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086883 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086884 -        Metatarsalgia left foot...PRP 191009.........   1          2  with naproxen gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086885 -        Metatarsalgia right foot..PRP 191009.........   1          2  with naproxen gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086886 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086887 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086888 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086889 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086890 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086891 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086892 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086893 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086894 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086896 -  ..
086897 - Body feels very good after hiking 16 miles in 61 degrees, following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086898 - PRP on 191009 1500, ref SDS 78 0001, and not hiking Crystal Ranch 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086899 - mile loop resuming since last hiking on 191228.
086901 - -
086902 - After hike left knee patella pain level 0; left knee meniscus slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086903 - swelled pain level 0, and knee mildly stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086904 - position; cruciate ligaments pain level 3.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086906 -  ..
086907 - Several hours after hike, feet and leg pain level 0, so did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086908 - medication; but, took naproxen and gabapentin before starting hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086909 - per above. ref SDS 0 7E5G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086911 -  ..
086912 - Legs 6 hours after hike late at night - body does not still ache and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086913 - restless legs minimum feeling, so did not take naproxen - - see study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086914 - above. ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086916 -  ..
086917 - Elastic bandage wrapped left knee - eliminated because causing heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086918 - pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086920 -  ..
086921 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086922 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086923 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086924 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086925 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086927 -     ..
086928 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086929 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086931 -  ..
086932 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086933 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086934 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086936 -  ..
086937 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086938 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086939 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086941 -  ..
086942 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086943 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086944 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086945 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086946 - ref SDS 77 SM4M  Befor hike today on 200213 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086947 - and Tailor's Bunions.  After hike applied apply Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086948 - lotion both feet.  Wore Wrightsock thin double ply and laced shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086949 - less tightly.  These two (2) measures seemed to prevent pain on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086950 - Tailor's Bunions entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086952 -  ..
086953 - Concord 16 mile route.  Hiked extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086954 - energy okay wearing Hoka Bondi 6 shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086955 - ref SDS 77 SM4M  --- Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086956 - ref SDS 71 V54H --- 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086957 - ref SDS 79 SM4M  Today, hiking with naproxen and Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086958 - Chondroitin - no oxycodone, per above. ref SDS 0 GW6J  Testing take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086959 - Apixaban blood thinner Metoprolol Tartrate to avoid chest pain from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086960 - PAF, per above. ref SDS 0 DG3I  Hiking normal pace on Cuneo slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086961 - uphill.  Hiking on Treat flat asphault pavement shoulder, pace normal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086962 - No left knee buckling and no weakness left knee hamstring lateral and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086963 - medial tendons.  Hiking up slight hill to Turtle Creek Road at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086964 - .75 chest pain level 0.  HR 124 while moving indicates PAF.  Calfs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086965 - pain level 2.  Time to 1.25 miles 19 minutes.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086966 - Clayton and hiked 2 miles South on concrete sidewalk.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086967 - heading West on Ygnacio Valley Road at mile 3.8 still on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086968 - sidewalk.  Cannot get HR on cellphone, sinus curve very erratic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086969 - indicates PAF.  About mile 3.75 crossed from North to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086970 - Ygnacio Valley Road to hike on asphault pavement against oncoming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086971 - traffic.  Continued to Pine Hollow road - time to mile 4.75 about 73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086972 - minutes.  Did not stop at Texaco gas station.  No chest pain.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086973 - corner hiked about 50 yards South on Pine Hollow and turned West onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086974 - Campus Road.  Hiked .75 mile uphill to the campus.  Breathing through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086975 - nose all the way, and no evident chest pressure.  Cellphone HR curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086976 - smooth indicating in sinus.  Hiked 4-loops around faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086977 - parking lots about 1.25 miles.  After hiking the 4-loops, have hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086978 - 11 miles.  Noticed blister high on right leg near crotch.  Seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086979 - compression shorts positioned wrong.  Tried to make adjustment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086980 - Turned North and hiked downhill .5 miles to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086981 - Turned West and hiked on Ygnacio Valley Road.  Stopped in the big tree                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086982 - and lowered hiking shorts.  Made further adjustment to compression                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086983 - shorts.  After returning home found a repair has failed and the cloth                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086984 - has worn through again, causing skin on skin blistering.  The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086985 - adjustment worked sort of for next 5 miles to end of hike.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086986 - continuing on Ygnacio Valley Road, energy increased, possibly from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086987 - collateral blood vessels opening to bring nutrients and oxygen to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086988 - legs, heart and lungs.  Hiking faster past Crystal Ranch Road and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086989 - increased pace uphill to Cowell - now at 12 miles.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086990 - Ygnacio Valley Road uphill over the summit and down hill another mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086991 - AT mile 13 turned around and hiked back uphill to Cowell.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086992 - North and hiked downhill 1 mile to Treat.  Turned left and hiked West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086993 - .25 miles, then turned North onto cuneo and hiked North .25 miles to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086994 - Kaski.  Turned East and hiked .25 miles to Cowell.  Turned South hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086995 - .25 miles to Treat.  Turned West hiked .25 miles back to Cuneo, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086996 - home for 16 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086998 -  ..
086999 - Breakfast - cheerios chia seeds milk with naproxen gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087000 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087001 - Dinner - lettuce tomato broccoli onion cumcumber avocado, cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087003 -  ..
087004 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087008 -         ..
087009 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087010 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087011 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087012 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087013 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087014 -   46.  200215 0740............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087015 -               0740....BP HR..................................................... 127  61  69  AF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087016 -               0745....BP HR..................................................... 130  71  64  AF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087017 -               0750....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087018 -               0750... 20 97020 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087019 -               0750... 80 172480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087020 -               0750... 05  330 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087021 -               0750... 75 1575 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087022 -               0750... 25   1025.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087023 -               1030... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087024 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087025 -               1030... Gabapentin 300MG   9300MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087026 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087027 -               1030....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087028 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087029 -               1700... 40 53880 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
087030 -             1 0000............ 10 13200  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087031 -             1 0000............ 10 12790  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087032 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087033 -               2000... 25   1050 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087034 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087035 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087036 -               2100... 40 33760 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087037 -               2130... 1000  726000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087038 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087039 -               2200... 05  335 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087040 -               2200... 80 172560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087041 -               0000... Gabapentin 300MG   8700MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087042 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087043 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087045 -  ..
087046 - Paroxysmal Atrial Fibrillation (PAF) study, reported on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087047 - ref SDS 83 LW5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087049 -  ..
087050 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087052 -  ..
087053 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087054 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087055 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087057 -  ..
087058 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087060 -  ..
087061 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087063 -  ..
087064 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087065 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087067 -  ..
087068 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087070 -  ..
087071 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087072 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087074 -  ..
087075 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087076 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087077 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087078 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087079 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087080 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087081 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087082 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087083 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087084 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087085 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087086 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087087 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087089 -  ..
087090 - Breakfast - cheerios chia seeds milk with naproxen gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087091 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087092 - Dinner - lettuce tomato broccoli onion cumcumber avocado, cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087094 -  ..
087095 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087100 -         ..
087101 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087102 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087103 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087104 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087105 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087106 -   47.  200216 0740............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087107 -               0740....BP HR..................................................... 130  62  40  sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087108 -               0745....BP HR..................................................... 132  77  45  sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087109 -               0750....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087110 -               0750... 20 97040 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087111 -               0750... 80 172640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087112 -               0750... 05  340 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087113 -               0750... 75 1650 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087114 -               0750... 25   1075.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087115 -               1030... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087116 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087117 -               1030... Gabapentin 300MG   9600MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087118 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087119 -               1030....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087120 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087121 -               1155....miles...........  20.0  94.0  323   922 minutes temp  66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087122 -               1700....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087123 -               1710....BP HR.....................................................  99  66  73   Sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087124 -               1720....BP HR.....................................................  96  60  59   Sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087125 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087126 -               1700... 40 53920 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
087127 -               1830............ 10 13210  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087128 -               1830............ 10 12800  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087129 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087130 -               2000... 25   1100 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087131 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087132 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087133 -               2100... 40 33800 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087134 -               2130... 1000  727000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087135 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087136 -               2200... 05  345 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087137 -               2200... 80 172720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087138 -               0000... Gabapentin 300MG   8700MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087139 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087140 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087143 -  ..
087144 - Paroxysmal Atrial Fibrillation (PAF) study, reported on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087145 - ref SDS 83 G66J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087147 -  ..
087148 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087150 -  ..
087151 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087152 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087153 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087155 -  ..
087156 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087158 -  ..
087159 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087161 -  ..
087162 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087163 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087165 -  ..
087166 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087168 -  ..
087169 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087170 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087172 -  ..
087173 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087174 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087175 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087176 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087177 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087178 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087179 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087180 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087181 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087182 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087183 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087184 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087185 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087187 -  ..
087188 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087189 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087190 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087191 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087192 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087193 -        Chest pain...................................   0        100  none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087194 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087195 -        Bicep tendon strain across elbow right arm...   0        100  feels better with palm up can bend and extend arm without pain, but turning palm down pain level 4 bending and extend arm                                                                                                                                                                                                                                                                                                                                                                                                                    
087196 -        Hip left.....................................   2          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087197 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087198 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087199 -        Knee left meniscus...PRP 191009..............   0        100  with naproxen gabapentin Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087200 -        Knee left patalla...PRP 191009...............   0        100  with naproxen gabapentin Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087201 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087202 -        Knee left cruciate ligaments back of knee....   0        100  with naproxen gabapentin - stiff, sore after hike pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087203 -        Knee right cruciate ligaments back of knee...   0        100  with naproxen gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087204 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087205 -        Hamstring tendon left leg.PRP 191009.........   1          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087206 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087207 -        Calf left....................................   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087208 -        Calf right...................................   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087209 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087210 -        Tailor's Bunion left foot.. PRP 190612.......   0        100  thin socks laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087211 -        Tailor's Bunion right foot..PRP 190816.......   0        100  thin socks laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087212 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087213 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087214 -        Metatarsalgia left foot...PRP 191009.........   2          3  with naproxen gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087215 -        Metatarsalgia right foot..PRP 191009.........   2          3  with naproxen gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087216 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087217 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087218 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087219 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087220 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087221 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087222 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087223 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087224 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087226 -  ..
087227 - Body feels good after hiking 20 miles in 66 degrees, following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087228 - 191009 1500, ref SDS 78 0001, and not hiking Crystal Ranch 7 mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087229 - resuming since last hiking on 191228.
087231 - -
087232 - After hike left knee patella pain level 0; left knee meniscus slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087233 - swelled pain level 0, and knee mildly stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087234 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087236 -  ..
087237 - Several hours after hike, feet and leg pain level 0, so did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087238 - medication; but, took naproxen and gabapentin before starting hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087239 - per above. ref SDS 0 O44N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087241 -  ..
087242 - Legs 6 hours after hike late at night - body does not still ache and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087243 - restless legs minimum feeling, so did not take naproxen - - see study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087244 - above. ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087246 -  ..
087247 - Elastic bandage wrapped left knee - eliminated because causing heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087248 - pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087250 -  ..
087251 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087252 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087253 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087254 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087255 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087257 -     ..
087258 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087259 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087261 -  ..
087262 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087263 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087264 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087266 -  ..
087267 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087268 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087269 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087271 -  ..
087272 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087273 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087274 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087275 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087276 - ref SDS 77 SM4M  Befor hike today on 200213 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087277 - and Tailor's Bunions.  After hike applied apply Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087278 - lotion both feet.  Wore Wrightsock thin double ply and laced shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087279 - less tightly.  These two (2) measures seemed to prevent pain on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087280 - Tailor's Bunions entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087282 -  ..
087283 - Concord 20 mile route.  Hiked extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087284 - energy okay wearing Hoka Bondi 6 shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087285 - ref SDS 77 SM4M  --- Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087286 - ref SDS 71 V54H --- 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087287 - ref SDS 79 SM4M  Today, hiking with naproxen and Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087288 - Chondroitin - no oxycodone, per above. ref SDS 0 GW6J  Testing take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087289 - Apixaban blood thinner Metoprolol Tartrate to avoid chest pain from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087290 - PAF, per above. ref SDS 0 DG3I  Hiking normal pace on Cuneo slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087291 - uphill.  Hiking on Treat flat asphault pavement shoulder, pace normal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087292 - No left knee buckling and no weakness left knee hamstring lateral and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087293 - medial tendons.  Hiking up slight hill to Turtle Creek Road at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087294 - .75 chest pain level 0 - cellphone shows perfect sinus curve.  Time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087295 - 1.25 miles 19 minutes.  Turned corner onto Clayton and hiked 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087296 - South on concrete sidewalk.  About halfway at corner of Clayton and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087297 - Indian Lane mile 2.25.  Feeling tired and calf muscles hurting.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087298 - hip pain level 0.  Tailor's Bunion pain level 0, likely because laced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087299 - shoes loosley and wearing thin Wrightsocks.  Also shaved calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087300 - before hike on 200213, per above. ref SDS 0 UXVS  Chest pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087301 - on Clayton despite 1% slope uphill.  Turned corner heading West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087302 - Ygnacio Valley Road at mile 3.8 still on concrete sidewalk.  Left hip                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087303 - pain level 0, maybe due to naproxen and gabapentin.  About mile 3.75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087304 - crossed from North to South side Ygnacio Valley Road to hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087305 - asphault pavement against oncoming traffic.  Continued to Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087306 - road - time to mile 4.75 about 73 minutes.  Did not stop at Texaco gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087307 - station.  No chest pain.  Turned corner hiked about 50 yards South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087308 - Pine Hollow and turned West onto Campus Road.  Hiked .75 mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087309 - to the campus.  Breathing through nose all the way, and no evident                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087310 - chest pressure.  Cellphone monitor shows HR 116 and still with perfect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087311 - sinus curve; no erratic lines.  Hiked 4-loops around faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087312 - student parking lots about 1.25 miles each.  At mile 11 in the hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087313 - turned North and hiked downhill .5 miles to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087314 - Turned corner and hiked West on Ygnacio Valley Road.  Still uneasy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087315 - about Crystal Ranch Road, since last time on 191226, reported in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087316 - study on 190101 0730. ref SDS 69 RXTP  Chest still pain level 0.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087317 - not turn corner at mile 12, onto Crystal Ranch Road and hike up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087318 - hill 6-mile loop.  Continued on Ygnacio Valley Road hiking .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087319 - uphill.  Felt another energy boost from collateral blood vessels                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087320 - opening vasodilation (?) drawing blood from other systems, explained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087321 - on 180602 1806. ref SDS 60 O842  Increased pace breathing through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087322 - all the way to summit.  Cannot believe cellphone shows normal sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087323 - curve, as if drawn by a machine.  Left knee curciate ligaments pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087324 - level 1.  Continued past Cowell and over the summit.  Hiked 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087325 - downhill on Ygnacio Valley road.  Left knee cruciate ligaments pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087326 - level 0 rest of hike.  About .5 miles before Oak Grove, at break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087327 - traffic crossed to North side Ygnacio Valley Road, and continued to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087328 - Oak Grove.  Crossed to West side Oak Grove and continued West parallel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087329 - to Ygnacio Velley Road on paved path around the parking lot for the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087330 - Safeway shopping complex.  Hiked .25 miles to North Via Monte.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087331 - Starting to feel fatigue.  Still normal sinus curve.  Turned right and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087332 - hiked North .25 miles to Shadelands.  Reversed and hiked South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087333 - North Via Monte back to Ygnaco Valley Road.  Turned left hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087334 - .25 miles on paved path back to Oak Grove.  Turned left and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087335 - North 1 mile on West side Oak Grove which has a paved path most of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087336 - way, and wide paved shoulder next to traffic lane all the way to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087337 - Treat.  Stop light was green at Treat, so crossed to North side and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087338 - turned right hiking East on Treat using concrete sidewalk, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087339 - there is no paved shoulder, and traffic is heavy on Treat.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087340 - mile to San Miguel.  Continueing on Treat despite fatigue increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087341 - pace uphill 1 mile breathing through nose all the way to summit.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087342 - knee and feet pain level 0 - seems like a miracle.  Also cellphone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087343 - still showing perfect sinus curve.  At summit continued another mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087344 - on Treat to Cuneo; turned left and hiked 2 1-mile loops to Kaski,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087345 - Cowell, back to Treat, back to Cuneo and then home for 20 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087346 - After hike while writing up the record, did not feel chest swaying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087347 - left and right - seem to be in sinus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087349 -  ..
087350 - Breakfast - cheerios chia seeds milk with naproxen gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087351 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087352 - Dinner - salmon mashed potatoes broccoli squash avocado, cookie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087354 -  ..
087355 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087359 -         ..
087360 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087361 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087362 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087363 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087364 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087365 -   48.  200217 0650............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087366 -               0700....BP HR..................................................... 121  78  50  sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087367 -               0705....BP HR..................................................... 128  63  44  sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087368 -               0720....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087369 -               0720... 20 97060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087370 -               0720... 80 172800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087371 -               0720... 05  350 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087372 -               0720... 75 1725 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087373 -               0720... 25   1125.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087374 -               1030... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087375 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087376 -               1030... Gabapentin 300MG   9600MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087377 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087378 -               1030....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087379 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087380 -          *cr  1130....miles...........  14.0  14.0  222   222 minutes temp  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087381 -               1555....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087382 -               1600....BP HR.....................................................  81  69  74   Sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087383 -               1605....BP HR.....................................................  79  66  63   Sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087384 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087385 -               1700... 40 53960 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
087386 -             1 0000............ 10 13210  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087387 -             1 0000............ 10 12800  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087388 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087389 -               2000... 25   1150 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087390 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087391 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087392 -               2100... 40 33840 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087393 -               2130... 1000  728000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087394 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087395 -               2200... 05  355 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087396 -               2200... 80 172880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087397 -               0000... Gabapentin 300MG   8700MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087398 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087399 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087401 -  ..
087402 - * cr - hiked Crystal Ranch Road 5-mile loop with 3 major hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087403 - Started again on 200213, ref SDS 0 GW6J - first time, since pausing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087404 - 191228, due to PAF symptoms, shown in case study on 190101 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087405 - ref SDS 69 4F9L  On 181029, 1st time hiking 4 in a row Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087406 - Road 4-mile loops, as part of daily hike, see case study on 180101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087407 - 0820. ref SDS 55 E55K 61 E55K On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087408 - coming down .5 miles very steep section Crystal Ranch Road to deadend                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087409 - at top of mountain. ref SDS 0 2T9L  Makes 6-mile loop with 3 major                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087410 - hills.  Today, didn't do this steep section, while recoverying from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087411 - proxysmal atrial fibrillation; hoping can return after getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087412 - pulmonary vein isolation, to be discussed with Cardiology in meeting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087413 - on 200219 at VAMCSF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087415 -  ..
087416 - Paroxysmal Atrial Fibrillation (PAF) study, reported on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087417 - ref SDS 83 FF7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087419 -  ..
087420 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087422 -  ..
087423 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087424 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087425 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087427 -  ..
087428 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087430 -  ..
087431 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087433 -  ..
087434 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087435 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087437 -  ..
087438 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087440 -  ..
087441 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087442 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087444 -  ..
087445 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087446 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087447 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087448 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087449 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087450 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087451 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087452 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087453 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087454 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087455 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087456 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087457 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087459 -  ..
087460 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087461 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087462 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087463 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087464 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087465 -        Chest pain...................................   0        100  none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087466 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087467 -        Bicep tendon strain across elbow right arm...   0        100  feels better with palm up can bend and extend arm without pain, but turning palm down pain level 4 bending and extend arm                                                                                                                                                                                                                                                                                                                                                                                                                    
087468 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087469 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087470 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087471 -        Knee left meniscus...PRP 191009..............   0        100  with naproxen gabapentin Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087472 -        Knee left patalla...PRP 191009...............   0        100  with naproxen gabapentin Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087473 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087474 -        Knee left cruciate ligaments back of knee....   0        100  with naproxen gabapentin - stiff, sore after hike pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087475 -        Knee right cruciate ligaments back of knee...   0        100  with naproxen gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087476 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087477 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087478 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087479 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087480 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087481 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087482 -        Tailor's Bunion left foot.. PRP 190612.......   0        100  thin socks laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087483 -        Tailor's Bunion right foot..PRP 190816.......   0        100  thin socks laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087484 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087485 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087486 -        Metatarsalgia left foot...PRP 191009.........   1          2  with naproxen gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087487 -        Metatarsalgia right foot..PRP 191009.........   1          2  with naproxen gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087488 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087489 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087490 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087491 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087492 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087493 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087494 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087495 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087496 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087498 -  ..
087499 - Body feels good after hiking 14 miles in 73 degrees, following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087500 - 191009 1500, ref SDS 78 0001, and not hiking Crystal Ranch 7 mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087501 - resuming since last hiking on 191228.
087503 - -
087504 - After hike left knee patella pain level 0; left knee meniscus slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087505 - swelled pain level 0, and knee mildly stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087506 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087508 -  ..
087509 - Several hours after hike, feet and leg pain level 0, so did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087510 - medication; but, took naproxen and gabapentin before starting hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087511 - per above. ref SDS 0 O44N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087513 -  ..
087514 - Legs 6 hours after hike late at night - body does not still ache.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087515 - Restless legs stronger feeling, but do not have Tramadol, and avoided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087516 - taking naproxen again. - - see study above. ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087518 -  ..
087519 - Elastic bandage wrapped left knee - eliminated because causing heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087520 - pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087522 -  ..
087523 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087524 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087525 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087526 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087527 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087529 -     ..
087530 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087531 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087533 -  ..
087534 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087535 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087536 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087538 -  ..
087539 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087540 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087541 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087543 -  ..
087544 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087545 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087546 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087547 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087548 - ref SDS 77 SM4M  Befor hike today on 200213 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087549 - and Tailor's Bunions.  After hike applied apply Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087550 - lotion both feet.  Wore Wrightsock thin double ply and laced shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087551 - less tightly.  These two (2) measures seemed to prevent pain on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087552 - Tailor's Bunions entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087554 -  ..
087555 - Concord 20 mile route.  Hiked extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087556 - energy okay wearing Hoka Bondi 6 shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087557 - ref SDS 77 SM4M  --- Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087558 - ref SDS 71 V54H --- 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087559 - ref SDS 79 SM4M  Today, hiking with naproxen and Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087560 - Chondroitin - no oxycodone, per above. ref SDS 0 GW6J  Testing take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087561 - Apixaban blood thinner Metoprolol Tartrate to avoid chest pain from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087562 - PAF, per above. ref SDS 0 DG3I  Hiking normal pace on Cuneo slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087563 - uphill.  Hiking on Treat flat asphault pavement shoulder, pace normal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087564 - No left knee buckling and no weakness left knee hamstring lateral and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087565 - medial tendons.  Hiking up slight hill to Turtle Creek Road at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087566 - .75 chest pain level 0.  Time to 1.25 miles 19 minutes.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087567 - onto Clayton and hiked 2 miles South on concrete sidewalk.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087568 - halfway at corner of Clayton and Indian Lane mile 2.25.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087569 - heading West on Ygnacio Valley Road at mile 3.8 still on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087570 - sidewalk.  About mile 3.75 crossed from North to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087571 - Valley Road to hike on asphault pavement against oncoming traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087572 - Have checked HR several times, and no indication of PAF - sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087573 - smooth/normal like yesterday.  Continued to Pine Hollow road - time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087574 - mile 4.75 about 73 minutes.  Did not stop at Texaco gas station.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087575 - chest pain.  Turned corner hiked about 50 yards South on Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087576 - and turned West onto Campus Road.  Hiked .75 mile uphill to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087577 - campus.  Breathing through nose all the way, and no evident chest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087578 - pressure.  Hiked 2-loops around faculty and student parking lots about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087579 - 1.25 miles each.  At mile 8 in the hike turned North and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087580 - downhill .5 miles to Ygnacio Valley Road.  Turned corner and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087581 - West on Ygnacio Valley Road.  Still uneasy about Crystal Ranch Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087582 - since last time on 191226, reported in case study on 190101 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087583 - ref SDS 69 RXTP  Chest still pain level 0.  Did not turn corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087584 - Crystal Ranch Road and hike up steep hill 6-mile loop.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087585 - Ygnacio Valley Road hiking .5 mile uphill.  Felt energy boost from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087586 - collateral blood vessels opening vasodilation (?) drawing blood from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087587 - other systems, explained on 180602 1806. ref SDS 60 O842  Increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087588 - pace breathing through nose all the way to summit.  Chest pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087589 - 0.  Still have not flipped into PAF anytime during hike so far.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087590 - Seeing perfect sinus curve on cellphone.  Continued past Cowell and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087591 - over the summit.  Hiked 2 miles downhill on Ygnacio Valley road.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087592 - sidewalk passed woman wearing metal neck brace; didn't say anything,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087593 - because she has not previously returned greetings, rehabing injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087594 - bent forward slightly with her head down focused on hiking.  About .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087595 - miles before Oak Grove, at break in traffic crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087596 - Ygnacio Valley Road, and continued to Oak Grove.  Crossed to West side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087597 - Oak Grove and continued West parallel to Ygnacio Velley Road on paved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087598 - path around the parking lot for the Safeway shopping complex.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087599 - .25 miles to North Via Monte.  Starting to feel fatigue.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087600 - and hiked North .25 miles to Shadelands.  Reversed and hiked South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087601 - North Via Monte back to Ygnaco Valley Road.  Turned left hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087602 - .25 miles on paved path back to Oak Grove.  At a parking lot entryway,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087603 - a car stopped for me to pass by.  After crossing the enteryway, heard                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087604 - a woman say hello.  Turned and saw it was the woman with the neck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087605 - brace, but now the brace was removed.  She was in the passenger seat,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087606 - smiling and saying her rehab was over.  Congratulated her and wished                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087607 - her well.  She was complimentary about seeing me hiking the past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087608 - months, and appologized for not speaking out on the trail.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087609 - after brief pause to Oak Grove.  Turned left and hiked North 1 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087610 - West side Oak Grove which has a paved path most of the way, and wide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087611 - paved shoulder next to traffic lane all the way to Treat.  Kathy drove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087612 - us home for 14 mile hike.  After hike while writing up the record, did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087613 - not feel chest swaying left and right - seem to be in sinus the entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087614 - day.  Maybe have recovered from PAF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087616 -  ..
087617 - Breakfast - cheerios and banana chia seeds milk with naproxen gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087618 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087619 - Dinner - lasagna hamburger avocado tomato onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087621 -  ..
087622 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087626 -         ..
087627 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087628 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087629 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087630 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087631 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087632 -   49.  200218 0730............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087633 -               0740....BP HR..................................................... 128  74  51  sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087634 -               0745....BP HR..................................................... 124  68  46  sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087635 -               0300....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087636 -               0000... 20 97080 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087637 -               0700... 80 172960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087638 -               0700... 05  360 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087639 -               0700... 75 1800 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087640 -               0700... 25   1175.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087641 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087642 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087643 -               0000... Gabapentin 300MG   9900MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087644 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087645 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087646 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087647 -          *cr  1030....miles...........  19.0  33.0  302   524 minutes temp  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087648 -               1645....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087649 -               1700....BP HR.....................................................  88  74 145   Sinus curve but PAF elevated HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087650 -               1705....BP HR.....................................................  86  73 140   Sinus curve but PAF elevated HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087651 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087652 -               1730... 40 54000 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
087653 -               1830............ 10 13220  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087654 -               1830............ 10 12810  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087655 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087656 -               2000... 25   1200 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087657 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087658 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087659 -               2100... 40 33880 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087660 -               2130... 1000  729000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087661 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087662 -               2200... 05  365 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087663 -               2200... 80 173040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087664 -               0000... Gabapentin 300MG   8700MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087665 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087666 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087668 -  ..
087669 - * cr - hiked Crystal Ranch Road 5-mile loop with 3 major hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087670 - Started again on 200213, ref SDS 0 GW6J - first time, since pausing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087671 - 191228, due to PAF symptoms, shown in case study on 190101 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087672 - ref SDS 69 4F9L  On 181029, 1st time hiking 4 in a row Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087673 - Road 4-mile loops, as part of daily hike, see case study on 180101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087674 - 0820. ref SDS 55 E55K 61 E55K On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087675 - coming down .5 miles very steep section Crystal Ranch Road to deadend                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087676 - at top of mountain. ref SDS 0 2T9L  Makes 6-mile loop with 3 major                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087677 - hills.  Today, didn't do this steep section, while recoverying from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087678 - proxysmal atrial fibrillation; hoping can return after getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087679 - pulmonary vein isolation, to be discussed with Cardiology in meeting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087680 - on 200219 at VAMCSF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087682 -  ..
087683 - Paroxysmal Atrial Fibrillation (PAF) study, reported on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087684 - ref SDS 83 768I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087686 -  ..
087687 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087689 -  ..
087690 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087691 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087692 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087694 -  ..
087695 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087697 -  ..
087698 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087700 -  ..
087701 - Pushaways against kitchen sink.  Right elbow still clicking, so will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087702 - pause again to hopefully allow PRP to continue healing elbow injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087704 -  ..
087705 - Vitals history listed on 181231, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087707 -  ..
087708 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087709 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087711 -  ..
087712 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087713 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087714 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087715 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087716 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087717 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087718 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087719 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087720 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087721 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087722 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087723 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087724 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087726 -  ..
087727 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087728 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087729 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087730 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087731 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087732 -        Chest pain...................................   0        100  none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087733 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087734 -        Bicep tendon strain across elbow right arm...   0        100  feels better with palm up can bend and extend arm without pain, but turning palm down pain level 4 bending and extend arm                                                                                                                                                                                                                                                                                                                                                                                                                    
087735 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087736 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087737 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087738 -        Knee left meniscus...PRP 191009..............   1         30  with naproxen gabapentin Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087739 -        Knee left patalla...PRP 191009...............   0        100  with naproxen gabapentin Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087740 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087741 -        Knee left cruciate ligaments back of knee....   0        100  with naproxen gabapentin - stiff, sore after hike pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087742 -        Knee right cruciate ligaments back of knee...   0        100  with naproxen gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087743 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087744 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087745 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087746 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087747 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087748 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087749 -        Tailor's Bunion left foot.. PRP 190612.......   0        100  thin socks laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087750 -        Tailor's Bunion right foot..PRP 190816.......   0        100  thin socks laced shoes less tightly shaved Tailor's Bunion on 191225, ref SDS 69 RVPT                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087751 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087752 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087753 -        Metatarsalgia left foot...PRP 191009.........   1          2  with naproxen gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087754 -        Metatarsalgia right foot..PRP 191009.........   1          2  with naproxen gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087755 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087756 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087757 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087758 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087759 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087760 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087761 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087762 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087763 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087765 -  ..
087766 - Body feels good after hiking 19 miles in 68 degrees, following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087767 - 191009 1500, ref SDS 78 0001, and hiking Crystal Ranch 7 mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087768 - resuming since last hiking on 191228.
087770 - -
087771 - After hike left knee patella pain level 0; left knee meniscus slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087772 - swelled pain level 0, and knee mildly stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087773 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087775 -  ..
087776 - Several hours after hike, feet and leg pain level 0, so did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087777 - medication; but, took naproxen and gabapentin before starting hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087778 - per above. ref SDS 0 O44N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087780 -  ..
087781 - Legs 6 hours after hike late at night - body does not still ache.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087782 - Restless legs stronger feeling, but do not have Tramadol, and avoided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087783 - taking naproxen again. - - see study above. ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087785 -  ..
087786 - Elastic bandage wrapped left knee - eliminated because causing heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087787 - pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087789 -  ..
087790 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087791 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087792 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087793 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087794 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087796 -     ..
087797 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087798 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087800 -  ..
087801 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087802 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087803 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087805 -  ..
087806 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087807 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087808 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087810 -  ..
087811 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087812 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087813 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087814 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087815 - ref SDS 77 SM4M  Befor hike today on 200213 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087816 - and Tailor's Bunions.  After hike applied apply Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087817 - lotion both feet.  Wore Wrightsock thin double ply and laced shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087818 - less tightly.  These two (2) measures seemed to prevent pain on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087819 - Tailor's Bunions entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087821 -  ..
087822 - Concord 20 mile route.  Hiked extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087823 - energy okay wearing Hoka Bondi 6 shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087824 - ref SDS 77 SM4M  --- Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087825 - ref SDS 71 V54H --- 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087826 - ref SDS 79 SM4M  Today, hiking with naproxen and Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087827 - Chondroitin - no oxycodone, per above. ref SDS 0 GW6J  Testing take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087828 - Apixaban blood thinner Metoprolol Tartrate to avoid chest pain from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087829 - PAF, per above. ref SDS 0 DG3I  Hiking normal pace on Cuneo slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087830 - uphill.  Hiking on Treat flat asphault pavement shoulder, pace normal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087831 - No left knee buckling and no weakness left knee hamstring lateral and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087832 - medial tendons.  Hiking up slight hill to Turtle Creek Road at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087833 - .75 chest pain level 0.  Time to 1.25 miles 20 minutes.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087834 - onto Clayton and hiked 2 miles South on concrete sidewalk.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087835 - halfway at corner of Clayton and Indian Lane mile 2.25.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087836 - heading West on Ygnacio Valley Road at mile 3.8 still on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087837 - sidewalk.  About mile 3.75 crossed from North to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087838 - Valley Road to hike on asphault pavement against oncoming traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087839 - Have checked HR several times, and no indication of PAF - sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087840 - smooth/normal, like yesterday.  Continued to Pine Hollow road - time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087841 - to mile 4.75 about 73 minutes.  Did not stop at Texaco gas station.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087842 - No chest pain.  Turned corner hiked about 50 yards South on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087843 - Hollow and turned West onto Campus Road.  Hiked .75 mile uphill to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087844 - campus.  Breathing through nose all the way, and no evident chest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087845 - pressure.  Hiked 1-loop around faculty and student parking lots about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087846 - 1.25 miles each.  At mile 8 in the hike turned North and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087847 - downhill .5 miles to Ygnacio Valley Road.  Turned corner and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087848 - West on Ygnacio Valley Road.  Turned corner onto Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087849 - 2nd time since 191226, reported in case study on 190101 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087850 - ref SDS 69 RXTP  Hiked up steep hill starting 6-mile loop - good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087851 - uphill 1 mile breathing through nose to storm drain 5, about 75% of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087852 - way up - then shortness of breath caused breathing through mouth last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087853 - 25% to summit.  Cellphone showing good sinus curve all the way up.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087854 - summit continued on flat ground 1 mile through residential area.  Saw                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087855 - Paloma along this part of route.  She asked where I have been past 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087856 - months.  Explained hospitalized for paroxysmal atrial fibrillation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087857 - Her brother in-law had PAF and recovered with 2 ablation treatments.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087858 - He continues to be athletic in his 60s like us.  Wished Paloma well,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087859 - and continued downhill .25 miles.  Turned right hiked East on Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087860 - Woods Way up steeper hill .33 miles breathing through nose all the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087861 - way.  At summit cellphone showing erratic sinus surve, so must be in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087862 - PAF again.  Hiked downhill .7 miles to Pine Hollow.  Turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087863 - hiked North 1 mile back to Ygnacio Valley Road.  Stopped at Texaco                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087864 - bought small apple pie and Coca Cola.  Ate few bites and drank few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087865 - sips for energy.  Cellphone shows sinus again.  Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087866 - Valley Road then left on Pine Hollow 50 yards back to Campus Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087867 - Took Campus Road again West .5 miles uphill to the Campus visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087868 - parking.  About halfway up, at 1415, Aladin called from Lauren's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087869 - office in Primary Care at VAMCSF, reported in another record today on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087870 - 200218 1415. ref SDS 88 NE9N  Did another loop around faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087871 - student parking about 1.25 miles.  At mile 13 in the hike turned North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087872 - and hiked downhill .5 miles to Ygnacio Valley Road.  Turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087873 - hiked West on Ygnacio Valley Road back to Crystal Ranch Road.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087874 - turn corner an do another loop.  Continued on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087875 - hiking .5 mile uphill.  Felt energy boost from collateral blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087876 - vessels opening vasodilation (?) drawing blood from other systems,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087877 - explained on 180602 1806. ref SDS 60 O842  Increased pace breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087878 - through nose all the way to summit.  Chest pain level 0.  Cellphone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087879 - shows in PAF with erratic sinus curve.  Continued past Cowell and over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087880 - the summit.  Hiked 2 miles downhill on Ygnacio Valley road.  About .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087881 - miles before Oak Grove, at break in traffic crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087882 - Ygnacio Valley Road, and continued to Oak Grove.  Crossed to West side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087883 - Oak Grove and continued West parallel to Ygnacio Velley Road on paved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087884 - path around the parking lot for the Safeway shopping complex.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087885 - .25 miles to North Via Monte.  Starting to feel fatigue.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087886 - and hiked North .25 miles to Shadelands.  Reversed and hiked South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087887 - North Via Monte back to Ygnaco Valley Road.  Turned left hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087888 - .25 miles on paved path back to Oak Grove.  Turned left and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087889 - North 1 mile on West side Oak Grove which has a paved path most of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087890 - way, and wide paved shoulder next to traffic lane all the way to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087891 - Treat.  Kathy drove us home for 19 mile hike.  After hike while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087892 - writing up the record, did not feel chest swaying left and right -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087893 - cellphone sinus curve erratic, but recognizable, and HR 148, so likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087894 - in PAF.  Disappointing after seeming to be in sinus prior 2 days.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087896 -  ..
087897 - Breakfast - cheerios and banana chia seeds milk with naproxen gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087898 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087899 - Dinner - lasagna hamburger avocado tomato onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087901 -  ..
087902 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087906 -         ..
087907 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087908 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087909 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087910 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087911 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087912 -   50.  200219 0230............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087913 -               0250....BP HR..................................................... 135  71  49  sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087914 -               0255....BP HR..................................................... 134  71  49  sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087915 -               0725....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087916 -               0725... 20 97100 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087917 -               0725... 80 173120 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087918 -               0725... 05  370 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087919 -               0725... 75 1875 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087920 -               0725... 25   1225.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087921 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087922 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087923 -               0000... Gabapentin 300MG   9900MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087924 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087925 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087926 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087927 -               0630....miles...........   5.0  38.0   80   604 minutes temp  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087928 -               1555....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087929 -               1600....BP HR..................................................... 140  79  64   Sinus curve barely recognizable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087930 -               1605....BP HR..................................................... 153  81  47   Sinus curve more recognizable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087931 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087932 -               1700... 40 54040 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
087933 -             1 0000............ 10 13220  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087934 -             1 0000............ 10 12810  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087935 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087936 -               2000... 25   1250 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087937 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087938 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087939 -               2100... 40 33920 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087940 -               2130... 1000  730000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087941 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087942 -               2200... 05  375 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087943 -               2200... 80 173200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087944 -               0000... Gabapentin 300MG   8700MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087945 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087946 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087948 -  ..
087949 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087951 -  ..
087952 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087953 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087954 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087956 -  ..
087957 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087959 -  ..
087960 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087962 -  ..
087963 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087964 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087966 -  ..
087967 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087969 -  ..
087970 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087971 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087973 -  ..
087974 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087975 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087976 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087977 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087978 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087979 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087980 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087981 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087982 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087983 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087984 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087985 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087986 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087988 -  ..
087989 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087990 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087991 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087992 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087993 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087994 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087995 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087996 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087997 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087998 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087999 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088000 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088001 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088002 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088003 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088004 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088005 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088006 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088007 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088008 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088009 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088010 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088011 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088012 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088013 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088014 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088015 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088016 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088017 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088018 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088019 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088020 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088021 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088022 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088023 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088024 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088025 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088027 -  ..
088028 - Body feels good after hiking 5 miles in 68 degrees, following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088029 - 191009 1500, ref SDS 78 0001, and hiking Crystal Ranch 7 mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088030 - resuming since last hiking on 191228.
088032 - -
088033 - After hike left knee patella pain level 0; left knee meniscus not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088034 - swelled pain level 0, and knee not stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088035 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088037 -  ..
088038 - Several hours after hike, feet and leg pain level 0, so did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088039 - medication, per above. ref SDS 0 QP3M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088041 -  ..
088042 - Legs 6 hours after hike late at night - body does not ache.  Restless                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088043 - legs did not occur, g, but do not have Tramadol, and avoided taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088044 - naproxen again. - - see study above. ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088046 -  ..
088047 - Elastic bandage wrapped left knee - eliminated because causing heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088048 - pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088050 -  ..
088051 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088052 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088053 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088054 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088055 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088057 -     ..
088058 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088059 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088061 -  ..
088062 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088063 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088064 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088066 -  ..
088067 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088068 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088069 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088071 -  ..
088072 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088073 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088074 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088075 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088076 - ref SDS 77 SM4M  Befor hike today on 200213 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088077 - and Tailor's Bunions.  After hike applied apply Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088078 - lotion both feet.  Wore Wrightsock thin double ply and laced shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088079 - less tightly.  These two (2) measures seemed to prevent pain on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088080 - Tailor's Bunions entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088082 -  ..
088083 - Hiking VAMCSF - Walked about 2 miles throughout hospital; not carrying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088084 - cellphone, so estimate distance.  Just prior to meeting with Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088085 - Pellegrini hiked around facility.  Took trail at rear of hospital down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088086 - to lower level parking at tip of penninsula.  Hiked out to Point                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088087 - Lobos, then to 41st.  Turned North and hiked to Clement.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088088 - and hiked back to 42nd and up to the hospital.  Cellphone recorded                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088089 - 3.29 miles, say total 5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088091 -  ..
088092 - Breakfast - eggs hashbrowns sausage after blood draw at VAMCSF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088093 - Lunch - cheese crackers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088094 - Dinner - lasagna hamburger avocado tomato onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088096 -  ..
088097 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088101 -         ..
088102 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088103 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088104 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088105 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088106 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088107 -   51.  200220 0720............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088108 -               0730....BP HR..................................................... 155  74  44  sinus irregular curve so PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088109 -               0735....BP HR..................................................... 116  68  47  sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088110 -               0740....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088111 -               0740... 20 97120 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088112 -               0740... 80 173280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088113 -               0740... 05  380 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088114 -               0740... 75 1950 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088115 -               0740... 25   1275.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088116 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088117 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088118 -               0000... Gabapentin 300MG   9900MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088119 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088120 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088121 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088122 -               1700... 40 54080 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
088123 -               1830............ 10 13230  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088124 -               1830............ 10 12820  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088125 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088126 -               2000... 25   1300 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088127 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088128 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088129 -               2100... 40 33960 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088130 -               2130... 1000  731000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088131 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088132 -               2200... 05  385 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088133 -               2200... 80 173360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088134 -               0000... Gabapentin 300MG   8700MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088135 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088136 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088138 -  ..
088139 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088141 -  ..
088142 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088143 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088144 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088146 -  ..
088147 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088149 -  ..
088150 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088152 -  ..
088153 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088154 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088156 -  ..
088157 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088159 -  ..
088160 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088161 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088163 -  ..
088164 - Pain medication - see study above. ref SDS 83 PWYS  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088165 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088166 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088167 - lowers HDL 30%.  Cannot take Naproxen, because it inhibits results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088168 - PRP.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088169 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088170 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088171 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088172 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088173 - concentration stimulate production of collagen that repairs knee joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088174 - spacing, so need for pain medication declines.  After several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088175 - hiking miles degrade knees and feet, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088176 - recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088178 -  ..
088179 - Breakfast - eggs hashbrowns sausage after blood draw at VAMCSF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088180 - Lunch - cheese crackers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088181 - Dinner - lasagna hamburger avocado tomato onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088183 -  ..
088184 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088189 -         ..
088190 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088191 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088192 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088193 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088194 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088195 -   52.  200221 0240............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088196 -               0330....BP HR..................................................... 145  76  53  sinus smooth perfect curve so no PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088197 -               0335....BP HR..................................................... 138  75  52  sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088198 -               0340....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088199 -               0710... 20 97140 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088200 -               0710... 80 173440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088201 -               0710... 05  390 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088202 -               0710... 75 2025 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088203 -               0710... 25   1325.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088204 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088205 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088206 -               0000... Gabapentin 300MG   9900MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088207 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088208 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088209 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088210 -               0630....miles...........   3.0  41.0   54   658 minutes temp  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088211 -               1450....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088212 -               1500....BP HR..................................................... 129  82  58   Sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088213 -               1505....BP HR..................................................... 131  79  60   Sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088214 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088215 -               1700... 40 54120 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
088216 -             1 0000............ 10 13230  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088217 -             1 0000............ 10 12820  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088218 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088219 -               2000... 25   1350 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088220 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088221 -               2050... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088222 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088223 -               2100... 40 34000 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088224 -               2130... 1000  732000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088225 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088226 -               2200... 05  395 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088227 -               2200... 80 173520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088228 -               0000... Gabapentin 300MG   8700MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088229 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088230 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088232 -  ..
088233 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088235 -  ..
088236 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088237 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088238 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088240 -  ..
088241 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088243 -  ..
088244 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088246 -  ..
088247 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088248 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088250 -  ..
088251 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088253 -  ..
088254 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088255 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088257 -  ..
088258 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088259 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088260 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088261 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088262 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088263 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088264 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088265 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088266 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088267 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088268 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088269 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088270 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088272 -  ..
088273 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088274 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088275 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088276 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088277 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088278 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088279 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088280 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088281 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088282 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088283 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088284 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088285 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088286 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088287 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088288 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088289 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088290 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088291 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088292 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088293 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088294 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088295 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088296 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088297 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088298 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088299 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088300 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088301 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088302 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088303 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088304 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088305 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088306 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088307 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088308 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088309 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088311 -  ..
088312 - Body feels good after hiking 5 miles in 68 degrees, following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088313 - 191009 1500, ref SDS 78 0001, and hiking Crystal Ranch 7 mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088314 - resuming since last hiking on 191228.
088316 - -
088317 - After hike left knee patella pain level 0; left knee meniscus not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088318 - swelled pain level 0, and knee not stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088319 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088321 -  ..
088322 - Several hours after hike, feet and leg pain level 0, so did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088323 - medication, per above. ref SDS 0 QP3M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088325 -  ..
088326 - Legs 6 hours after hike late at night - body does not ache.  Restless                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088327 - legs did not occur, g, but do not have Tramadol, and avoided taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088328 - naproxen again. - - see study above. ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088330 -  ..
088331 - Elastic bandage wrapped left knee - eliminated because causing heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088332 - pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088334 -  ..
088335 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088336 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088337 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088338 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088339 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088341 -     ..
088342 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088343 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088345 -  ..
088346 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088347 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088348 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088350 -  ..
088351 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088352 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088353 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088355 -  ..
088356 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088357 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088358 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088359 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088360 - ref SDS 77 SM4M  Befor hike today on 200213 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088361 - and Tailor's Bunions.  After hike applied apply Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088362 - lotion both feet.  Wore Wrightsock thin double ply and laced shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088363 - less tightly.  These two (2) measures seemed to prevent pain on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088364 - Tailor's Bunions entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088366 -  ..
088367 - Hiking VAMCSF - Walked about 3 miles throughout hospital carrying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088368 - cellphone, before and after meeting Doctor Thuillier in Orthopedics                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088369 - in building 203 2nd floor.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088371 -  ..
088372 - Breakfast - eggs hashbrowns sausage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088373 - Lunch - donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088374 - Dinner - sandwich tuna tomato avocado onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088376 -  ..
088377 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088382 -         ..
088383 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088384 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088385 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088386 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088387 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088388 -   53.  200222 0750............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088389 -               0800....BP HR..................................................... 142  94  48  sinus erratic curve so PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088390 -               0805....BP HR..................................................... 138  75  52  sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088391 -               0810....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088392 -               0810... 20 97160 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088393 -               0810... 80 173600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088394 -               0810... 05  400 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088395 -               0810... 75 2100 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088396 -               0810... 25   1375.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088397 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088398 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088399 -               0000... Gabapentin 300MG   9900MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088400 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088401 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088402 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088403 -               1700... 40 54160 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
088404 -               1830............ 10 13240  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088405 -               1830............ 10 12830  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088406 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088407 -               2000... 25   1400 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088408 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088409 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088410 -               2100... 40 34040 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088411 -               2130... 1000  733000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088412 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088413 -               2200... 05  405 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088414 -               2200... 80 173680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088415 -               0000... Gabapentin 300MG   8700MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088416 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088417 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088419 -  ..
088420 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088422 -  ..
088423 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088424 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088425 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088427 -  ..
088428 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088430 -  ..
088431 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088433 -  ..
088434 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088435 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088437 -  ..
088438 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088440 -  ..
088441 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088442 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088444 -  ..
088445 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088446 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088447 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088448 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088449 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088450 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088451 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088452 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088453 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088454 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088455 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088456 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088457 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088459 -  ..
088460 - Breakfast - cheerios banana chia seeds milk for medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088461 - Lunch - sandwich tuna tomato avocado onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088462 - Dinner - asparagus avocado onion tomato mushrooms hamburger pasta,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088463 - cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088465 -  ..
088466 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088471 -         ..
088472 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088473 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088474 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088475 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088476 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088477 -   54.  200223 0720............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088478 -               0730....BP HR..................................................... 133  73  48  sinus smooth curve so no PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088479 -               0735....BP HR..................................................... 123  67  45  sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088480 -               0740....weight.................................... 189                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088481 -               0740... 20 97180 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088482 -               0740... 80 173760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088483 -               0740... 05  410 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088484 -               0740... 75 2175 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088485 -               0740... 25   1425.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088486 -               1000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088487 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088488 -               1000... Gabapentin 300MG  10200MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088489 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088490 -               1000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088491 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088492 -               1700... 40 54200 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
088493 -             1 0000............ 10 13240  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088494 -             1 0000............ 10 12830  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088495 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088496 -               2000... 25   1450 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088497 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088498 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088499 -               2100... 40 34080 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088500 -               2130... 1000  734000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088501 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088502 -               2200... 05  415 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088503 -               2200... 80 173840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088504 -               0000... Gabapentin 300MG   8700MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088505 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088506 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088508 -  ..
088509 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088511 -  ..
088512 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088513 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088514 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088516 -  ..
088517 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088519 -  ..
088520 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088522 -  ..
088523 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088524 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088526 -  ..
088527 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088529 -  ..
088530 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088531 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088533 -  ..
088534 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088535 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088536 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088537 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088538 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088539 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088540 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088541 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088542 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088543 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088544 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088545 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088546 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088548 -  ..
088549 - Breakfast - cheerios banana chia seeds milk for medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088550 - Lunch - sandwich tuna tomato avocado onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088551 - Dinner - asparagus avocado onion tomato mushrooms pasta, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088553 -  ..
088554 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088559 -         ..
088560 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088561 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088562 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088563 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088564 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088565 -   55.  200224 0720............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088566 -               0730....BP HR..................................................... 123  93  76  sinus erratic curve so PAF cellphone can't determine HR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088567 -               0735....BP HR..................................................... 141  72  39  sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088568 -               0740....weight.................................... 189                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088569 -               0740... 20 97200 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088570 -               0740... 80 173920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088571 -               0740... 05  420 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088572 -               0740... 75 2250 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088573 -               0740... 25   1475.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088574 -               1000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088575 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088576 -               1000... Gabapentin 300MG  10200MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088577 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088578 -               1000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088579 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088580 -               1210....miles...........  11.0  11.0  178   178 minutes temp  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088581 -               1510....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088582 -               1540....BP HR.....................................................  92  58  78   Sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088583 -               1545....BP HR..................................................... 108  68  83   Sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088584 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088585 -               1700... 40 54240 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
088586 -               1830............ 10 13250  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088587 -               1830............ 10 12840  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088588 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088589 -               2000... 25   1500 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088590 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088591 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088592 -               2100... 40 34120 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088593 -               2130... 1000  735000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088594 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088595 -               2200... 05  425 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088596 -               2200... 80 174000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088597 -               0000... Gabapentin 300MG   8700MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088598 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088599 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088601 -  ..
088602 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088604 -  ..
088605 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088606 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088607 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088609 -  ..
088610 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088612 -  ..
088613 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088615 -  ..
088616 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088617 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088619 -  ..
088620 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088622 -  ..
088623 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088624 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088626 -  ..
088627 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088628 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088629 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088630 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088631 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088632 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088633 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088634 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088635 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088636 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088637 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088638 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088639 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088641 -  ..
088642 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088643 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088644 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088645 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088646 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088647 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088648 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088649 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088650 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088651 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088652 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088653 -        Knee left meniscus...PRP 191009..............   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088654 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088655 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088656 -        Knee left cruciate ligaments back of knee....   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088657 -        Knee right cruciate ligaments back of knee...   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088658 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088659 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088660 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088661 -        Calf left....................................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088662 -        Calf right...................................   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088663 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088664 -        Tailor's Bunion left foot.. PRP 190612.......   2          8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088665 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088666 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088667 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088668 -        Metatarsalgia left foot...PRP 191009.........   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088669 -        Metatarsalgia right foot..PRP 191009.........   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088670 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088671 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088672 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088673 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088674 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088675 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088676 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088677 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088678 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088680 -  ..
088681 - Body feels good after hiking 11 miles in 75 degrees, following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088682 - 191009 1500, ref SDS 78 0001, and not hiking Crystal Ranch 7 mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088683 - resuming since last hiking on 191228.
088685 - -
088686 - After hike left knee patella pain level 0; left knee meniscus not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088687 - swelled pain level 0, and knee not stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088688 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088690 -  ..
088691 - Several hours after hike, feet and leg pain level 0, so did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088692 - medication, per above. ref SDS 0 QP3M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088694 -  ..
088695 - Legs 6 hours after hike late at night - body does not ache.  Restless                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088696 - legs did not occur, g, but do not have Tramadol, and avoided taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088697 - naproxen again. - - see study above. ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088699 -  ..
088700 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088701 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088702 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088703 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088704 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088706 -     ..
088707 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088708 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088710 -  ..
088711 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088712 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088713 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088715 -  ..
088716 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088717 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088718 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088720 -  ..
088721 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088722 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088723 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088724 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088725 - ref SDS 77 SM4M  Befor hike today on 200213 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088726 - and Tailor's Bunions.  After hike did not applied apply Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088727 - Lactate 12% lotion both feet.  Wore Wrightsock thin double ply and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088728 - laced shoes less tightly.  Tailor's bunion left foot after 4 miles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088729 - may have tightened left shoe laces too tight.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088731 -  ..
088732 - Concord 11 mile route.  Did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088733 - Starting energy okay wearing Hoka Bondi 6 shoes received on 190927                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088734 - 1110. ref SDS 77 SM4M  --- Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088735 - ref SDS 71 V54H --- 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088736 - ref SDS 79 SM4M  Today, hiking with Glucosamine Chondroitin only, no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088737 - oxycodone and garbapentin, nor neproxen per above. ref SDS 0 W95G  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088738 - start perfect sinus curve.  Hiking normal pace on Cuneo slight uphill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088739 - Left knee curciate ligaments pain level 1, but dissipated after a few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088740 - miles.  Goal is to hike out of PAF.  So far good results hiking with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088741 - PAF.  Time to 1.25 miles 20 minutes.  Cellphone still shows perfect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088742 - sinus curve.  Turned corner onto Clayton and hiked 2 miles South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088743 - concrete sidewalk.  About halfway at corner of Clayton and Latour Lane                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088744 - mile 2.2 bottom right foot below ring toe metatarsalgia pain level 2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088745 - Chest pain level 0.  Calfs started pain level 2, but now level 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088746 - Turned corner heading West on Ygnacio Valley Road at mile 3.8.  Bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088747 - right foot pain level 0.  Left hip pain level 0, maybe due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088748 - oxycodone and gabapentin.  About mile 3.75 crossed from North to South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088749 - side Ygnacio Valley Road to hike on asphault pavement against oncoming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088750 - traffic.  Perfectly sinus curve HR 138.  Feeling strong - have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088751 - increased pace.  Continued to Pine Hollow road - time to mile 4.75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088752 - about 73 minutes.  Right knee cruciate ligaments pain level 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088753 - Stopped at Texaco gas station.  Turned corner hiked about 50 yards                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088754 - South on Pine Hollow and turned West onto Campus Road.  Hiked .75 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088755 - uphill to the campus.  Left knee cruciate ligaments pain level 1;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088756 - right knee cruciate pain level 0.  Breathing through nose and chest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088757 - pain level 0 all the way.  HR 138.  Cellphone sinus curve still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088758 - perfectly smooth.  Hiked 2-loops around faculty parking lot, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088759 - around student parking; coming uphill HR 140.  Pain level 2 left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088760 - miniscus going downhill; cleared up to pain level 0 going uphill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088761 - Then hiked North down hill .5 miles to Ygnacio Valley Road.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088762 - and hiked West on Ygnacio Valley Road.  At Mile 9 flaked out - did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088763 - turn corner onto Crystal Ranch Road and hike 6-mile uphill loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088764 - Hiked 1 mile uphill on Ygnacio Valley Road.  Turned corner at Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088765 - and hiked downhill 1 mile to Treat.  Turned corner and hiked back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088766 - Cuneo.  Hiked home for 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088768 -  ..
088769 - Breakfast - cheerios banana chia seeds milk for medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088770 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088771 - Dinner - asparagus avocado onion tomato mushrooms eggs potatoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088772 - toast, cookies cashews                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088774 -  ..
088775 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088780 -         ..
088781 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088782 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088783 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088784 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088785 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088786 -   56.  200225 0730............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088787 -               0740....BP HR..................................................... 131  74  45  sinus smooth curve so no PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088788 -               0745....BP HR..................................................... 128  68  44  sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088789 -               0750....weight.................................... 189                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088790 -               0750... 20 97220 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088791 -               0750... 80 174080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088792 -               0750... 05  430 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088793 -               0750... 75 2325 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088794 -               0750... 25   1525.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088795 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088796 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088797 -               0000... Gabapentin 300MG  10200MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088798 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088799 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088800 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088801 -               1700... 40 54280 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
088802 -             1 0000............ 10 13250  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088803 -             1 0000............ 10 12840  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088804 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088805 -               2000... 25   1550 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088806 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088807 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088808 -               2100... 40 34160 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088809 -               2130... 1000  736000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088810 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088811 -               2200... 05  435 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088812 -               2200... 80 174160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088813 -               0000... Gabapentin 300MG   8700MB restless legs sleeping aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088814 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088815 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088817 -  ..
088818 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088820 -  ..
088821 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088822 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088823 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088825 -  ..
088826 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088828 -  ..
088829 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088831 -  ..
088832 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088833 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088835 -  ..
088836 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088838 -  ..
088839 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088840 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088842 -  ..
088843 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088844 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088845 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088846 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088847 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088848 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088849 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088850 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088851 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088852 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088853 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088854 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088855 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088857 -  ..
088858 - Breakfast - cheerios chia seeds milk for medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088859 - Lunch - sandwich tuna salmon avocado onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088860 - Dinner - asparagus tuna salmon avocado onion tomato mushrooms,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088861 - cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088863 -  ..
088864 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088869 -         ..
088870 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088871 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088872 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088873 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088874 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088875 -   57.  200226 0650............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088876 -               0700....BP HR..................................................... 143  73  42  sinus smooth curve so no PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088877 -               0705....BP HR..................................................... 126  71  36  sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088878 -               0710....weight.................................... 189                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088879 -               0710... 20 97240 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088880 -               0710... 80 174240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088881 -               0710... 05  440 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088882 -               0710... 75 2400 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088883 -               0710... 25   1575.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088884 -               0710... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088885 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088886 -               0710... Gabapentin 300MG  10500MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088887 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088888 -               1000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088889 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088890 -          *cr  1030....miles...........  20.0  31.0  319   497 minutes temp  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088891 -               1650....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088892 -               1700....BP HR..................................................... 111  71  89   Sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088893 -               1705....BP HR..................................................... 107  64  68   Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088894 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088895 -               1730... 40 54320 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
088896 -               1830............ 10 13260  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088897 -               1830............ 10 12850  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088898 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088899 -               2000... 25   1600 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088900 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088901 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088902 -               2100... 40 34200 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088903 -               2130... 1000  737000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088904 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088905 -               2200... 05  445 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088906 -               2200... 80 174320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088907 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088908 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088910 -  ..
088911 - * cr - hiked Crystal Ranch Road 6-mile loop with 3 major hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088912 - Started again on 200213, ref SDS 0 GW6J - first time, since pausing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088913 - 191228, due to PAF symptoms, shown in case study on 190101 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088914 - ref SDS 69 4F9L  Today, 1st time hiking to top of Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088915 - Mountain since 191226, reported in study on 190101 0730. ref SDS 69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088916 - KV9H On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088917 - loops, as part of daily hike, see case study on 180101 0820.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088918 - ref SDS 55 E55K 61 E55K On 191004 changed route going up and coming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088919 - down .5 miles very steep section Crystal Ranch Road to deadend at top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088920 - of mountain. ref SDS 0 2T9L  Makes 6-mile loop with 3 major hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088921 - Today, didn't do this steep section, while recoverying from proxysmal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088922 - atrial fibrillation; hoping can return after getting pulmonary vein                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088923 - isolation, to be discussed with Cardiology in meeting on 200219 at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088924 - VAMCSF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088926 -  ..
088927 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088929 -  ..
088930 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088931 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088932 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088934 -  ..
088935 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088937 -  ..
088938 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088940 -  ..
088941 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088942 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088944 -  ..
088945 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088947 -  ..
088948 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088949 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088951 -  ..
088952 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088953 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088954 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088955 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088956 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088957 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088958 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088959 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088960 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088961 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088962 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088963 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088964 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088966 -  ..
088967 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088968 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088969 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088970 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088971 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088972 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088973 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088974 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088975 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088976 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088977 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088978 -        Knee left meniscus...PRP 191009..............   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088979 -        Knee left patalla...PRP 191009...............   2          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088980 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088981 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088982 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088983 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088984 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088985 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088986 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088987 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088988 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088989 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088990 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088991 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088992 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088993 -        Metatarsalgia left foot...PRP 191009.........   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088994 -        Metatarsalgia right foot..PRP 191009.........   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088995 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088996 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088997 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088998 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088999 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089000 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089001 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089002 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089003 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089005 -  ..
089006 - Body feels fatigued after hiking 20 miles in 74 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089007 - on 191009 1500, ref SDS 78 0001, and hiking Crystal Ranch 8 mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089008 - resuming since last hiking on 191228.
089010 - -
089011 - After hike left knee patella pain level 0; left knee meniscus not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089012 - swelled pain level 0, and knee stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089013 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089015 -  ..
089016 - Several hours after hike, feet pain level 3; left leg pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089017 - 0.  Did not take medication, per above. ref SDS 0 QP3M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089019 -  ..
089020 - Legs 6 hours after hike late at night - body does not ache.  Restless                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089021 - legs did not occur, but do not have Tramadol, and avoided taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089022 - naproxen again. - - see study above. ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089024 -  ..
089025 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089026 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089027 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089028 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089029 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089031 -     ..
089032 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089033 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089035 -  ..
089036 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089037 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089038 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089040 -  ..
089041 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089042 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089043 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089045 -  ..
089046 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089047 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089048 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089049 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089050 - ref SDS 77 SM4M  Befor hike today on 200213 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089051 - and Tailor's Bunions.  After hike did not applied apply Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089052 - Lactate 12% lotion both feet.  Wore Wrightsock thin double ply and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089053 - laced shoes less tightly.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089055 -  ..
089056 - Concord 20 mile route.  Did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089057 - Starting energy okay wearing Hoka Bondi 6 shoes received on 190927                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089058 - 1110. ref SDS 77 SM4M  --- Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089059 - ref SDS 71 V54H --- 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089060 - ref SDS 79 SM4M  Today, hiking with neproxen and garbapentin, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089061 - Glucosamine Chondroitin, per above. ref SDS 0 Z64J  At start perfect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089062 - sinus curve.  Hiking normal pace on Cuneo slight uphill.  Goal is to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089063 - hike out of PAF.  After crossing Treat at top of Cuneo time 1047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089064 - cellphone shows sinus curve too erratic to report HR, so in PAF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089065 - Hiked up slight hill to mile 1 at Turtle Creek Road cellphone shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089066 - partial reading HR 169 sinus curve erratic - it calmed down and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089067 - reported HR 78, so still in PAF.  Continued on Treat to Clayton.  Time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089068 - to 1.25 miles 19 minutes.  Cellphone shows sinus curve smooth/normal,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089069 - but HR 138, so at 1106 pressed Zio XT to signal in PAF.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089070 - onto Clayton and hiked 2 miles South on concrete sidewalk.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089071 - 2.24 near Newhall street on Clayton HR 99, so seem to be in sinus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089072 - Turned corner heading West on Ygnacio Valley Road at mile 3.8.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089073 - mile 3.75 crossed from North to South side Ygnacio Valley Road to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089074 - on asphault pavement against oncoming traffic.  Feeling strong - have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089075 - increased pace.  Continued to Pine Hollow road - time to mile 4.75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089076 - about 70 minutes.  Stopped at Texaco gas station.  Turned corner hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089077 - about 50 yards South on Pine Hollow and turned West onto Campus Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089078 - Hiked .75 mile uphill to the campus, about mile 5.7 i hike.  Breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089079 - through nose and chest pain level 0 all the way.  HR 114.  Cellphone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089080 - sinus curve still perfectly smooth, so still in sinus.  Hiked 1-loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089081 - around faculty parking lot, and around student parking; coming uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089082 - HR 137.  Then hiked North down hill .5 miles to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089083 - Turned and hiked West on Ygnacio Valley Road.  At Mile 8 turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089084 - onto Crystal Ranch Road and hiked 8-mile loop.  Hiked uphill 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089085 - good pace breathing through nose all the way - at top time 1307                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089086 - mileage 8.6 - conditioning improving after 1 month lay-off hiking this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089087 - route - perfect sinus curve.  Continued 1 mile on flat pavement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089088 - through residential area, then downhill .25 miles.  Hiked past Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089089 - Woods Way continuing on Crystal Ranch Road up very steep hill .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089090 - breathing through nose all the way to top of mountain at time 1331 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089091 - HR 119, so still in sinus.  Wasn't big struggle to reach top of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089092 - mountain.  Reversed and hiked downhill .5 miles.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089093 - Rolling Woods Way.  Hiked East up very steep hill .3 mile breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089094 - through nose all the way.  Today is first time since end of Decembr 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089095 - months ago, have been able to avoid breathng through mouth on steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089096 - uphill hikes.  At summit continued .7 miles downhill to Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089097 - Turned left and hiked North 1 mile back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089098 - Stopped at Texaco again.  Bought Coca Cola and donut for energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089099 - finish hike.  Took Pine Hollow 50 yards to Campus Drive.  Hiked West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089100 - uphill .75 miles to the main campus.  Hiked another 1.25 mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089101 - around faculty and student parking.  Hiked North downhill .5 mile back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089102 - to Ygancio Valley Road.  Hiked West .5 mile past Crystal Ranch Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089103 - then 1 mile uphill past Cowell to the summit of Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089104 - This is mile 16 in the hike - continued West 1 mile downhill to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089105 - Newall reservoir access road.  Stopped and reversed direction hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089106 - East uphill 1.5 miles back to the summit of Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089107 - Crossed from the South to the North side of the road.  Continued East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089108 - on Ygnacio Valley Road back to Cowell.  Turned left and hiked North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089109 - downhill 1 mile back to Treat.  Turned left and hiked West .25 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089110 - Cuneo.  Hiked home for 20 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089112 -  ..
089113 - Breakfast - cheerios chia seeds milk for medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089114 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089115 - Dinner - macaroni cheese lasagna hamburger avocado, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089117 -  ..
089118 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089123 -         ..
089124 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089125 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089126 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089127 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089128 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089129 -   58.  200227 0640............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089130 -               0710....BP HR..................................................... 135  66  46  sinus smooth curve so no PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089131 -               0715....BP HR..................................................... 138  70  49  sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089132 -               0720....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089133 -               0720... 20 97260 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089134 -               0720... 80 174400 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089135 -               0720... 05  450 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089136 -               0720... 75 2475 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089137 -               0720... 25   1625.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089138 -               1020... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089139 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089140 -               1020... Gabapentin 300MG  10500MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089141 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089142 -               1020....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089143 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089144 -               1700... 40 54360 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
089145 -             1 0000............ 10 13260  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089146 -             1 0000............ 10 12850  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089147 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089148 -               2000... 25   1650 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089149 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089150 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089151 -               2100... 40 34240 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089152 -               2130... 1000  738000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089153 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089154 -               2200... 05  455 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089155 -               2200... 80 174480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089156 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089157 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089159 -  ..
089160 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089162 -  ..
089163 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089164 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089165 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089167 -  ..
089168 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089170 -  ..
089171 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089173 -  ..
089174 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089175 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089177 -  ..
089178 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089180 -  ..
089181 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089182 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089184 -  ..
089185 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089186 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089187 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089188 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089189 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089190 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089191 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089192 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089193 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089194 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089195 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089196 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089197 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089199 -  ..
089200 - Breakfast - cheerios chia seeds milk for medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089201 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089202 - Dinner - macaroni cheese lasagna hamburger avocado, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089204 -  ..
089205 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089210 -         ..
089211 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089212 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089213 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089214 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089215 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089216 -   59.  200228 0710............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089217 -               0710....BP HR..................................................... 143  80  46  sinus smooth curve so no PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089218 -               0715....BP HR..................................................... 139  79  46  sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089219 -               0720....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089220 -               0720... 20 97280 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089221 -               0720... 80 174560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089222 -               0720... 05  460 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089223 -               0720... 75 2550 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089224 -               0720... 25   1675.0 Metoprolol Tartrate RX _______ for afib slow heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089225 -               1020... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089226 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089227 -               1020... Gabapentin 300MG  10500MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089228 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089229 -               1020....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089230 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089231 -               0000....  Polar Vantage V 15 miles 38? minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089232 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089233 -          *cr  1050....miles...........  17.0  48.0  269   766 minutes temp  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089234 -               1610....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089235 -               1630....BP HR.....................................................  88  61  64   Sinus curve looks perfect but pressure cuff keeps failing.                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089236 -               1635....BP HR.....................................................  92  58  48   Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089237 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089238 -               1700... 40 54400 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
089239 -               1830............ 10 13270  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089240 -               1830............ 10 12860  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089241 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089242 -               2000... 25   1700 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089243 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089244 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089245 -               2100... 40 34280 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089246 -               2130... 1000  739000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089247 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089248 -               2200... 05  465 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089249 -               2200... 80 174640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089250 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089251 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089253 - * cr - hiked Crystal Ranch Road 6-mile loop with 3 major hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089254 - Started again on 200213, ref SDS 0 GW6J - first time, since pausing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089255 - 191228, due to PAF symptoms, shown in case study on 190101 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089256 - ref SDS 69 4F9L  Today, 1st time hiking to top of Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089257 - Mountain since 191226, reported in study on 190101 0730. ref SDS 69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089258 - KV9H On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089259 - loops, as part of daily hike, see case study on 180101 0820.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089260 - ref SDS 55 E55K 61 E55K On 191004 changed route going up and coming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089261 - down .5 miles very steep section Crystal Ranch Road to deadend at top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089262 - of mountain. ref SDS 0 2T9L  Makes 6-mile loop with 3 major hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089263 - Today, didn't do this steep section, while recoverying from proxysmal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089264 - atrial fibrillation; hoping can return after getting pulmonary vein                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089265 - isolation, to be discussed with Cardiology in meeting on 200219 at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089266 - VAMCSF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089268 -  ..
089269 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089271 -  ..
089272 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089273 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089274 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089276 -  ..
089277 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089279 -  ..
089280 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089282 -  ..
089283 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089284 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089286 -  ..
089287 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089289 -  ..
089290 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089291 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089293 -  ..
089294 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089295 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089296 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089297 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089298 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089299 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089300 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089301 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089302 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089303 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089304 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089305 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089306 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089308 -  ..
089309 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089310 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089311 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089312 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089313 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089314 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089315 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089316 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089317 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089318 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089319 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089320 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089321 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089322 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089323 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089324 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089325 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089326 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089327 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089328 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089329 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089330 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089331 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089332 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089333 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089334 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089335 -        Metatarsalgia left foot...PRP 191009.........   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089336 -        Metatarsalgia right foot..PRP 191009.........   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089337 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089338 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089339 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089340 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089341 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089342 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089343 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089344 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089345 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089347 -  ..
089348 - Body feels fatigued after hiking 17 miles in 75 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089349 - on 191009 1500, ref SDS 78 0001, and not hiking Crystal Ranch 8 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089350 - loop.
089352 - -
089353 - After hike left knee patella pain level 0; left knee meniscus not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089354 - swelled pain level 0, and knee less stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089355 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089357 -  ..
089358 - Several hours after hike, feet pain level 1; left leg pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089359 - 0.  Did not take medication, per above. ref SDS 0 QP3M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089361 -  ..
089362 - Legs 6 hours after hike late at night - body does not ache.  Restless                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089363 - legs did not occur, but do not have Tramadol, and avoided taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089364 - naproxen again. - - see study above. ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089366 -  ..
089367 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089368 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089369 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089370 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089371 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089373 -     ..
089374 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089375 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089377 -  ..
089378 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089379 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089380 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089382 -  ..
089383 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089384 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089385 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089387 -  ..
089388 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089389 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089390 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089391 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089392 - ref SDS 77 SM4M  Befor hike today on 200228 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089393 - and Tailor's Bunions.  After hike did not applied apply Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089394 - Lactate 12% lotion both feet.  Wore Wrightsock thin double ply and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089395 - laced shoes less tightly.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089397 -  ..
089398 - Concord 17 mile route.  Did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089399 - Starting energy okay wearing Hoka Bondi 6 shoes received on 190927                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089400 - 1110. ref SDS 77 SM4M  --- Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089401 - ref SDS 71 V54H --- 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089402 - ref SDS 79 SM4M  Today, hiking with neproxen and garbapentin, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089403 - Glucosamine Chondroitin, per above. ref SDS 0 RP4H  Started hike at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089404 - 1050 wearing new Polar Vantage V heart monitor wrist watch - HR 90, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089405 - seem to be in PAF at start.  Hiking normal pace on Cuneo slight uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089406 - - HR 101.  Ran across Cowell to make the traffic light - HR 110.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089407 - Turtle Creek about mile 1 HR 101, so still in sinus.  Conitnue on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089408 - Treat to Clayton.  Time to 1.25 miles 19 minutes.  At 1121 HR 132 seem                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089409 - to be in PAF rest of hike.  Turned corner onto Clayton and hiked 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089410 - miles South on concrete sidewalk.  Slowed pace to restore sinus, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089411 - HR remained elevated.  At 1125 HR 147 at mile 2.  May have slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089412 - pressure in chest - could be a delusion, as Doctor Kim speculates.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089413 - Pressed Zio XT button.  At corner of Latur and Clayton HR 150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089414 - feeling metatarsalgia bottom right foot below ring toe.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089415 - heading West on Ygnacio Valley Road at mile 3.8.  At time 1159 HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089416 - dropped from 150 down to 139, so could have slipped back into sinus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089417 - Polar Vantage V shows mileage 3.5; cellphone reads mileage 3.75 at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089418 - corner Clayton and Ygnacio Valley Road.  At mile 4 crossed from North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089419 - to South side Ygnacio Valley Road to hike on asphault pavement against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089420 - oncoming traffic.  Did not stop at Texaco.  Turned corner onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089421 - Hollow road - time to mile 4.75 about 72 minutes.  Hiked about 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089422 - yards South on Pine Hollow and turned West onto Campus Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089423 - .75 mile uphill to the campus.  Breathing through nose and chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089424 - level 0 all the way.  At 1224 HR dropped to 134 going uphill mileage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089425 - 4.8 - indicates back in sinus.  Good energy going uphill don't feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089426 - effort.  Hiked 5-loops of 1.25 miles around faculty parking lot, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089427 - around student parking; coming uphill on each loop.  On 5th loop,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089428 - where student parking egresses onto Campus Road took it back to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089429 - Hollow and to Texaco gas station.  Bought Coca Cola and donut.  Ate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089430 - half of donut and drank half of coke for energy to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089431 - Then hiked back up Campus Road to Student parking.  Hiked uphill in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089432 - studen parking back through faculty parking to visitor parking at top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089433 - of mountain at main campus to complete 5th loop.  Then hiked North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089434 - down hill .5 miles to Ygnacio Valley Road.  Turned and hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089435 - Ygnacio Valley Road.  At Mile 13, decided not to hike Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089436 - Road 8-mile loop, because prolonged aerobic exercise at this level may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089437 - increase cardiac remodeling found in ECG on 200222, which is driving                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089438 - PAF.  Continued West uphill .5 mile and turned North onto Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089439 - Hiked downhill 1 mile to Treat.  Turned left and hiked West .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089440 - to Cuneo.  Hiked 1 mile loop to Kaski, to Cowell, to Treat back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089441 - Cuneo and home for 17 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089443 -  ..
089444 - Breakfast - cheerios chia seeds milk for medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089445 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089446 - Dinner - tuna salmon asparags avocado onion tomato, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089448 -  ..
089449 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089454 -         ..
089455 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089456 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089457 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089458 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089459 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089460 -   60.  200229 0740............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089461 -               0740....BP HR..................................................... 137  68  33  sinus erratic curve so PAF even though low HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089462 -               0745....BP HR..................................................... 139  69  37  sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089463 -               0750....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089464 -               0750... 20 97300 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089465 -               0750... 80 174720 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089466 -               0750... 05  470 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089467 -               0750... 75 2625 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089468 -               0750... 25   1725.0 Metoprolol Tartrate - considered skipping this morning, because HR 33 - went back up to 60 after walking around, so took the pill                                                                                                                                                                                                                                                                                                                                                                                                                                           
089469 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089470 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089471 -               1020... Gabapentin 300MG  10500MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089472 -               1020... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089473 -               1020....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089474 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089475 -               0000....  Polar Vantage V 15 miles 38? minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089476 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089477 -          *cr  1130....miles...........  20.0  68.0  323   766 minutes temp  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089478 -               1810....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089479 -               1830....BP HR..................................................... 110  60  51   Sinus curve looks jagged on cellphone; pressure cuff gave BP                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089480 -               1835....BP HR..................................................... 114  69  58   Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089481 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089482 -               1900... 40 54440 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
089483 -             1 0000............ 10 13270  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089484 -             1 0000............ 10 12860  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089485 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089486 -               2000... 25   1750 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089487 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089488 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089489 -               2100... 40 34320 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089490 -               2130... 1000  740000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089491 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089492 -               2200... 05  475 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089493 -               2200... 80 174800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089494 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089495 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089497 - * cr - hiked Crystal Ranch Road 6-mile loop with 3 major hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089498 - Started again on 200213, ref SDS 0 GW6J - first time, since pausing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089499 - 191228, due to PAF symptoms, shown in case study on 190101 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089500 - ref SDS 69 4F9L  Today, 1st time hiking to top of Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089501 - Mountain since 191226, reported in study on 190101 0730. ref SDS 69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089502 - KV9H On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089503 - loops, as part of daily hike, see case study on 180101 0820.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089504 - ref SDS 55 E55K 61 E55K On 191004 changed route going up and coming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089505 - down .5 miles very steep section Crystal Ranch Road to deadend at top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089506 - of mountain. ref SDS 0 2T9L  Makes 6-mile loop with 3 major hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089507 - Today, didn't do this steep section, while recoverying from proxysmal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089508 - atrial fibrillation; hoping can return after getting pulmonary vein                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089509 - isolation, to be discussed with Cardiology in meeting on 200219 at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089510 - VAMCSF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089512 -  ..
089513 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089515 -  ..
089516 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089517 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089518 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089520 -  ..
089521 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089523 -  ..
089524 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089526 -  ..
089527 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089528 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089530 -  ..
089531 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089533 -  ..
089534 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089535 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089537 -  ..
089538 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089539 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089540 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089541 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089542 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089543 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089544 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089545 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089546 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089547 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089548 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089549 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089550 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089552 -  ..
089553 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089554 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089555 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089556 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089557 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089558 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089559 -        Trapezius right side neck/shoulder...........   7          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089560 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089561 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089562 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089563 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089564 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089565 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089566 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089567 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089568 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089569 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089570 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089571 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089572 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089573 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089574 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089575 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089576 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089577 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089578 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089579 -        Metatarsalgia left foot...PRP 191009.........   1          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089580 -        Metatarsalgia right foot..PRP 191009.........   1          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089581 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089582 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089583 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089584 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089585 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089586 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089587 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089588 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089589 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089591 -  ..
089592 - Body feels fatigued after hiking 17 miles in 75 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089593 - on 191009 1500, ref SDS 78 0001, and not hiking Crystal Ranch 8 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089594 - loop.
089596 - -
089597 - After hike left knee patella pain level 0; left knee meniscus not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089598 - swelled pain level 0, and knee less stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089599 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089601 -  ..
089602 - Several hours after hike, feet pain level 3; left leg pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089603 - 0.  Did not take medication, per above. ref SDS 0 QP3M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089605 -  ..
089606 - Legs 6 hours after hike late at night - body does not ache.  Restless                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089607 - legs did not occur, but do not have Tramadol, and avoided taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089608 - naproxen again. - - see study above. ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089610 -  ..
089611 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089612 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089613 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089614 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089615 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089617 -     ..
089618 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089619 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089621 -  ..
089622 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089623 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089624 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089626 -  ..
089627 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089628 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089629 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089631 -  ..
089632 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089633 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089634 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089635 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089636 - ref SDS 77 SM4M  Befor hike today on 200228 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089637 - and Tailor's Bunions.  After hike did not applied apply Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089638 - Lactate 12% lotion both feet.  Wore Wrightsock thin double ply and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089639 - laced shoes less tightly.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089641 -  ..
089642 - Concord 20 mile route.  Did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089643 - Starting energy okay wearing Hoka Bondi 6 shoes received on 190927                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089644 - 1110. ref SDS 77 SM4M  --- Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089645 - ref SDS 71 V54H --- 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089646 - ref SDS 79 SM4M  Today, hiking with neproxen and gabapentin, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089647 - Glucosamine Chondroitin, per above. ref SDS 0 G19O  Started hike at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089648 - 1130 wearing new Polar Vantage V heart monitor wrist watch - HR 115 so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089649 - in PAF.  Will hike slow to try and restore sinus.  Hiking normal pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089650 - on Cuneo slight uphill.  Turned onto Treat and hiked East to Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089651 - Creek.  Conitnue on Treat to Clayton.  About at Turtle Creek Road HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089652 - was 148, so still in PAF.  Time to 1.25 miles 20 minutes - HR 124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089653 - dropped from 130+, so Metoprolol may be having effect.  Had to tighten                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089654 - wristband for Polar Vantage V watch.  How long can continue long hikes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089655 - with "mildly dilated" left atrium, found in ECHO study on 200122 1414,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089656 - ref SDS 86 MW6N, and which is described as "athletic heart" and caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089657 - by prolonged hiking?  Seems like every 20+ mile hike contributes to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089658 - advancing "mildly" to "moderate" then to "severe." Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089659 - Clayton and hiked 2 miles South on concrete sidewalk.  Left knee and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089660 - both feet are fine, indicating oxycodone and gabapentin, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089661 - ref SDS 0 G19O, having effect.  At mile 2.2 and HR 100, even pushing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089662 - the pace, so have slipped back into sinus.  At mile 2.9 and HR 96, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089663 - definitely in sinus.  Turned corner heading West on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089664 - Road at mile 3.25 - HR 92.  At mile 4 crossed from North to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089665 - Ygnacio Valley Road to hike on asphault pavement against oncoming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089666 - traffic.  Stopped at Texaco.  Turned corner onto Pine Hollow road -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089667 - time to mile 4.25 about 72 minutes - HR 89.  Hiked about 50 yards                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089668 - South on Pine Hollow and turned West onto Campus Road.  Hiked .75 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089669 - uphill to the campus.  Breathing through nose and chest pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089670 - all the way.  Good energy going uphill don't feel effort.  At 1334 HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089671 - 96 still in sinus - cellphone showing 5.6 miles.  Hiked 1-loop of 1.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089672 - miles around faculty parking lot, and around student parking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089673 - Cellphone shows mileage 6.9 and Polar Vantage V shows mileage 6.1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089674 - miles - so big gap.  Hiked North downhill .5 miles back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089675 - Valley Road.  Turned left and hiked West .5 miles to Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089676 - Road.  Turned South and hiked 8-mile loop.  Hiked 1-mile up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089677 - against strong headwind on Crystal Ranch Road and breathing through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089678 - nose all the way.  Reached summit at 1426 Hr 102, so still in sinus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089679 - Hiked 1 mile through residential area on flat roadway.  Hiked downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089680 - .25 miles past Rollinw Woods Way.  Hiked .5 miles up very steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089681 - to end of Crystal Ranch Road at top of mountain - was a struggle, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089682 - breathing through nose all the way - max HR 117.  At the top HR 103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089683 - mileage 9.8.  At end turned and hiked back downhill .5 miles and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089684 - turned East on Rolling Woods Way.  Hiked up very steep hill breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089685 - through nose .33 miles to summit; then downhill .66 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089686 - North onto Pine Hollow.  Hiked 1 mile on flat roadway back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089687 - Valley Road.  Stopped at Texaco - bought Coca Cola and donut.  Ate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089688 - half of donut and drank half of coke for energy.  At mile 12 in hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089689 - HR 96.  Continued hiking up Campus Road again back to main campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089690 - visitor parking.  HR 106.  Did another loop around faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089691 - parking lots.  Hiked downhill .5 miles to Ygnacio Valley Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089692 - West on Ygnacio Valley Road past Cowell and over the summit - HR 120.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089693 - Hiked West 2 miles downhill to Oak Grove.  Continued on paved path .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089694 - miles parallel to Ygnacio Valley Road around Safeway shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089695 - Turned right hiking North on Via Monte road still on paved path for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089696 - .25 mile to Shadelands Road.  Reversed hiked South on Via Monte back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089697 - to Ygnacio Valley Road.  Still on paved path turned East and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089698 - back to Oak Grove.  Turned left and hiked South on paved path parallel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089699 - to Oak Grove 1 mile to Treat.  About last .4 mile raced another guy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089700 - turning onto Oak Grove from Contra Costa Canal Trail.  He caught up so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089701 - increased speed and was not passed - HR 113.  He stopped before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089702 - reaching Treat.  Kathy drove us home for 20 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089704 -  ..
089705 - Breakfast - cheerios chia seeds milk for medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089706 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089707 - Dinner - meatloaf potatoes brocolli, donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089709 -  ..
089710 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089714 -         ..
089715 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089716 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089717 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089718 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089719 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089720 -   61.  200301 0720............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089721 -               0720....BP HR..................................................... 137  72  48  sinus smooth curve so no PAF with low HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089722 -               0725....BP HR..................................................... 129  67  34  sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089723 -               0730....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089724 -               0730... 20 973200 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089725 -               0730... 80 174880 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089726 -               0730... 05  480 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089727 -               0730... 75 2700 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089728 -               0730... 25   1775.0 Metoprolol Tartrate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089729 -               0730... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089730 -               0730... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089731 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089732 -               1020... Gabapentin 300MG  10800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089733 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089734 -               1020....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089735 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089736 -          *cr  1030....miles...........  18.0  86.0  289  1373 minutes temp  56  very windy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089737 -               1710....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089738 -               1720....BP HR.....................................................  98  68  87   PAF Sinus curve jagged on cellphone; pressure cuff gave BP                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089739 -               1725....BP HR..................................................... 107  68  74   Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089740 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089741 -               1700... 40 54480 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
089742 -               1830............ 10 13280  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089743 -               1830............ 10 12870  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089744 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089745 -               2000... 25   1800 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089746 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089747 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089748 -               2100... 40 34360 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089749 -               2130... 1000  741000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089750 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089751 -               2200... 05  485 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089752 -               2200... 80 174960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089753 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089754 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089756 - * cr - hiked Crystal Ranch Road 6-mile loop with 3 major hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089757 - Started again on 200213, ref SDS 0 GW6J - first time, since pausing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089758 - 191228, due to PAF symptoms, shown in case study on 190101 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089759 - ref SDS 69 4F9L  Today, 2nd time hiking to top of Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089760 - Mountain since 191226, reported in study on 190101 0730. ref SDS 69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089761 - KV9H  On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089762 - loops, as part of daily hike, see case study on 180101 0820.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089763 - ref SDS 55 E55K 61 E55K On 191004 changed route going up and coming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089764 - down .5 miles very steep section Crystal Ranch Road to deadend at top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089765 - of mountain. ref SDS 0 2T9L  Makes 6-mile loop with 3 major hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089766 - Today, didn't do this steep section, while recoverying from proxysmal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089767 - atrial fibrillation; hoping can return after getting pulmonary vein                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089768 - isolation, to be discussed with Cardiology in meeting on 200219 at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089769 - VAMCSF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089771 -  ..
089772 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089774 -  ..
089775 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089776 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089777 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089779 -  ..
089780 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089782 -  ..
089783 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089785 -  ..
089786 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089787 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089789 -  ..
089790 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089792 -  ..
089793 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089794 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089796 -  ..
089797 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089798 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089799 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089800 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089801 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089802 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089803 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089804 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089805 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089806 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089807 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089808 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089809 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089811 -  ..
089812 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089813 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089814 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089815 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089816 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089817 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089818 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089819 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089820 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089821 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089822 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089823 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089824 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089825 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089826 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089827 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089828 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089829 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089830 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089831 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089832 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089833 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089834 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089835 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089836 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089837 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089838 -        Metatarsalgia left foot...PRP 191009.........   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089839 -        Metatarsalgia right foot..PRP 191009.........   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089840 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089841 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089842 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089843 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089844 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089845 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089846 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089847 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089848 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089850 -  ..
089851 - Body feels wasted after hiking 18 miles in 56 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089852 - on 191009 1500, ref SDS 78 0001, and hiking Crystal Ranch 8 mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089853 - against severe winds.
089855 - -
089856 - After hike left knee patella pain level 0; left knee meniscus not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089857 - swelled pain level 0, and knee less stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089858 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089860 -  ..
089861 - Several hours after hike, feet pain level 3; left leg pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089862 - 0.  Did not take medication, per above. ref SDS 0 QP3M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089864 -  ..
089865 - Legs 6 hours after hike late at night - body does not ache.  Restless                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089866 - legs did not occur, but do not have Tramadol, and avoided taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089867 - naproxen again. - - see study above. ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089869 -  ..
089870 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089871 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089872 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089873 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089874 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089876 -     ..
089877 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089878 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089880 -  ..
089881 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089882 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089883 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089885 -  ..
089886 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089887 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089888 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089890 -  ..
089891 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089892 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089893 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089894 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089895 - ref SDS 77 SM4M  Befor hike today on 200228 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089896 - and Tailor's Bunions.  After hike did not applied apply Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089897 - Lactate 12% lotion both feet.  Wore Wrightsock thin double ply and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089898 - laced shoes less tightly.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089900 -  ..
089901 - Concord 18 mile route.  Did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089902 - Starting energy okay wearing Hoka Bondi 6 shoes received on 190927                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089903 - 1110. ref SDS 77 SM4M  --- Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089904 - ref SDS 71 V54H --- 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089905 - ref SDS 79 SM4M  Today, hiking with neproxen and gabapentin, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089906 - Glucosamine Chondroitin, per above. ref SDS 0 FS6N  Also applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089907 - Diclofenac to left knee for targeted naproxen treatment during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089908 - This combination worked well.  Started hike from front door on St                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089909 - Matthew PL #103, at 1030 wearing new Polar Vantage V heart monitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089910 - wrist watch - HR 48, so seem to be in sinus at start.  Hiking normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089911 - pace on Cuneo slight uphill 150 yards.  Turned onto Treat and hiked .7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089912 - mile East to Turtle Creek; HR 124, so in PAF.  Legs seem fatigued from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089913 - 20 mile hike yesterday - so slower pace.  Continue on Treat to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089914 - Clayton.  Time to 1.25 miles 20 minutes; HR 145, still in PAF.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089915 - corner onto Clayton and hiked 2 miles South on concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089916 - Seemed to be in PAF most of hike today.  On Clayton which is flat HR <
089917 - 140.  Turned corner heading West on Ygnacio Valley Road at mile 3.25.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089918 - At mile 4 crossed from North to South side Ygnacio Valley Road to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089919 - on asphault pavement against oncoming traffic.  Stopped at Texaco.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089920 - Turned corner onto Pine Hollow road - time to mile 4.25 about 72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089921 - minutes - HR 126, so still in PAF.  Hiked about 50 yards South on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089922 - Hollow and turned West onto Campus Road.  Hiked .75 mile uphill to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089923 - main campus in visitor parking.  Breathing through nose all the way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089924 - Felt pressure in chest near summit, so pressed Zio xt button - HR 125.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089925 - Hiked 2-loops of 1.25 miles around faculty parking lot, and around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089926 - student parking.  Hiked North downhill .5 miles back to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089927 - Road.  Turned left and hiked West .5 miles to Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089928 - Turned South and hiked 8-mile loop.  Hiked 1-mile up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089929 - Crystal Ranch Road - difficult effort; breathing through mouth after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089930 - storm drain 5, about 60% of way up, HR 142.  At summit, hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089931 - through residential area on flat roadway, HR 125.  Hiked downhill .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089932 - miles - HR 120 - past Rollinw Woods Way.  Hiked .5 miles up very steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089933 - hill to end of Crystal Ranch Road - difficult breathing through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089934 - only half way up, but max HR 125, so may be in sinus.  At top of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089935 - mountain turned and hiked back downhill .5 miles.  About 60% downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089936 - steep slope felt left foot Tailor's Bunion pain level 2.  Turned East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089937 - onto Rolling Woods Way.  Hiked .33 mile up very steep hill to summit.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089938 - Last 200 yards difficult reaching summit, but breathing through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089939 - all the way to summit; then hiked downhill .66 miles.  Turned North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089940 - onto Pine Hollow.  Hiked 1 mile on flat roadway back to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089941 - Road.  Stopped at Texaco - did not get coke anything to eat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089942 - Continued hiking up Campus Road again back to main campus visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089943 - parking.  Seem to be back in sinus with HR 96.  Did another loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089944 - around faculty and student parking lots.  Hiked downhill .5 miles to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089945 - Ygnacio Valley Road.  Hiked West on Ygnacio Valley Road past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089946 - Ranch Road.  Hiked uphill .5 miles to Cowell.  Turned North onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089947 - Cowell and hiked 1 mile downhill to Treat.  Hiked .25 miles to Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089948 - and home for 18 miles - age 75 today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089950 -  ..
089951 - Breakfast - cheerios banana chia seeds milk for medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089952 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089953 - Dinner - salmon potatoes brocolli, pie milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089955 -  ..
089956 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089960 -         ..
089961 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089962 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089963 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089964 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089965 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089966 -   62.  200302 0710............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089967 -               0730....BP HR..................................................... 132  84  78  sinus jagged curve so PAF with low HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089968 -               0735....BP HR..................................................... 127  84  81  PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089969 -               0740....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089970 -               0740... 20 973220 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089971 -               0740... 80 175040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089972 -               0740... 05  490 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089973 -               0740... 75 2775 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089974 -               0740... 25   1825.0 Metoprolol Tartrate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089975 -               0740... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089976 -               0740... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089977 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089978 -               1020... Gabapentin 300MG  13100MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089979 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089980 -               1020....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089981 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089982 -               1230....miles...........   2.0   2.0   32    32 minutes temp  70  very windy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089983 -               1300....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089984 -               1320....BP HR..................................................... 116  72  82   Sinus curve smooth on cellphone; pressure cuff gave BP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089985 -               1325....BP HR..................................................... 119  70  65   Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089986 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089987 -               1700... 40 54520 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
089988 -             1 0000............ 10 13280  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089989 -             1 0000............ 10 12870  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089990 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089991 -               2000... 25   1850 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089992 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089993 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089994 -               2100... 40 34400 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089995 -               2130... 1000  742000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089996 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089997 -               2200... 05  495 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089998 -               2200... 80 175120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089999 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090000 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090002 -  ..
090003 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090005 -  ..
090006 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090007 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090008 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090010 -  ..
090011 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090013 -  ..
090014 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090016 -  ..
090017 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090018 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090020 -  ..
090021 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090023 -  ..
090024 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090025 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090027 -  ..
090028 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090029 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090030 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090031 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090032 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090033 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090034 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090035 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090036 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090037 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090038 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090039 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090040 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090042 -  ..
090043 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090044 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090045 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090046 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090047 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090048 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090049 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090050 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090051 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090052 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090053 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090054 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090055 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090056 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090057 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090058 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090059 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090060 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090061 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090062 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090063 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090064 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090065 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090066 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090067 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090068 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090069 -        Metatarsalgia left foot...PRP 191009.........   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090070 -        Metatarsalgia right foot..PRP 191009.........   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090071 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090072 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090073 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090074 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090075 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090076 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090077 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090078 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090079 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090081 -  ..
090082 - Body feels wasted after hiking 18 miles in 56 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090083 - on 191009 1500, ref SDS 78 0001, and hiking Crystal Ranch 8 mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090084 - against severe winds.
090086 - -
090087 - After hike left knee patella pain level 0; left knee meniscus not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090088 - swelled pain level 0, and knee less stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090089 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090091 -  ..
090092 - Several hours after hike, feet pain level 3; left leg pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090093 - 0.  Did not take medication, per above. ref SDS 0 QP3M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090095 -  ..
090096 - Legs 6 hours after hike late at night - body does not ache.  Restless                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090097 - legs did not occur, but do not have Tramadol, and avoided taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090098 - naproxen again. - - see study above. ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090100 -  ..
090101 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090102 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090103 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090104 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090105 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090107 -     ..
090108 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090109 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090111 -  ..
090112 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090113 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090114 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090116 -  ..
090117 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090118 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090119 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090121 -  ..
090122 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090123 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090124 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090125 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090126 - ref SDS 77 SM4M  Befor hike today on 200228 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090127 - and Tailor's Bunions.  After hike did not applied apply Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090128 - Lactate 12% lotion both feet.  Wore Wrightsock thin double ply and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090129 - laced shoes less tightly.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090131 -  ..
090132 - Concord 2 mile route.  Did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090133 - Starting energy okay wearing Hoka Bondi 6 shoes received on 190927                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090134 - 1110. ref SDS 77 SM4M  --- Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090135 - ref SDS 71 V54H --- 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090136 - ref SDS 79 SM4M  Today, hiking with neproxen and gabapentin, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090137 - Glucosamine Chondroitin, per above. ref SDS 0 Z64J  Also applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090138 - Diclofenac to left knee for targeted naproxen treatment during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090139 - This combination worked well.  Started hike at 1230 wearing new Polar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090140 - Vantage V heart monitor wrist watch - HR 48, so seem to be in sinus at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090141 - start.  Hiking normal pace on Cuneo slight uphill.  Turned onto Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090142 - and hiked East to Turtle Creek.  Very strong Easterly headwind.  Legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090143 - seem fatigued from 18 mile hike yesterday - so slower pace.  Conitnue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090144 - on Treat to Clayton.  Time to 1.25 miles 20 minutes; HR 145.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090145 - corner onto Clayton and hiked 1 mile South.  Seem to be in PAF, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090146 - stopped at McDonald's, with HR 141.  Had lunch with Kathy.  It is very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090147 - windy today, so ended hike.  While at McDonald's fell back into sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090148 - rest of day, so could have continued hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090150 -  ..
090151 - Breakfast - cheerios chia seeds milk for medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090152 - Lunch - half hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090153 - Dinner - lettuce tomato salmon avocado onion, pie milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090155 -  ..
090156 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090162 -         ..
090163 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090164 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090165 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090166 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090167 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090168 -   63.  200303 0640............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090169 -               0720....BP HR..................................................... 153  79  44  sinus smooth curve so not in PAF with low HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090170 -               0725....BP HR..................................................... 145  78  43  sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090171 -               0730....weight.................................... 189                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090172 -               0730... 20 973240 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090173 -               0730... 80 175200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090174 -               0730... 05  500 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090175 -               0730... 75 2850 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090176 -               0730... 25   1875.0 Metoprolol Tartrate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090177 -               1020... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090178 -               1020... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090179 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090180 -               1020... Gabapentin 300MG  13400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090181 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090182 -               1020....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090183 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090184 -          *cr  1130....miles...........  22.0  24.0  354   386 minutes temp  77  very windy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090185 -               1820....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090186 -               1850....BP HR..................................................... 116  68  65   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090187 -               1855....BP HR..................................................... 121  73  64   Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090188 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090189 -               1900... 40 54560 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
090190 -               1940............ 10 13290  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090191 -               1940............ 10 12880  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090192 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090193 -               2000... 25   1900 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090194 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090195 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090196 -               2100... 40 34440 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090197 -               2130... 1000  743000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090198 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090199 -               2200... 05  505 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090200 -               2200... 80 175280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090201 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090202 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090204 - * cr - hiked Crystal Ranch Road 6-mile loop with 3 major hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090205 - Started again on 200213, ref SDS 0 GW6J - first time, since pausing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090206 - 191228, due to PAF symptoms, shown in case study on 190101 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090207 - ref SDS 69 4F9L  Today, 3rd time hiking to top of Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090208 - Mountain since 191226, reported in study on 190101 0730. ref SDS 69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090209 - KV9H On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090210 - loops, as part of daily hike, see case study on 180101 0820.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090211 - ref SDS 55 E55K 61 E55K On 191004 changed route going up and coming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090212 - down .5 miles very steep section Crystal Ranch Road to deadend at top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090213 - of mountain. ref SDS 0 2T9L  Makes 6-mile loop with 3 major hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090214 - Today, didn't do this steep section, while recoverying from proxysmal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090215 - atrial fibrillation; hoping can return after getting pulmonary vein                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090216 - isolation, to be discussed with Cardiology in meeting on 200219 at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090217 - VAMCSF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090219 -  ..
090220 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090222 -  ..
090223 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090224 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090225 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090227 -  ..
090228 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090230 -  ..
090231 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090233 -  ..
090234 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090235 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090237 -  ..
090238 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090240 -  ..
090241 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090242 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090244 -  ..
090245 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090246 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090247 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090248 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090249 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090250 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090251 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090252 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090253 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090254 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090255 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090256 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090257 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090259 -  ..
090260 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090261 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090262 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090263 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090264 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090265 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090266 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090267 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090268 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090269 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090270 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090271 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090272 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090273 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090274 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090275 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090276 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090277 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090278 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090279 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090280 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090281 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090282 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090283 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090284 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090285 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090286 -        Metatarsalgia left foot...PRP 191009.........   1          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090287 -        Metatarsalgia right foot..PRP 191009.........   1          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090288 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090289 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090290 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090291 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090292 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090293 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090294 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090295 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090296 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090298 -  ..
090299 - Body feels okay after hiking 22 miles in 77 degrees, following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090300 - 191009 1500, ref SDS 78 0001, and hiking Crystal Ranch 8 mile loop.
090302 - -
090303 - After hike left knee patella pain level 0; left knee meniscus not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090304 - swelled pain level 0, and knee less stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090305 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090307 -  ..
090308 - Several hours after hike, feet pain level 3; left leg pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090309 - 0.  Did not take medication, per above. ref SDS 0 QP3M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090311 -  ..
090312 - Legs 6 hours after hike late at night - body does not ache.  Restless                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090313 - legs did not occur, but do not have Tramadol, and avoided taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090314 - naproxen again. - - see study above. ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090316 -  ..
090317 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090318 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090319 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090320 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090321 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090323 -     ..
090324 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090325 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090327 -  ..
090328 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090329 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090330 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090332 -  ..
090333 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090334 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090335 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090337 -  ..
090338 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090339 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090340 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090341 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090342 - ref SDS 77 SM4M  Befor hike today on 200228 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090343 - and Tailor's Bunions.  After hike did not apply Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090344 - lotion both feet.  Wore Wrightsock thin double ply and laced shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090345 - less tightly.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090347 -  ..
090348 - Concord 22 mile route.  Hiked extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090349 - energy okay wearing Hoka Bondi 6 shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090350 - ref SDS 77 SM4M  --- Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090351 - ref SDS 71 V54H --- 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090352 - ref SDS 79 SM4M  Today, hiking with naproxen and gabapentin, but no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090353 - oxycodone.  Applied diclofenac to left knee.  Took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090354 - Chondroitin, per above. ref SDS 0 RS5O  This combination controlled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090355 - pain well, shown by study above. ref SDS 0 YTQQ  Left house at 1130 HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090356 - 60.  Hiking normal pace on Cuneo slight uphill.  Hiking on Treat flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090357 - asphault pavement shoulder, pace normal.  Hiking up slight hill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090358 - Turtle Creek Road at mile .7 - HR 159 so in PAF.  Continued on Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090359 - Time to 1.25 miles 20 minutes HR 142 - still in PAF.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090360 - onto Clayton and hiked 2 miles South on concrete sidewalk.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090361 - 1.49 HR 126, so definitely in PAF.  Near Baily Road on Clayton mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090362 - 1.65 HR 95, back in sinus for rest of hike.  Feeling strong hiking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090363 - fast pace.  Turned corner heading West on Ygnacio Valley Road at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090364 - 3.25 still on concrete sidewalk - HR 100.  About mile 3.75 crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090365 - from North to South side Ygnacio Valley Road to hike on asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090366 - pavement against oncoming traffic.  Continued to Pine Hollow road -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090367 - time to mile 4.75 about 71 minutes.  Did not stop at Texaco gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090368 - station.  Turned corner hiked about 50 yards South on Pine Hollow and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090369 - turned West onto Campus Road.  Hiked .75 mile uphill to the campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090370 - Breathing through nose all the way, but feeling slight chest pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090371 - - HR 104.  Hiked slight downhill - HR dropped to 92; then continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090372 - around the bend joining Campus Drive from Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090373 - continuing uphill to main college campus.  Chest pressure ended.  HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090374 - increased to 106 going uphill rest of way to main campus.  At the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090375 - summit hiking mileage so far today is 5 and HR 107.  Hiked 1-loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090376 - around faculty and student parking lots about 1.25 miles - HR dropped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090377 - to 82 going slight downhills and back to 95 going uphill.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090378 - visitor parking in front of main campus at mile 6 in the hike turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090379 - North and hiked downhill .5 miles to Ygnacio Valley Road.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090380 - corner and hiked West.  At mile 6.5 in the hike turned left from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090381 - Ygnacio Valley Road onto Crystal Ranch Road - HR 94.  Hiked South 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090382 - mile up steep hill on Crystal Ranch road.  Difficult struggle - about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090383 - storm drain 5 breating through mouth, but no chest pain.  Over half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090384 - way up HR 116; at summit HR 122.  Continued on flat roadway 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090385 - through residential area - HR 90.  Woman needed assistance finding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090386 - directions to Aspen Wood Drive.  Used cellphone to find the street                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090387 - about 4 blocks ahead of her (behind me).  This took about 10 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090388 - Could not figure out how to use her cellphone.  Continued on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090389 - Ranch Road hiking downhill .25 mile past Rolling Woods Way - HR 85.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090390 - Hiked up to the end of Crystal Ranch Road very steep hill .5 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090391 - top of the mountain.  Another difficult struggle, HR 122 - breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090392 - through nose halfway, then through mouth rest of way to top.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090393 - summit HR dropped to 100.  Hiked down steep hill .5 mile - HR 90;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090394 - turned right onto Rolling Woods Way.  Hiked up very steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090395 - breathing through nose .33 miles to summit - HR 122; then downhill .66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090396 - miles - HR 87.  Turned North onto Pine Hollow.  Hiked 1 mile on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090397 - roadway back to Ygnacio Valley Road.  Stopped at Texaco - HR 95.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090398 - Bought Coca Cola and donut.  Ate half of donut and drank half of coke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090399 - for energy.  Continued hiking up Campus Road again, back to main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090400 - campus visitor parking.  HR 119.  Did another loop around faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090401 - student parking lots.  Hiked downhill .5 miles to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090402 - Hiked West on Ygnacio Valley Road past Cowell and over the summit - HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090403 - 122.  Hiked West 2 miles downhill to Oak Grove.  Ran across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090404 - intersection Ygnacio Valley Road at Oak Grove - HR 117.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090405 - paved path .25 miles parallel to Ygnacio Valley Road around Safeway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090406 - shopping complex at fast pace - HR 107.  At Via Monte turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090407 - hiking North still on paved path for .25 mile to Shadelands Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090408 - Reversed hiked South on Via Monte back to Ygnacio Valley Road.  Still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090409 - on paved path turned East and hiked back to Oak Grove - at mile 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090410 - feeling fatigued.  Turned left and hiked North on paved path parallel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090411 - to Oak Grove 1 mile to Treat.  Sprinted across Treat to make traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090412 - light - HR 123.  Turned right and hiked East 1 mile.  At San Miguel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090413 - hiked .5 mile uphill - HR 123 - and back to Cuneo - HR 106.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090414 - left, hiked .25 mile to Kaski.  Turned right and hiked .25 mile over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090415 - small hill - HR 117 - to Cowell, then right again on Treat hiking fast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090416 - pace - HR 118 - back to Cuneo and home for 22 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090418 -  ..
090419 - Breakfast - cheerios chia seeds milk for medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090420 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090421 - Dinner - meatloaf potatoes brocolli, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090423 -  ..
090424 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090429 -         ..
090430 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090431 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090432 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090433 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090434 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090435 -   64.  200304 0640............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090436 -               0740....BP HR..................................................... 149  84  80  smooth curve but HR 80, so likely in PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090437 -               0745....BP HR..................................................... 136  86  73  jagged curve but HR 76, so likely in PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090438 -               0750....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090439 -               0750... 20 973260 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090440 -               0750... 80 175360 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090441 -               0750... 05  510 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090442 -               0750... 75 2925 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090443 -               0750... 25   1925.0 Metoprolol Tartrate - considered skipping this morning, because HR 33 - went back up to 60 after walking around, so took the pill                                                                                                                                                                                                                                                                                                                                                                                                                                               
090444 -               1020... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090445 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090446 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090447 -               1020... Gabapentin 300MG  13400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090448 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090449 -               1020....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090450 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090451 -               1015....miles...........  11.0  35.0  174   386 minutes temp  78  very windy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090452 -               1400....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090453 -               1415....BP HR.....................................................  96  61  75   sinus irregular curve so maybe PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090454 -               1425....BP HR.....................................................  91  50  66   Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090455 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090456 -               1700... 40 54600 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
090457 -             1 1830............ 10 13290  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090458 -             1 1830............ 10 12880  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090459 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090460 -               2000... 25   1950 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090461 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090462 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090463 -               2100... 40 34480 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090464 -               2130... 1000  744000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090465 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090466 -               2200... 05  515 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090467 -               2200... 80 175440 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090468 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090469 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090471 -  ..
090472 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090474 -  ..
090475 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090476 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090477 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090479 -  ..
090480 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090482 -  ..
090483 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090485 -  ..
090486 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090487 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090489 -  ..
090490 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090492 -  ..
090493 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090494 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090496 -  ..
090497 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090498 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090499 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090500 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090501 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090502 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090503 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090504 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090505 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090506 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090507 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090508 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090509 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090511 -  ..
090512 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090513 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090514 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090515 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090516 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090517 -        Chest pain...................................   1          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090518 -        Trapezius right side neck/shoulder...........   8          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090519 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090520 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090521 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090522 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090523 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090524 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090525 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090526 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090527 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090528 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090529 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090530 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090531 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090532 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090533 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090534 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090535 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090536 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090537 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090538 -        Metatarsalgia left foot...PRP 191009.........   1          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090539 -        Metatarsalgia right foot..PRP 191009.........   1          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090540 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090541 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090542 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090543 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090544 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090545 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090546 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090547 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090548 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090550 -  ..
090551 - Body feels fatuiged, slightly dizzy after hiking 11 miles in 78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090552 - degrees, following PRP on 191009 1500, ref SDS 78 0001, and not hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090553 - Crystal Ranch 8 mile loop.
090555 - -
090556 - After hike left knee patella pain level 0; left knee meniscus not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090557 - swelled pain level 0, and knee less stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090558 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090560 -  ..
090561 - Several hours after hike, feet pain level 3; left leg pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090562 - 0.  Did not take medication, per above. ref SDS 0 QP3M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090564 -  ..
090565 - Legs 6 hours after hike late at night - body does not ache.  Restless                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090566 - legs did not occur, but do not have Tramadol, and avoided taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090567 - naproxen again. - - see study above. ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090569 -  ..
090570 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090571 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090572 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090573 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090574 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090576 -     ..
090577 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090578 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090580 -  ..
090581 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090582 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090583 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090585 -  ..
090586 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090587 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090588 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090590 -  ..
090591 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090592 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090593 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090594 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090595 - ref SDS 77 SM4M  Befor hike today on 200228 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090596 - and Tailor's Bunions.  After hike did not apply Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090597 - lotion both feet.  Wore Wrightsock thin double ply and laced shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090598 - less tightly.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090600 -  ..
090601 - Concord 11 mile route.  Hiked extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090602 - energy okay wearing Hoka Bondi 6 shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090603 - ref SDS 77 SM4M  --- Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090604 - ref SDS 71 V54H --- 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090605 - ref SDS 79 SM4M  Today, hiking with naproxen and gabapentin, but no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090606 - oxycodone.  Out of diclofenac, so could not apply to left knee.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090607 - Glucosamine Chondroitin, per above. ref SDS 0 HP4O  This combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090608 - controlled pain well, shown by study above. ref SDS 0 YVVQ  Left house                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090609 - at 1015 - HR 68, so maybe in PAF.  Hiking normal pace on Cuneo slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090610 - uphill - .2 mile HR 106.  Hiking on Treat flat asphault pavement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090611 - shoulder, pace normal - HR 115, so likely PAF.  Ran across Cowell to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090612 - make traffic light - HR 127.  Then HR dropped to 75 hiking on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090613 - pavement.  Hiking up slight hill to Turtle Creek Road at mile .7 - HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090614 - 84 so in sinus.  Continued on Treat.  Time to 1.25 miles 20 minutes HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090615 - 121 - could be PAF.  Turned corner onto Clayton and hiked 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090616 - South on concrete sidewalk.  At mile 1.49 HR 84, so back in sinus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090617 - Near Baily Road on Clayton mile 1.65 HR 80, back in sinus for rest of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090618 - hike.  Feeling fatigued, so slow pace.  Turned corner heading West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090619 - Ygnacio Valley Road at mile 3.25 still on concrete sidewalk - HR 93.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090620 - About mile 3.75 crossed from North to South side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090621 - to hike on asphault pavement against oncoming traffic.  Continued to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090622 - Pine Hollow road - time to mile 4.75 about 71 minutes.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090623 - Texaco gas station.  Turned corner hiked about 50 yards South on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090624 - Hollow and turned West onto Campus Road.  Hiked .75 mile uphill to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090625 - campus.  Breathing through nose all the way.  About .75 up feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090626 - slight chest pressure - HR 96 - pressed Zio button.  Past summit hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090627 - slight downhill for about 100 yards - HR 83.  Chest pressure ended.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090628 - Continued around the bend joining Campus Drive from Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090629 - Road continuing uphill about .2 miles to main college campus.  HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090630 - increased to 108 going uphill rest of way to main campus.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090631 - halfway up chest pressure recurred.  At the summit mile 5 in the hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090632 - and chest pressure subsides - time 1157.  Hiked 1-loop around faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090633 - and student parking lots about 1.25 miles - HR dropped to 80 hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090634 - slight downhills and back to 96 going slightly uphill.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090635 - visitor parking in front of main campus at mile 6 in the hike turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090636 - North and hiked downhill .5 miles to Ygnacio Valley Road.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090637 - and hiked West on Ygnacio Valley Road past Crystal Ranch Road - HR 86.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090638 - Decided to skip 7-mile loop taking Crystal Ranch Road to avoid risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090639 - further chest pain.  Continued uphill past Cowell - HR 101, and over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090640 - the summit - HR 108.  Hiked West 1 mile downhill to mile 8.  Reversed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090641 - course and hiked back uphill 1 mile over the summit - HR 112 - and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090642 - back to Cowell - HR 89, Turned left - hiked North 1 mile downhill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090643 - Treat - HR 93.  Turned left.  Hiked West .25 mile.  Turned North onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090644 - Cuneo.  Hiked .25 mile and turned right hiking East on Kaski.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090645 - up short hill - HR 108.  Continued to Cowell.  Turned South.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090646 - .25 mile to Treat.  Turned right.  Hiked West .25 mile back to Cuneo.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090647 - Hiked home for 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090649 -  ..
090650 - Breakfast - cheerios chia seeds milk for medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090651 - Lunch - tuna sandwich                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090652 - Dinner - lettuce tomato asparagus onion avocado, cookies, sandwich                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090653 - balogna onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090655 -  ..
090656 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090661 -         ..
090662 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090663 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090664 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090665 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090666 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090667 -   65.  200305 0730............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090668 -               0740....BP HR..................................................... 119  77  79  jagged curve but HR elevated so likely in PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090669 -               0745....BP HR..................................................... 132  85  81  jagged curve but HR 76, so likely in PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090670 -               0750....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090671 -               0750... 20 973280 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090672 -               0750... 80 175520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090673 -               0750... 05  520 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090674 -               0750... 75 3000 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090675 -               0750... 25   1975.0 Metoprolol Tartrate - considered skipping this morning, because HR 33 - went back up to 60 after walking around, so took the pill                                                                                                                                                                                                                                                                                                                                                                                                                                               
090676 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090677 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090678 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090679 -               0000... Gabapentin 300MG  13400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090680 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090681 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090682 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090683 -               1700... 40 54640 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
090684 -               1830............ 10 13300  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090685 -               1830............ 10 12890  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090686 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090687 -               2000... 25   2000 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090688 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090689 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090690 -               2100... 40 34520 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090691 -               2130... 1000  745000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090692 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090693 -               2200... 05  525 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090694 -               2200... 80 175600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090695 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090696 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090698 -  ..
090699 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090701 -  ..
090702 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090703 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090704 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090706 -  ..
090707 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090709 -  ..
090710 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090712 -  ..
090713 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090714 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090716 -  ..
090717 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090719 -  ..
090720 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090721 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090723 -  ..
090724 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090725 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090726 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090727 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090728 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090729 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090730 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090731 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090732 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090733 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090734 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090735 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090736 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090738 -  ..
090739 - Breakfast - eggs toast milk for medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090740 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090741 - Dinner - lettuce tomato asparagus onion avocado, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090743 -  ..
090744 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090749 -         ..
090750 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090751 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090752 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090753 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090754 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090755 -   66.  200306 0630............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090756 -               0640....BP HR..................................................... 138  79  48  smooth curve so likely in sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090757 -               0645....BP HR..................................................... 145  80  52  jagged curve but HR 76, so likely in PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090758 -               0650....weight.................................... 189                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090759 -               0650... 20 973300 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090760 -               0650... 80 175680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090761 -               0650... 05  530 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090762 -               0650... 75 3075 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090763 -               0650... 25   2025.0 Metoprolol Tartrate - considered skipping this morning, because HR 33 - went back up to 60 after walking around, so took the pill                                                                                                                                                                                                                                                                                                                                                                                                                                               
090764 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090765 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090766 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090767 -               0000... Gabapentin 300MG  13700MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090768 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090769 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090770 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090771 -               1700... 40 54680 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
090772 -             1 0000............ 10 13300  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090773 -             1 0000............ 10 12890  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090774 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090775 -               2000... 25   2050 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090776 -               2020....Tramadol 50 1650 at 2030 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090777 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090778 -               2100... 40 34560 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090779 -               2130... 1000  746000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090780 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090781 -               2200... 05  535 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090782 -               2200... 80 175760 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090783 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090784 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090786 -  ..
090787 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090789 -  ..
090790 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090791 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090792 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090794 -  ..
090795 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090797 -  ..
090798 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090800 -  ..
090801 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090802 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090804 -  ..
090805 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090807 -  ..
090808 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090809 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090811 -  ..
090812 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090813 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090814 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090815 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090816 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090817 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090818 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090819 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090820 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090821 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090822 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090823 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090824 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090826 -  ..
090827 - Breakfast - cheerios banana chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090828 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090829 - Dinner - lettuce tomato meatloaf asparagus onion avocado, donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090831 -  ..
090832 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090837 -         ..
090838 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090839 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090840 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090841 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090842 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090843 -   67.  200307 0610............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090844 -               0620....BP HR..................................................... 128  74  44  smooth curve so likely in sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090845 -               0625....BP HR..................................................... 122  68  43  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090846 -               0630....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090847 -               0630... 20 973320 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090848 -               0630... 80 175840 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090849 -               0630... 05  540 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090850 -               0630... 75 3150 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090851 -               0630... 25   2075.0 Metoprolol Tartrate - considered skipping this morning, because HR 33 - went back up to 60 after walking around, so took the pill                                                                                                                                                                                                                                                                                                                                                                                                                                               
090852 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090853 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090854 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090855 -               0000... Gabapentin 300MG  13700MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090856 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090857 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090858 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090859 -               1700... 40 54720 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
090860 -               1830............ 10 13310  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090861 -               1830............ 10 12900  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090862 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090863 -               2000... 25   2100 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090864 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090865 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090866 -               2100... 40 34600 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090867 -               2130... 1000  747000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090868 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090869 -               2200... 05  545 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090870 -               2200... 80 175920 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090871 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090872 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090874 -  ..
090875 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090877 -  ..
090878 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090879 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090880 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090882 -  ..
090883 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090885 -  ..
090886 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090888 -  ..
090889 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090890 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090892 -  ..
090893 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090895 -  ..
090896 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090897 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090899 -  ..
090900 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090901 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090902 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090903 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090904 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090905 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090906 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090907 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090908 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090909 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090910 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090911 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090912 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090914 -  ..
090915 - Breakfast - eggs pancake milk for medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090916 - Lunch - fritos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090917 - Dinner - tomato meatloaf asparagus tuna onion avocado, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090919 -  ..
090920 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090925 -         ..
090926 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090927 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090928 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090929 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090930 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090931 -   68.  200308 0740............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090932 -               0730....BP HR..................................................... 131  73  44  jagged curve so likely in PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090933 -               0735....BP HR..................................................... 125  62  42  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090934 -               0740....weight.................................... 189                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090935 -               0740... 20 973340 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090936 -               0740... 80 176000 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090937 -               0000... 05  540 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090938 -               0740... 75 3225 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090939 -               0740... 25   2125.0 Metoprolol Tartrate - considered skipping this morning, because HR 33 - went back up to 60 after walking around, so took the pill                                                                                                                                                                                                                                                                                                                                                                                                                                               
090940 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090941 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090942 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090943 -               0000... Gabapentin 300MG  13700MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090944 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090945 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090946 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090947 -               1700... 40 54760 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
090948 -             1 0000............ 10 13310  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090949 -             1 0000............ 10 12900  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090950 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090951 -               2000... 25   2150 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090952 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090953 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090954 -               2100... 40 34640 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090955 -               2130... 1000  748000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090956 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090957 -               0000... 05  545 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090958 -               2200... 80 176080 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090959 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090960 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090962 -  ..
090963 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090965 -  ..
090966 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090967 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090968 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090970 -  ..
090971 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090973 -  ..
090974 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090976 -  ..
090977 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090978 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090980 -  ..
090981 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090983 -  ..
090984 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090985 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090987 -  ..
090988 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090989 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090990 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090991 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090992 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090993 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090994 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090995 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090996 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090997 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090998 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090999 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091000 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091002 -  ..
091003 - Breakfast - cheerios banana chia seeds milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091004 - Lunch - half hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091005 - Dinner -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091007 -  ..
091008 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091013 -         ..
091014 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091015 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091016 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091017 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091018 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091019 -   69.  200309 0650............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091020 -               0710....BP HR..................................................... 140  73  45  jagged curve so likely in PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091021 -               0715....BP HR..................................................... 137  74  45  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091022 -               0720....weight.................................... 189                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091023 -               0720... 20 973360 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091024 -               0720... 80 176160 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091025 -               0000... 05  540 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091026 -               0720... 75 3400 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091027 -               0720... 25   2175.0 Metoprolol Tartrate - considered skipping this morning, because HR 33 - went back up to 60 after walking around, so took the pill                                                                                                                                                                                                                                                                                                                                                                                                                                               
091028 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091029 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091030 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091031 -               0000... Gabapentin 300MG  13700MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091032 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091033 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091034 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091035 -               1700... 40 54800 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
091036 -               1830............ 10 13320  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091037 -               1830............ 10 12910  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091038 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091039 -               2000... 25   2200 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091040 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091041 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091042 -               2100... 40 34680 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091043 -               2130... 1000  749000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091044 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091045 -               0000... 05  545 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091046 -               2200... 80 176240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091047 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091048 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091050 -  ..
091051 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091053 -  ..
091054 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091055 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091056 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091058 -  ..
091059 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091061 -  ..
091062 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091064 -  ..
091065 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091066 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091068 -  ..
091069 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091071 -  ..
091072 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091073 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091075 -  ..
091076 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091077 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091078 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091079 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091080 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091081 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091082 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091083 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091084 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091085 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091086 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091087 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091088 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091090 -  ..
091091 - Breakfast - cheerios chia seeds milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091092 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091093 - Dinner - rice hamburger cheese asparagus brocolli onion, beer chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091094 - cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091096 -  ..
091097 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091102 -         ..
091103 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091104 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091105 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091106 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091107 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091108 -   70.  200310 0440............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091109 -               0450....BP HR..................................................... 132  74  46  smooth curve so likely in sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091110 -               0455....BP HR..................................................... 129  71  45  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091111 -               0520....weight.................................... 189                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091112 -               0000... 20 973360 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091113 -               0000... 80 176160 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091114 -               0000... 05  540 Apixaban blood thinner RX 7088121 for stroke paused 48 hours until after EGD on 200110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091115 -               0000... 75 3400 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091116 -               0000... 25   2175.0 Metoprolol Tartrate - considered skipping this morning, because HR 33 - went back up to 60 after walking around, so took the pill                                                                                                                                                                                                                                                                                                                                                                                                                                               
091117 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091118 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091119 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091120 -               0000... Gabapentin 300MG  13700MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091121 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091122 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091123 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091124 -               1700... 40 54800 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
091125 -             1 0000............ 10 13320  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091126 -             1 0000............ 10 12910  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091127 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091128 -               2000... 25   2200 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091129 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091130 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091131 -               2100... 40 34680 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091132 -               2130... 1000  749000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091133 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091134 -               2200... 05  545 Apixaban blood thinner RX 7088121 for stroke resumed after EDG procedure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091135 -               2200... 80 176240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091136 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091137 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091139 -  ..
091140 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091142 -  ..
091143 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091144 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091145 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091147 -  ..
091148 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091150 -  ..
091151 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091153 -  ..
091154 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091155 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091157 -  ..
091158 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091160 -  ..
091161 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091162 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091164 -  ..
091165 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091166 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091167 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091168 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091169 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091170 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091171 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091172 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091173 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091174 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091175 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091176 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091177 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091179 -  ..
091180 - Breakfast - NPO for EGD this morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091181 - Lunch - half hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091182 - Dinner - macaroni cheese tuna asparagus brocolli onion avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091183 - tomato, cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091185 -  ..
091186 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091191 -         ..
091192 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091193 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091194 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091195 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091196 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091197 -   71.  200311 0650............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091198 -               0720....BP HR..................................................... 157  80  43  smooth curve so likely in sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091199 -               0725....BP HR..................................................... 137  74  42  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091200 -               0730....weight.................................... 191                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091201 -               0730... 20 973380 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091202 -               0730... 80 176320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091203 -               0730... 05  550 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091204 -               0730... 75 3475 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091205 -               0730... 25   2225.0 Metoprolol Tartrate - considered skipping this morning, because HR 33 - went back up to 60 after walking around, so took the pill                                                                                                                                                                                                                                                                                                                                                                                                                                               
091206 -               1020... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091207 -               1020... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091208 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091209 -               1020... Gabapentin 300MG  13700MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091210 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091211 -    forgot.... 0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091212 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091213 -          *cr  1140....miles...........  16.0  16.0  253   253 minutes temp  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091214 -               1640....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091215 -               1710....BP HR.....................................................  78  56  78   sinus irregular curve so maybe PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091216 -               1715....BP HR.....................................................  75  56  75   Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091217 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091218 -               1700... 40 54840 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
091219 -               1830............ 10 13330  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091220 -               1830............ 10 12920  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091221 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091222 -               2000... 25   2259 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091223 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091224 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091225 -               2100... 40 34720 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091226 -               2130... 1000  750000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091227 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091228 -               2200... 05  555 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091229 -               2200... 80 176400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091230 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091231 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091233 - * cr - hiked Crystal Ranch Road 6-mile loop with 3 major hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091234 - Started again on 200213, ref SDS 0 GW6J - first time, since pausing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091235 - 191228, due to PAF symptoms, shown in case study on 190101 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091236 - ref SDS 69 4F9L  Today, 3rd time hiking to top of Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091237 - Mountain since 191226, reported in study on 190101 0730. ref SDS 69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091238 - KV9H On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091239 - loops, as part of daily hike, see case study on 180101 0820.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091240 - ref SDS 55 E55K 61 E55K On 191004 changed route going up and coming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091241 - down .5 miles very steep section Crystal Ranch Road to deadend at top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091242 - of mountain. ref SDS 0 2T9L  Makes 6-mile loop with 3 major hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091243 - Today, didn't do this steep section, while recoverying from proxysmal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091244 - atrial fibrillation; hoping can return after getting pulmonary vein                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091245 - isolation, to be discussed with Cardiology in meeting on 200219 at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091246 - VAMCSF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091248 -  ..
091249 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091251 -  ..
091252 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091253 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091254 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091256 -  ..
091257 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091259 -  ..
091260 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091262 -  ..
091263 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091264 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091266 -  ..
091267 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091269 -  ..
091270 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091271 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091273 -  ..
091274 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091275 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091276 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091277 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091278 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091279 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091280 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091281 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091282 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091283 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091284 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091285 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091286 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091288 -  ..
091289 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091290 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091292 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091293 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091294 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091295 -        Chest pain...................................   1          2  possibly slight pressure on Campus Road, and again on Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091296 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091297 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091298 -        Hip left.....................................   2         10  pain on Campus Road, less severe on Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091299 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091300 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091301 -        Knee left meniscus...PRP 191009..............   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091302 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091303 -        Knee buckling left..PRP 191009...............   1          8  1st time since removed elastic bandage on 191223 shown in case study on 190101 0730. ref SDS 69 RPSP                                                                                                                                                                                                                                                                                                                                                                                                                                   
091304 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091305 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091306 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091307 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091308 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091309 -        Calf left....................................   2         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091310 -        Calf right...................................   2         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091311 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091312 -        Tailor's Bunion left foot.. PRP 190612.......   3          3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091313 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091314 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091315 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091316 -        Metatarsalgia left foot...PRP 191009.........   2          4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091317 -        Metatarsalgia right foot..PRP 191009.........   2          4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091318 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091319 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091320 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091321 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091322 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091323 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091324 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091325 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091326 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091328 -  ..
091329 - Body feels very fatigued, slightly dizzy after hiking 16 miles in 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091330 - degrees, following PRP on 191009 1500, ref SDS 78 0001, and hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091331 - Crystal Ranch 8 mile loop.  BP very low 75 56, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091332 - LI5N
091334 - -
091335 - After hike left knee patella pain level 0; left knee meniscus slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091336 - swelled pain level 0, and knee less stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091337 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091339 -  ..
091340 - Several hours after hike, feet pain level 1; left leg pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091341 - 0.  Did not take medication, per above. ref SDS 0 QP3M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091343 -  ..
091344 - Legs 6 hours after hike late at night - body does not ache.  Restless                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091345 - legs did not occur, so did not take Tramadol - see study above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091346 - ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091348 -  ..
091349 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091350 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091351 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091352 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091353 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091355 -     ..
091356 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091357 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091359 -  ..
091360 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091361 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091362 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091364 -  ..
091365 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091366 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091367 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091369 -  ..
091370 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091371 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091372 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091373 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091374 - ref SDS 77 SM4M  Befor hike today on 200228 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091375 - and Tailor's Bunions.  After hike did not apply Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091376 - lotion both feet.  Wore Wrightsock thin double ply and laced shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091377 - less tightly.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091379 -  ..
091380 - Concord 16 mile route.  Did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091381 - Starting HR 61, energy okay wearing Hoka Bondi 6 shoes received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091382 - 190927 1110. ref SDS 77 SM4M, and wearing 2-ply Wright socks received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091383 - on 191010 1344. ref SDS 79 SM4M  Today, hiking with diclofenac on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091384 - knee, naproxen and gabapentin for feet; forgot to take Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091385 - Chondroitin - no oxycodone.  Took Apixaban blood thinner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091386 - Metoprolol Tartrate to avoid chest pain from PAF by lowering heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091387 - rate, per above. ref SDS 0 LI5N  Hiking normal pace on Cuneo slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091388 - uphill - calf mulsces pain level 3 and HR 84.  Hiking on Treat flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091389 - asphault pavement shoulder, pace normal.  Hiking up slight hill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091390 - Turtle Creek Road at mile .75 chest pain level 0 - HR 91 and cellphone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091391 - shows perfect sinus curve.  Time to 1.25 miles 19 minutes and HR 93.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091392 - Turned corner onto Clayton and hiked 2 miles South on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091393 - sidewalk.  About halfway at corner of Clayton and Indian Lane mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091394 - 2.25.  Feeling tired but calf muscles better pain level 2.  Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091395 - Bunion pain level 0, likely because laced shoes loosley and wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091396 - thin Wrightsocks.  Also shaved calluses before hike on 200213, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091397 - above. ref SDS 0 UXVS  Turned corner heading West on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091398 - Road at mile 3.8 still on concrete sidewalk.  About mile 3.75 crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091399 - from North to South side Ygnacio Valley Road to hike on asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091400 - pavement against oncoming traffic - HR 93.  Calf muscles pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091401 - Continued to Pine Hollow road - time to mile 4.25 about 71 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091402 - Stopped at Texaco gas station.  Turned corner hiked about 50 yards                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091403 - South on Pine Hollow and turned West onto Campus Road.  Hiked .75 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091404 - uphill to the main campus visitor parking.  Felt good - increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091405 - going uphill and breathing through nose all the way; no evident chest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091406 - pressure.  About halfway uphill left knee slight buckling, 1st time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091407 - since 191209, reported in case study on 190101 0730. ref SDS 69 YQTT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091408 - HR 136 at time 1312, indicating in PAF, but cellphone shows smooth                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091409 - sinus curve.  Seemed to stay in PAF for rest of hike.  At main campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091410 - level HR 141.  Hiked 1-loop around faculty and student parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091411 - about 1.25 miles.  At mile 6 in the hike turned North and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091412 - downhill .5 miles to Ygnacio Valley Road - HR 129.  Turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091413 - hiked West on Ygnacio Valley Road.  Still uneasy about Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091414 - Road, since last time on 200303, reported above. ref SDS 0 RS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091415 - Turned corner anyway onto Crystal Ranch Road and hiked 6-mile loop -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091416 - HR 134.  At mile 6.5 hiked South 1 mile up steep hill on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091417 - road breathing through nose all the way to summit - HR 160 at mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091418 - in the hike and no chest pain.  Continued on flat roadway 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091419 - through residential area - HR 134.  Continued on Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091420 - hiking downhill .25 mile past Rolling Woods Way - HR 132.  Hiked up to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091421 - the end of Crystal Ranch Road very steep hill .5 mile to top of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091422 - mountain.  Difficult struggle, HR 169 - breathing through nose 75% of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091423 - way up, then through mouth last 25% of way up.  At summit HR dropped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091424 - to 135 so still in paroxyxmal atrial fibrillation (PAF).  Hiked down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091425 - steep hill .5 mile - HR 122; turned right onto Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091426 - Hiked up very steep hill breathing through nose .33 miles to summit -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091427 - HR 169; then downhill .66 miles - HR 134.  Turned North onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091428 - Hollow.  Hiked 1 mile on flat roadway back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091429 - Stopped at Texaco - HR 137 at mile 10 in the hike.  Did not buy coke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091430 - and donut for energy because decided not to go for 20 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091431 - Continued hiking up Campus Road again, back to main campus visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091432 - parking.  HR 151.  Did another loop around faculty and student parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091433 - lots.  Hiked downhill .5 miles to Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091434 - Ygnacio Valley Road uphill .5 miles to Cowell - HR 155.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091435 - downhill 1 mile to Treat - HR 132.  Hiked home for 16 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091437 -  ..
091438 - Breakfast - cheerios chia seeds banana milk for medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091439 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091440 - Dinner - macaroni cheese tuna asparagus onion avocado, cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091442 -  ..
091443 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091448 -         ..
091449 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091450 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091451 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091452 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091453 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091454 -   72.  200312 0640............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091455 -               0620....BP HR..................................................... 141  73  43  smooth curve so likely in sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091456 -               0625....BP HR..................................................... 135  73  43  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091457 -               0630....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091458 -               0630... 20 973400 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091459 -               0630... 80 176480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091460 -               0630... 05  560 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091461 -               0630... 75 3550 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091462 -           **  0630... 25   2275.0 Metoprolol Tartrate - considered skipping this morning, because HR 33 - went back up to 60 after walking around, so took the pill                                                                                                                                                                                                                                                                                                                                                                                                                                               
091463 -               1020... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091464 -        forgot 0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091465 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091466 -               1020... Gabapentin 300MG  14000MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091467 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091468 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091469 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091470 -               1120....miles...........  12.0  28.0  193   446 minutes temp  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091471 -               1520....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091472 -               1525....BP HR.....................................................  88  72 145   PAF continuing condition during most of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091473 -               1530....BP HR.....................................................  93  75 145   PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091474 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091475 -               1700... 40 54880 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
091476 -             1 0000............ 10 13330  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091477 -             1 0000............ 10 12920  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091478 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091479 -               2000... 25   2300 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091480 -               0000....Tramadol 50 1600 at 2100 feeling okay now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091481 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091482 -               2100... 40 34760 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091483 -               2130... 1000  751000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091484 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091485 -               2200... 05  565 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091486 -               2200... 80 176560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091487 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091488 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091490 -  ..
091491 - ** At 1015 feeling sleepy and vision blurry seeing computer screen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091492 - after taking metoprolol at 0630, per above. ref SDS 0 Y89J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091494 -  ..
091495 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091497 -  ..
091498 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091499 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091500 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091502 -  ..
091503 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091505 -  ..
091506 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091508 -  ..
091509 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091510 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091512 -  ..
091513 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091515 -  ..
091516 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091517 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091519 -  ..
091520 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091521 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091522 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091523 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091524 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091525 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091526 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091527 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091528 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091529 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091530 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091531 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091532 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091534 -  ..
091535 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091536 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091538 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091539 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091540 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091541 -        Chest pain...................................   1          2  possibly slight pressure on Campus Road, so did not hike Crystal Ranch Road today                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091542 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091543 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091544 -        Hip left.....................................   2         20  pain on Campus Road, again on Ygnacio Valley Road, and on Treat at the end                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091545 -        Back lower side..............................   2          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091546 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091547 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091548 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091549 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091550 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091551 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091552 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091553 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091554 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091555 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091556 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091557 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091558 -        Tailor's Bunion left foot.. PRP 190612.......   2          3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091559 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091560 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091561 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091562 -        Metatarsalgia left foot...PRP 191009.........   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091563 -        Metatarsalgia right foot..PRP 191009.........   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091564 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091565 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091566 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091567 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091568 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091569 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091570 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091571 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091572 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091574 -  ..
091575 - Body feels very fatigued, slightly dizzy after hiking 16 miles in 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091576 - degrees, following PRP on 191009 1500, ref SDS 78 0001, and hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091577 - Crystal Ranch 8 mile loop.  BP very low 75 56, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091578 - LI5N
091580 - -
091581 - After hike left knee patella pain level 0; left knee meniscus slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091582 - swelled pain level 0, and knee less stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091583 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091585 -  ..
091586 - Several hours after hike, feet pain level 1; left leg pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091587 - 0.  Did not take medication, per above. ref SDS 0 QP3M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091589 -  ..
091590 - Legs 6 hours after hike late at night - body does not ache.  Restless                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091591 - legs did not occur, so did not take Tramadol - see study above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091592 - ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091594 -  ..
091595 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091596 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091597 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091598 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091599 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091601 -     ..
091602 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091603 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091605 -  ..
091606 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091607 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091608 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091610 -  ..
091611 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091612 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091613 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091615 -  ..
091616 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091617 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091618 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091619 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091620 - ref SDS 77 SM4M  Befor hike today on 200228 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091621 - and Tailor's Bunions.  After hike did not apply Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091622 - lotion both feet.  Wore Wrightsock thin double ply and laced shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091623 - less tightly.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091625 -  ..
091626 - Concord 12 mile route.  Hiked 2 extra 1-mile loops at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091627 - Starting HR 52, energy okay wearing Hoka Bondi 6 shoes received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091628 - 190927 1110. ref SDS 77 SM4M, and wearing 2-ply Wright socks received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091629 - on 191010 1344. ref SDS 79 SM4M  Today, hiking forgot to apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091630 - diclofenac on left knee.  Took naproxen and gabapentin for feet, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091631 - Glucosamine Chondroitin for left knee.  Took Apixaban blood thinner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091632 - Metoprolol Tartrate to avoid chest pain from PAF by lowering heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091633 - rate, per above. ref SDS 0 Y89J  Hiking normal pace on Cuneo slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091634 - uphill - calf mulsces pain level 0 and HR 71.  Cellphone failed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091635 - report HR; showed erratic sinus curve, indicating PAF.  At top of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091636 - Cuneo HR 91 - could be back in sinus.  Hiking on sidewalk to Cowell -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091637 - ran to make the traffic light - HR 96.  Hiking on Treat flat asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091638 - pavement shoulder, pace normal.  Hiking up slight hill to Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091639 - Road at mile .75 chest pain level 0 - HR 96 and cellphone shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091640 - perfect sinus curve.  Top of both hands feeling "pins and needles,"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091641 - indicating low blood pressure.  Time to 1.25 miles 19 minutes and HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091642 - 92.  Turned corner onto Clayton and hiked 2 miles South on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091643 - sidewalk.  Tailor's bunion pain level 2 - last shaved calluses before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091644 - hike a month ago on 200213, per above. ref SDS 0 UXVS  At 1157, mile 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091645 - near Baily Road on Clayton - HR 94, so still in sinus - feeling left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091646 - hip and balls of both feet (metatarsalgia), both pain level 2.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091647 - mile 3.8, turned corner heading West on Ygnacio Valley Road, still on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091648 - concrete sidewalk.  About mile 3.75 crossed from North to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091649 - Ygnacio Valley Road to hike on asphault pavement against oncoming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091650 - traffic - HR 96.  Left hip and both feet pain level 0.  Continued to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091651 - Pine Hollow road - time to mile 4.25 about 71 minutes.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091652 - Texaco gas station.  Bought Coca Cola to hydrate and avoid low BP 77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091653 - 56, yesterday, per above, ref SDS 0 LI5N, with temperature forecast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091654 - today of 80.  Turned corner hiked about 50 yards South on Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091655 - and turned West onto Campus Road.  Dramatic change - HR spiked to 148                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091656 - - so sinus changed to PAF in an instant.  Hiked .75 mile uphill to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091657 - campus.  Felt good - increased pace going uphill and breathing through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091658 - nose all the way; seemed like slight chest pressure.  About halfway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091659 - uphill HR 141, so still PAF even though cellphone shows smooth sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091660 - curve.  Stayed in PAF for rest of hike.  At top of mountain, the main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091661 - campus level - HR 151.  Hiked 2-loops around faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091662 - parking lots about 1.25 miles each.  On 1st loop going slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091663 - downhill HR dropped to 128 - could be back in sinus - and remained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091664 - between 130 and 140 for rest of hike.  At mile 8 turned North and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091665 - hiked downhill .5 miles to Ygnacio Valley Road - HR 132.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091666 - corner and hiked West on Ygnacio Valley Road.  Uneasy about hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091667 - Crystal Ranch Road in PAF, since last time on 200303, reported above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091668 - ref SDS 0 RS5O, and since yesterday doing Crystal Ranch Road in PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091669 - and hitting Hr 169 on big hills, so hiked past and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091670 - Ygnacio Valley Road uphill to Cowell - HR 139.  Hiked downhill 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091671 - to Treat - HR 134.  Ran across Treat to make traffic light - HR 144.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091672 - Hiked .25 miles to Cuneo - HR 134.  Turned North onto Cunoe and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091673 - .25 mile.  Turned East onto Kaski and hiked .25 mile.  Turned South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091674 - onto Cowell and hiked .25 mile back to Treat - HR 131.  Hiked another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091675 - loop to complete 12 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091677 -  ..
091678 - Breakfast - cheerios chia seeds banana milk for medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091679 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091680 - Dinner - salmon asparagus onion avocado tomato mushrooms, cashews                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091681 - small apple pie milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091683 -  ..
091684 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091689 -         ..
091690 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091691 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091692 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091693 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091694 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091695 -   73.  200313 0710............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091696 -               0720....BP HR..................................................... 142  74  43  smooth curve so likely in sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091697 -               0725....BP HR..................................................... 132  70  43  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091698 -               0730....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091699 -               0730... 20 973420 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091700 -               0730... 80 176640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091701 -               0730... 05  570 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091702 -               0730... 75 3625 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091703 -           **  0730... 25   2325.0 Metoprolol Tartrate - considered skipping this morning, because HR 33 - went back up to 60 after walking around, so took the pill                                                                                                                                                                                                                                                                                                                                                                                                                                               
091704 -               0930... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091705 -               0930... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091706 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091707 -               0930... Gabapentin 300MG  14300MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091708 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091709 -               0930....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091710 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091711 -          *cr  1110....miles...........  20.0  48.0  322   768 minutes temp  65  very windy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091712 -               1720....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091713 -               1730....BP HR.....................................................  89  71 145   PAF continuing condition during most of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091714 -               1735....BP HR.....................................................  94  75 139   PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091715 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091716 -               1700... 40 54920 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
091717 -               1830............ 10 13340  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091718 -               1830............ 10 12930  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091719 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091720 -               2000... 25   2350 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091721 -               2030....Tramadol 50 1650 at 2100 feeling okay now - actually didn't seem to make that much difference to legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091722 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091723 -               2100... 40 34800 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091724 -               2130... 1000  752000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091725 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091726 -               2200... 05  575 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091727 -               2200... 80 176720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091728 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091729 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091731 - * cr - hiked Crystal Ranch Road 6-mile loop with 3 major hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091732 - Started again on 200213, ref SDS 0 GW6J - first time, since pausing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091733 - 191228, due to PAF symptoms, shown in case study on 190101 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091734 - ref SDS 69 4F9L  Today, 3rd time hiking to top of Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091735 - Mountain since 191226, reported in study on 190101 0730. ref SDS 69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091736 - KV9H On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091737 - loops, as part of daily hike, see case study on 180101 0820.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091738 - ref SDS 55 E55K 61 E55K On 191004 changed route going up and coming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091739 - down .5 miles very steep section Crystal Ranch Road to deadend at top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091740 - of mountain. ref SDS 0 2T9L  Makes 6-mile loop with 3 major hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091741 - Today, didn't do this steep section, while recoverying from proxysmal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091742 - atrial fibrillation; hoping can return after getting pulmonary vein                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091743 - isolation, to be discussed with Cardiology in meeting on 200219 at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091744 - VAMCSF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091746 -  ..
091747 - ** At 0810 feeling sleepy and vision blurry seeing computer screen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091748 - after taking metoprolol at 0730, per above. ref SDS 0 Y64I  There is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091749 - kind of haze feeling on the forehead above the eyes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091751 -  ..
091752 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091754 -  ..
091755 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091756 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091757 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091759 -  ..
091760 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091762 -  ..
091763 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091765 -  ..
091766 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091767 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091769 -  ..
091770 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091772 -  ..
091773 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091774 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091776 -  ..
091777 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091778 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091779 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091780 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091781 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091782 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091783 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091784 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091785 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091786 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091787 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091788 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091789 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091791 -  ..
091792 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091793 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091795 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091796 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091797 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091798 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091799 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091800 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091801 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091802 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091803 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091804 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091805 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091806 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091807 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091808 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091809 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091810 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091811 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091812 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091813 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091814 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091815 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091816 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091817 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091818 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091819 -        Metatarsalgia left foot...PRP 191009.........   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091820 -        Metatarsalgia right foot..PRP 191009.........   3          7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091821 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091822 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091823 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091824 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091825 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091826 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091827 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091828 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091829 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091831 -  ..
091832 - Body feels fatigued after hiking 20 miles in 65 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091833 - on 191009 1500, ref SDS 78 0001, and hiking Crystal Ranch 8 mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091834 - BP very low 75 56, per above. ref SDS 0 LI5N
091836 - -
091837 - After hike left knee patella pain level 0; left knee meniscus slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091838 - swelled pain level 0, and knee less stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091839 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091841 -  ..
091842 - Several hours after hike, feet pain level 1; left leg pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091843 - 0.  Did not take medication, per above. ref SDS 0 QP3M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091845 -  ..
091846 - Legs 6 hours after hike late at night - body does not ache.  Restless                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091847 - legs occurred, so took Tramadol - see study above. ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091848 - Didn't really help that much; but caused sleepiness, so went to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091850 -  ..
091851 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091852 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091853 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091854 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091855 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091857 -     ..
091858 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091859 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091861 -  ..
091862 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091863 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091864 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091866 -  ..
091867 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091868 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091869 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091871 -  ..
091872 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091873 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091874 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091875 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091876 - ref SDS 77 SM4M  Before hike today on 200313 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091877 - and Tailor's Bunions.  Applied diclofenac medication to Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091878 - Bunions.  After hike did not apply Ammonium Lactate 12% lotion both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091879 - feet.  Wore Wrightsock thin double ply and laced shoes less tightly.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091881 -  ..
091882 - Concord 20 mile route.  Hiked extra 1-mile loops at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091883 - HR 114 in PAF entire hike.  Energy okay wearing Hoka Bondi 6 shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091884 - received on 190927 1110. ref SDS 77 SM4M, and wearing 2-ply Wright                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091885 - socks received on 191010 1344. ref SDS 79 SM4M  Today, applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091886 - diclofenac on left knee, and on Tailors Bunion both feet.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091887 - naproxen and gabapentin for feet, and Glucosamine Chondroitin for left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091888 - knee.  Took Apixaban blood thinner Metoprolol Tartrate to avoid chest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091889 - pain from PAF by lowering heart rate, per above. ref SDS 0 Y64I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091890 - Hiking normal pace on Cuneo slight uphill - calf mulsces pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091891 - and HR 119, so already in PAF.  Very windy, will be difficult on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091892 - uphills.  Hiking on sidewalk to Cowell - HR 121.  Hiking on Treat flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091893 - asphault pavement shoulder, pace normal.  Hiking up slight hill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091894 - Turtle Creek Road at mile .75 chest pain level 0 - HR 135.  Time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091895 - 1.25 miles 19 minutes and HR 130.  Turned corner onto Clayton and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091896 - hiked 2 miles South on concrete sidewalk.  At 1136 passing McDonald's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091897 - mile 1.4 and HR 112, which indicates sinus.  Yesterday, HR spiked into                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091898 - 140s, so today seems better.  Tailor's bunion pain level 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091899 - - shaved calluses and applied diclofenac medication to Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091900 - Bunions before hike this morning on 200313, per above. ref SDS 0 QPXP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091901 - Feeling metatarsalgia pain level 2 bottom right foot for past mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091902 - At mile 3.5 turned corner heading West on Ygnacio Valley Road, still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091903 - on concrete sidewalk.  About mile 3.75 crossed from North to South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091904 - side Ygnacio Valley Road to hike on asphault pavement against oncoming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091905 - traffic - HR 123.  Continued to Pine Hollow road - time to mile 4.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091906 - about 72 minutes.  Stopped at Texaco gas station.  Turned corner hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091907 - about 50 yards South on Pine Hollow and turned West onto Campus Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091908 - Hiked .75 mile uphill to the main campus visitor parking.  Felt good -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091909 - increased pace going uphill and breathing through nose all the way;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091910 - did not notice even slight chest pressure today.  About halfway uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091911 - HR 120, could be sinus, with cellphone showing smooth sinus curve.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091912 - top of mountain, the main campus level - HR 132.  At least no dramatic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091913 - spike in HR today, as occurred yesterday.  Hiked 1-loop around faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091914 - and student parking lots about 1.25 miles.  Going slightly downhill HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091915 - dropped to 113, and going back uphill to main campus HR 128.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091916 - 7 turned North and hiked downhill .5 miles to Ygnacio Valley Road - HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091917 - 123.  Turned corner and hiked West on Ygnacio Valley Road.  Considered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091918 - skipping Crystal Ranch Road in PAF, as done yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091919 - ref SDS 0 PXSW  Turned corner anyway onto Crystal Ranch Road and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091920 - 6-mile loop - HR 122.  At mile 7 hiked South 1 mile up steep hill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091921 - Crystal Ranch road breathing through nose past storm drain #4, about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091922 - 60% of the way up.  Strong headwind increased difficulty hiking this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091923 - section.  Breathed through mouth on up to summit - HR 147 at mile 8 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091924 - the hike and no chest pain.  Continued on flat roadway 1 mile through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091925 - residential area - HR 121.  Continued on Crystal Ranch Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091926 - downhill .25 mile past Rolling Woods Way - HR 124.  Hiked up to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091927 - end of Crystal Ranch Road very steep hill .5 mile to top of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091928 - mountain.  Difficult struggle, HR 160 - breathing through nose all the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091929 - way up.  At summit HR dropped to 133 so still in paroxyxmal atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091930 - fibrillation (PAF).  Hiked down steep hill .5 mile - HR 132; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091931 - right onto Rolling Woods Way.  Hiked up very steep hill breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091932 - through nose .33 miles to summit - HR 161.  Raced a woman who came                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091933 - from downhill gong South on Crystal Ranch Road, while I was gong                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091934 - North.  We both turned onto Rolling Woods at same time.  She beat me                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091935 - handily by 20 yards to the top.  Continued downhill .66 miles - HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091936 - 140.  Turned North onto Pine Hollow.  Hiked 1 mile on flat roadway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091937 - back to Ygnacio Valley Road.  Stopped at Texaco - HR 133 at mile 12 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091938 - the hike.  Bought coke and donut for energy going for 20 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091939 - Continued hiking up Campus Road again, back to main campus visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091940 - parking.  HR 139.  Did another 3-loops around faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091941 - parking lots - HR went up to 159.  Hiked downhill .5 miles to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091942 - Valley Road.  Hiked West on Ygnacio Valley Road uphill .5 miles to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091943 - Cowell - HR 134.  Hiked downhill 1 mile to Treat - HR 134.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091944 - final 1 mile loop - Treat to Cuneo to Kaski to Cowell, to Treat, back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091945 - to Cuneo and home for for 20 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091947 -  ..
091948 - Breakfast - cheerios chia seeds banana milk for medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091949 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091950 - Dinner - salmon asparagus onion avocado tomato mushrooms, small apple                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091951 - pie milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091953 -  ..
091954 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091959 -         ..
091960 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091961 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091962 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091963 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091964 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091965 -   74.  200314 0620............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091966 -               0730....BP HR..................................................... 102  58  45  smooth curve so likely in sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091967 -               0735....BP HR..................................................... 102  59  45  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091968 -               0740....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091969 -               0740... 20 973440 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091970 -               0740... 80 176800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091971 -               0740... 05  590 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091972 -               0740... 75 3700 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091973 -           **  0740... 25   2375.0 Metoprolol Tartrate - considered skipping this morning, because HR 33 - went back up to 60 after walking around, so took the pill                                                                                                                                                                                                                                                                                                                                                                                                                                               
091974 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091975 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091976 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091977 -               0930... Gabapentin 300MG  14300MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091978 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091979 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091980 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091981 -               1700... 40 54960 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
091982 -             1 0000............ 10 13340  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091983 -             1 0000............ 10 12930  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091984 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091985 -               2000... 25   2400 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091986 -               0000....Tramadol 50 1650 at 2100 feeling okay now - actually didn't seem to make that much difference to legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091987 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091988 -               2040... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091989 -               2100... 40 34840 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091990 -               2130... 1000  753000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091991 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091992 -               2200... 05  585 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091993 -               2200... 80 176880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091994 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091995 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091997 -  ..
091998 - ** At 0955 feeling sleepy and vision blurry seeing computer screen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091999 - after taking metoprolol at 0630, per above. ref SDS 0 Y89J  There is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092000 - a kind of haze feeling on the forehead above the eyes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092002 -  ..
092003 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092005 -  ..
092006 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092007 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092008 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092010 -  ..
092011 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092013 -  ..
092014 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092016 -  ..
092017 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092018 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092020 -  ..
092021 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092023 -  ..
092024 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092025 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092027 -  ..
092028 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092029 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092030 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092031 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092032 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092033 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092034 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092035 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092036 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092037 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092038 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092039 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092040 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092042 -  ..
092043 - Breakfast - eggs pancake milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092044 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092045 - Dinner - sandwich roast beef onion cheese, cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092047 -  ..
092048 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092053 -         ..
092054 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092055 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092056 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092057 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092058 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092059 -   75.  200315 0640............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092060 -               0710....BP HR..................................................... 130  69  41  smooth curve so likely in sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092061 -               0715....BP HR..................................................... 123  65  40  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092062 -               0720....weight.................................... 191                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092063 -               0720... 20 973460 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092064 -               0720... 80 176960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092065 -               0720... 05  600 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092066 -               0720... 75 3775 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092067 -           **  0720... 25   2425.0 Metoprolol Tartrate - considered skipping this morning, because HR 33 - went back up to 60 after walking around, so took the pill                                                                                                                                                                                                                                                                                                                                                                                                                                               
092068 -               1000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092069 -               1000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092070 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092071 -               1000... Gabapentin 300MG  14600MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092072 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092073 -               1000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092074 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092075 -               1100....miles...........   6.0  54.0   98   866 minutes temp  48  rain wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092076 -               1340....weight.................................... 190                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092077 -               1345....BP HR..................................................... 115  64  40   sinus continuing condition during most of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092078 -               1350....BP HR..................................................... 130  66  40   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092079 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092080 -               1700... 40 55000 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
092081 -               1830............ 10 13350  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092082 -               1830............ 10 12940  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092083 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092084 -               2000... 25   2450 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092085 -               0000....Tramadol 50 1650 at 2100 feeling okay now - actually didn't seem to make that much difference to legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092086 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092087 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092088 -               2100... 40 34880 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092089 -               2130... 1000  754000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092090 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092091 -               2200... 05  605 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092092 -               2200... 80 177040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092093 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092094 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092096 - ** At 0810 feeling sleepy and vision blurry seeing computer screen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092097 - after taking metoprolol at 0730, per above. ref SDS 0 JN3I  There is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092098 - kind of haze feeling on the forehead above the eyes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092100 -  ..
092101 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092103 -  ..
092104 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092105 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092106 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092108 -  ..
092109 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092111 -  ..
092112 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092114 -  ..
092115 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092116 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092118 -  ..
092119 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092121 -  ..
092122 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092123 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092125 -  ..
092126 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092127 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092128 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092129 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092130 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092131 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092132 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092133 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092134 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092135 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092136 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092137 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092138 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092140 -  ..
092141 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092142 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092144 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092145 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092146 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092147 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092148 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092149 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092150 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092151 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092152 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092153 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092154 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092155 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092156 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092157 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092158 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092159 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092160 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092161 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092162 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092163 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092164 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092165 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092166 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092167 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092168 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092169 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092170 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092171 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092172 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092173 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092174 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092175 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092176 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092177 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092178 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092180 -  ..
092181 - Body feels okay after hiking 6 miles in 49 degrees, following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092182 - 191009 1500, ref SDS 78 0001, and ending hike before Crystal Ranch 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092183 - mile loop, due to severe rain and wind.
092185 - -
092186 - After hike left knee patella pain level 0; left knee meniscus not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092187 - swelled pain level 0, and knee less stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092188 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092190 -  ..
092191 - Several hours after hike, feet pain level 1; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092192 - Did not take medication, per above. ref SDS 0 R97F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092194 -  ..
092195 - Legs 6 hours after hike late at night - body does not ache.  Restless                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092196 - legs did not occur, so did not take Tramadol - see study above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092197 - ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092199 -  ..
092200 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092201 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092202 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092203 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092204 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092206 -     ..
092207 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092208 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092210 -  ..
092211 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092212 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092213 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092215 -  ..
092216 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092217 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092218 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092220 -  ..
092221 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092222 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092223 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092224 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092225 - ref SDS 77 SM4M  Before hike on 200313 shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092226 - Tailor's Bunions. ref SDS 0 QPXP  After hike did not apply Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092227 - Lactate 12% lotion both feet.  Wore Wrightsock thin double ply and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092228 - laced shoes less tightly.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092230 -  ..
092231 - Concord 6 mile route.  Did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092232 - Starting HR 53, energy okay wearing Hoka Bondi 6 shoes received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092233 - 190927 1110. ref SDS 77 SM4M, and wearing 2-ply Wright socks received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092234 - on 191010 1344. ref SDS 79 SM4M  Today, applied diclofenac on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092235 - knee, and Tailors Bunion on both feet.  Took naproxen and gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092236 - for feet, and Glucosamine Chondroitin for left knee.  Took Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092237 - blood thinner, and Metoprolol Tartrate to avoid chest pain from PAF by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092238 - lowering heart rate, per above. ref SDS 0 R97F  Raining lightly and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092239 - forecast is for more rain.  Considered skipping hike, but weight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092240 - ballooned the past few days, so took off.  Hiking normal pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092241 - asphault pavement took Cuneo slight uphill for .25 mile then turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092242 - left hiking East on Treat - calf mulsces pain level 2 HR 88.  Hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092243 - on sidewalk .25 mile to Cowell - HR 81.  Hiking East on Treat flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092244 - asphault pavement shoulder, pace normal.  Hiking up slight hill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092245 - Turtle Creek Road at mile .75 chest pain level 0 - HR 93.  Rain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092246 - wind slowing pace.  Time to 1.25 miles 21 minutes and HR 85.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092247 - corner hiking South on Clayton.  Rain increased.  Hiked 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092248 - slightly uphill on concrete sidewalk.  Tailor's bunion pain level 0 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092249 - shaved calluses before hike on 200313, per above. ref SDS 0 QPXP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092250 - Turned corner heading West on Ygnacio Valley Road at mile 3.8 still on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092251 - concrete sidewalk - HR 100.  Raining harder; wind blowing rain into                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092252 - the face.  About mile 3.75 crossed from North to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092253 - Valley Road to hike on asphault pavement against oncoming traffic - HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092254 - 86.  Continued to Pine Hollow road - time to mile 4.25 about 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092255 - minutes.  Stopped at Texaco gas station - HR 73.  Called Kathy for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092256 - ride home at Campus Road intersection with Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092257 - Turned corner hiked about 50 yards South on Pine Hollow and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092258 - West onto Campus Road.  Hiked .75 mile uphill toward the campus - HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092259 - 99.  Saw Kathy's car at entrance on Campus Road and Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092260 - Road.  Hiked downhill to the car.  Kathy drove us home for 6 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092262 -  ..
092263 - Breakfast - cheerios chia seeds milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092264 - Lunch - brie cheese with triscuts.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092265 - Dinner - lettuce tuna brocolli asparagus onion avocado tomato,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092266 - cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092268 -  ..
092269 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092274 -         ..
092275 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092276 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092277 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092278 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092279 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092280 -   76.  200316 0710............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092281 -               0720....BP HR..................................................... 130  70  41  smooth curve so likely in sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092282 -               0725....BP HR..................................................... 120  67  41  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092283 -               0730....weight.................................... 191                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092284 -               0730... 20 973480 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092285 -               0730... 80 177120 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092286 -               0730... 05  610 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092287 -               0730... 75 3850 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092288 -           **  0730... 25   2475.0 Metoprolol Tartrate - considered skipping this morning, because HR 33 - went back up to 60 after walking around, so took the pill                                                                                                                                                                                                                                                                                                                                                                                                                                               
092289 -               1000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092290 -               1000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092291 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092292 -               1000... Gabapentin 300MG  14600MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092293 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092294 -               1000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092295 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092296 -          *cr  1055....miles...........  20.0  20.0  322   322 minutes temp  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092297 -               1725....weight.................................... 190                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092298 -               1730....BP HR.....................................................  97  58  51   sinus continuing condition during most of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092299 -               1735....BP HR..................................................... 107  64  48   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092300 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092301 -               1700... 40 55040 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
092302 -             1 0000............ 10 13350  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092303 -             1 0000............ 10 12940  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092304 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092305 -               2000... 25   2500 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092306 -               0000....Tramadol 50 1650 at 2100 feeling okay now - actually didn't seem to make that much difference to legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092307 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092308 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092309 -               2100... 40 34920 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092310 -               2130... 1000  755000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092311 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092312 -               2200... 05  615 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092313 -               2200... 80 177200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092314 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092315 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092317 -  ..
092318 - ** At 0810 feeling sleepy and vision blurry seeing computer screen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092319 - after taking metoprolol at 0730, per above. ref SDS 0 JN3I  There is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092320 - kind of haze feeling on the forehead above the eyes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092322 -  ..
092323 - * cr - hiked Crystal Ranch Road 8-mile loop with 3 major hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092324 - Started again on 200213, ref SDS 0 GW6J - first time, since pausing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092325 - 191228, due to PAF symptoms, shown in case study on 190101 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092326 - ref SDS 69 4F9L  Today, difficulty breathing through nose after storm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092327 - drain 4 - 60% way up.  Similar problem reaching top of mountain at end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092328 - of Crystal Ranch Road and again on Rollinw Woods Way.  Conflicts with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092329 - patient history hiking these routes past 3 years.  On 181029, 1st time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092330 - hiking 4 in-a-row Crystal Ranch Road 4-mile loops, as part of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092331 - hike, see case study on 180101 0820. ref SDS 55 E55K 61 E55K On 191004                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092332 - changed route going up and coming down .5 miles very steep section                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092333 - Crystal Ranch Road to deadend at top of mountain. ref SDS 0 2T9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092334 - Makes 6-mile loop with 3 major hills.  Adding loops through Cal State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092335 - University makes 8-mile loops.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092337 -  ..
092338 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092340 -  ..
092341 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092342 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092343 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092345 -  ..
092346 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092348 -  ..
092349 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092351 -  ..
092352 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092353 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092355 -  ..
092356 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092358 -  ..
092359 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092360 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092362 -  ..
092363 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092364 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092365 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092366 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092367 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092368 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092369 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092370 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092371 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092372 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092373 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092374 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092375 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092377 -  ..
092378 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092379 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092381 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092382 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092383 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092384 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092385 -        Breathing....................................   2         15  3 big hills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092386 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092387 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092388 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092389 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092390 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092391 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092392 -        Knee left patalla...PRP 191009...............   1          2  felt slight pain below knee cap for about .25 miles hiking over summit Ygnacio Valley Road, then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                    
092393 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092394 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092395 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092396 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092397 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092398 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092399 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092400 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092401 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092402 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092403 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092404 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092405 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092406 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092407 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092408 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092409 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092410 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092411 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092412 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092413 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092414 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092415 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092416 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092418 -  ..
092419 - Body feels okay after hiking 20 miles in 54 degrees, following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092420 - 191009 1500, ref SDS 78 0001, and hiking 5 big hills.
092422 - -
092423 - After hike left knee patella pain level 0; left knee meniscus not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092424 - swelled pain level 0, and knee less stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092425 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092427 -  ..
092428 - Several hours after hike, feet pain level 1; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092429 - Did not take medication, per above. ref SDS 0 R97F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092431 -  ..
092432 - Legs 6 hours after hike late at night - body does not ache.  Restless                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092433 - legs did not occur, so did not take Tramadol - see study above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092434 - ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092436 -  ..
092437 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092438 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092439 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092440 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092441 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092443 -     ..
092444 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092445 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092447 -  ..
092448 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092449 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092450 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092452 -  ..
092453 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092454 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092455 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092457 -  ..
092458 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092459 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092460 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092461 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092462 - ref SDS 77 SM4M  Before hike on 200313 shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092463 - Tailor's Bunions. ref SDS 0 QPXP  After hike did not apply Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092464 - Lactate 12% lotion both feet.  Wore Wrightsock thin double ply and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092465 - laced shoes less tightly.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092467 -  ..
092468 - Concord 20 mile route.  Did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092469 - Starting energy okay wearing Hoka Bondi 6 shoes received on 190927                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092470 - 1110, ref SDS 77 SM4M; and 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092471 - ref SDS 79 SM4M  Today, hiking with naproxen and gabapentin.  Applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092472 - diclofenac to left knee.  Took Glucosamine Chondroitin, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092473 - ref SDS 0 JN3I  This combination controlled pain well, shown by study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092474 - above. ref SDS 0 QUXV  Left house about 1056 - HR 49.  Hiking normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092475 - pace on Cuneo slight uphill.  Crossed Treat going East - at .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092476 - HR 90.  Hiked on concrete sidewalk .25 mile to Cowell.  Continued East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092477 - on Treat flat asphault pavement shoulder, pace normal.  Hiking up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092478 - slight hill to Turtle Creek Road at mile .7 - HR 125 so maybe in PAF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092479 - Continued on Treat at mile .85 going downhill HR 140.  Time to 1.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092480 - miles 20 minutes HR 134 - still in PAF.  Otherwise everything feels                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092481 - good, i.e., pain level 0 - feet, knees, calfs, hips, everything.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092482 - Turned corner onto Clayton and hiked 2 miles South on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092483 - sidewalk.  Good pace HR < 130, so maybe in sinus.  Turned corner
092484 - heading West on Ygnacio Valley Road at mile 3.25 still on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092485 - sidewalk - HR 128.  About mile 3.75 crossed from North to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092486 - Ygnacio Valley Road to hike on asphault pavement against oncoming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092487 - traffic.  Continued to Pine Hollow road - time to mile 4.75 about 71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092488 - minutes.  Stopped at Texaco gas station.  Turned corner hiked about 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092489 - yards South on Pine Hollow and turned West onto Campus Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092490 - .75 mile uphill to the campus.  Breathing through nose all the way,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092491 - but feeling slight shortness of breath nearing summit - HR 138.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092492 - slight downhill about 40 yards - HR dropped to 111; then hiked around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092493 - a bend joining Campus Drive from Ygnacio Valley Road continuing uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092494 - to main college campus about 250 yards.  Breathing difficulty recurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092495 - and HR increased to 138 going uphill.  At the summit hiking mileage so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092496 - far today is 6 miles and HR 123.  Hiked 1-loop around faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092497 - student parking lots about 1.25 miles - HR dropped to 100 going slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092498 - downhills and back to 145 hiking slight uphills.  Back at visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092499 - parking in front of main campus at mile 7 in the hike turned North and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092500 - hiked downhill .5 miles to Ygnacio Valley Road - HR 120.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092501 - corner and hiked West on Ygnacio Valley Road.  At mile 8 turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092502 - from Ygnacio Valley Road onto Crystal Ranch Road - HR 123.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092503 - South 1 mile up steep hill.  Breathing through nose easily until                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092504 - about halfway at storm drain 4; then shortness of breath began - HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092505 - 141.  Difficulty breathing increased for several hundred yards.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092506 - Switched to breathing through mouth - HR fell to 123.  At summit HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092507 - 132, then fell to 121 hiking on flat roadway breathing through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092508 - again.  Continued 1 mile through residential area - HR 90, in sinus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092509 - Hiked downhill .25 mile past Rolling Woods Way - HR 124.  Hiked up to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092510 - the end of Crystal Ranch Road very steep hill .5 mile to top of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092511 - mountain.  Another difficult struggle, HR 122 - breathing through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092512 - halfway - HR 148; swithched to breating through mouth - HR fell to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092513 - 123; but increased rest of way to top - HR 151.  Had shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092514 - breath today, even breathing through mouth.  At summit HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092515 - 123.  Hiked down steep hill .5 mile - HR 126; turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092516 - Rolling Woods Way.  Hiked up very steep hill .33 miles to summit.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092517 - Started breathing through nose, but within 200 yards had severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092518 - shortness of breath - HR 140.  Swithched to breathing through mouth -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092519 - HR fell to 125 and stayed in this range to summit.  Hiked downhill .66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092520 - miles - HR 125.  Turned North onto Pine Hollow.  Hiked 1 mile on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092521 - roadway back to Ygnacio Valley Road.  Stopped at Texaco - HR 128.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092522 - Bought Coca Cola and donut.  Ate half of donut and drank half of coke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092523 - for energy.  Continued hiking up Campus Road again, back to main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092524 - campus visitor parking had to switch to breathing through mouth again                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092525 - - HR 146.  Did another loop around faculty and student parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092526 - Hiked downhill .5 miles to Ygnacio Valley Road.  Hiked West .5 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092527 - Ygnacio Valley Road past Cowell and another .5 mile over the summit -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092528 - HR 157.  This 1 mile stretch is less steep than Crystal Ranch Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092529 - but still had shortness of breath through nose today, when normally                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092530 - this is easy.  Hiked West 2 miles downhill to Oak Grove.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092531 - halfway down HR 102 - seemed to drop into sinus.  Ran across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092532 - intersection Ygnacio Valley Road at Oak Grove - HR 119.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092533 - paved path .25 miles parallel to Ygnacio Valley Road around Safeway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092534 - shopping complex at fast pace - HR 107.  At Via Monte turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092535 - hiking North still on paved path for .25 mile to Shadelands Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092536 - Turned right and hiked East on Shadelands .25 mile to Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092537 - Turned right and hiked South .25 mile on Oak Grove back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092538 - Valley Road.  Turned right and hiked West .25 mile.  Turned right on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092539 - Via Monte and hiked North back to Shadelands.  Turned righ and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092540 - .25 mile back to Oak Grove. - at mile 19 feeling strong.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092541 - and hiked North on paved path parallel to Oak Grove then on Oak Grove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092542 - when path ended - 1 mile to Treat - HR 111.  Kathy drove us home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092543 - 20 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092545 -            [On 200317 1046 letter to Doctor Pellegrini and Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092546 -            Simpson reporting advancing shortness of breath from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092547 -            difficulty breathing referencing the record hiking Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092548 -            20 mile route. ref SDS 91 XP87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092550 -  ..
092551 - Breakfast - oats with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092552 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092553 - Dinner - corned beef potatoes cabbage carrots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092555 -  ..
092556 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092560 -         ..
092561 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092562 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092563 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092564 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092565 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092566 -   77.  200317 0730............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092567 -               0740....BP HR..................................................... 123  70  78  jagged curve so likely in PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092568 -               0745....BP HR..................................................... 113  72  73  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092569 -               0750....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092570 -               0750... 20 973500 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092571 -               0750... 80 177280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092572 -               0750... 05  620 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092573 -               0750... 75 3925 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092574 -           **  0750... 25   2525.0 Metoprolol Tartrate - considered skipping this morning, because HR 33 - went back up to 60 after walking around, so took the pill                                                                                                                                                                                                                                                                                                                                                                                                                                               
092575 -               1000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092576 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092577 -               1000... Gabapentin 300MG  14600MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092578 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092579 -               1130... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092580 -               1140....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092581 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092582 -               1150....miles...........  13.0  33.0  208   530 minutes temp  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092583 -               1610....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092584 -               1615....BP HR..................................................... 108  86 141   PAF continuing condition during most of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092585 -               1620....BP HR..................................................... 101  82 140   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092586 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092587 -               1700... 40 55080 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
092588 -               1830............ 10 13360  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092589 -               1830............ 10 12950  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092590 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092591 -               2000... 25   2550 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092592 -               0000....Tramadol 50 1650 at 2100 feeling okay now - actually didn't seem to make that much difference to legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092593 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092594 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092595 -               2100... 40 34960 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092596 -               2130... 1000  756000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092597 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092598 -               2200... 05  625 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092599 -               2200... 80 177360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092600 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092601 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092603 -  ..
092604 - ** At 0820 feeling sleepy and vision blurry seeing computer screen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092605 - after taking metoprolol at 0730, per above. ref SDS 0 Z64H  There is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092606 - kind of haze feeling on the forehead above the eyes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092608 -  ..
092609 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092611 -  ..
092612 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092613 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092614 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092616 -  ..
092617 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092619 -  ..
092620 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092622 -  ..
092623 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092624 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092626 -  ..
092627 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092629 -  ..
092630 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092631 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092633 -  ..
092634 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092635 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092636 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092637 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092638 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092639 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092640 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092641 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092642 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092643 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092644 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092645 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092646 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092648 -  ..
092649 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092650 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092652 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092653 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092654 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092655 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092656 -        Breathing....................................   0        100  1 big hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092657 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092658 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092659 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092660 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092661 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092662 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092663 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092664 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092665 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092666 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092667 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092668 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092669 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092670 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092671 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092672 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092673 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092674 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092675 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092676 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092677 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092678 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092679 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092680 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092681 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092682 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092683 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092684 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092685 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092686 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092687 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092689 -  ..
092690 - Body feels okay after hiking 13 miles in 58 degrees, following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092691 - 191009 1500, ref SDS 78 0001, and hiking 5 big hills.
092693 - -
092694 - After hike left knee patella pain level 0; left knee meniscus not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092695 - swelled pain level 0, and knee less stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092696 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092698 -  ..
092699 - Several hours after hike, feet pain level 1; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092700 - Did not take medication, per above. ref SDS 0 R97F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092702 -  ..
092703 - Legs 6 hours after hike late at night - body does not ache.  Restless                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092704 - legs did not occur, so did not take Tramadol - see study above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092705 - ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092707 -  ..
092708 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092709 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092710 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092711 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092712 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092714 -     ..
092715 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092716 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092718 -  ..
092719 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092720 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092721 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092723 -  ..
092724 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092725 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092726 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092728 -  ..
092729 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092730 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092731 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092732 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092733 - ref SDS 77 SM4M  Before hike on 200313 shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092734 - Tailor's Bunions. ref SDS 0 QPXP  After hike did not apply Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092735 - Lactate 12% lotion both feet.  Wore Wrightsock thin double ply and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092736 - laced shoes less tightly.  Applied diclofenac to Tailors Bunion and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092737 - blisters on big toes both feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092739 -  ..
092740 - Concord 20 mile route - likely PAF entire hike.  Did not hike extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092741 - 1-mile loop at the end.  Starting energy okay wearing Hoka Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092742 - shoes received on 190927 1110, ref SDS 77 SM4M; and 2-ply Wright socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092743 - received on 191010 1344. ref SDS 79 SM4M  Today, hiking with naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092744 - and gabapentin.  Applied diclofenac to left knee and to Tailors Bunion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092745 - and blisters big toes both feet.  Took Glucosamine Chondroitin, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092746 - above. ref SDS 0 Z64H  This combination controlled pain well, shown by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092747 - study above. ref SDS 0 QXWP  Left house about 1150 - HR 78, so likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092748 - in PAF.  Hiking normal pace on Cuneo slight uphill; already having                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092749 - shortness of breath.  Crossed Treat going East - at .25 mile HR 113.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092750 - Hiked on concrete sidewalk .25 mile to Cowell.  Continued East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092751 - Treat flat asphault pavement shoulder, pace normal.  Hiking up slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092752 - hill to Turtle Creek Road at mile .7 - HR 118 so maybe in PAF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092753 - Continued on Treat.  Time to 1.25 miles 19 minutes HR 105 - could have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092754 - slipped into sinus.  Turned corner onto Clayton and hiked 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092755 - South on concrete sidewalk.  Good pace - at mile 1.3 HR 142 suddenly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092756 - jumped up into PAF.  At mile 3 ran for about 40 yards to help a lady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092757 - with groceries.  Turned corner heading West on Ygnacio Valley Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092758 - mile 3.25 still on concrete sidewalk - HR 128.  About mile 3.75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092759 - crossed from North to South side Ygnacio Valley Road to hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092760 - asphault pavement against oncoming traffic.  Continued to Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092761 - road - time to mile 4.75 about 72 minutes.  Stopped at Texaco gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092762 - station.  Turned corner hiked about 50 yards South on Pine Hollow and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092763 - turned West onto Campus Road - HR 98.  Hiked .75 mile uphill to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092764 - campus.  Breathing through nose all the way, but after halfway up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092765 - breathing got increasingly difficult nearing summit - HR 143.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092766 - slight downhill about 40 yards - HR dropped to 129; then hiked around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092767 - a bend joining Campus Drive from Ygnacio Valley Road continuing uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092768 - to main college campus about 250 yards.  Breathing through nose with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092769 - difficulty, and HR increased to 142 going uphill.  At the summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092770 - hiking mileage so far today is 6 miles and HR 130.  Hiked 1-loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092771 - around faculty and student parking lots about 1.25 miles - HR dropped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092772 - to 120 going slight downhills and back to 146 going uphill.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092773 - visitor parking in front of main campus at mile 7 in the hike turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092774 - North and hiked downhill .5 miles to Ygnacio Valley Road - HR 124.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092775 - Turned corner and hiked West on Ygnacio Valley Road past Cowell, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092776 - up and over the summit - HR 156.  Breathed through mouth entire climb.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092777 - Hiked West 2 miles downhill to Oak Grove.  Ran about 100 yards to make                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092778 - traffic light crossing across intersection Ygnacio Valley Road at Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092779 - Grove - HR 164.  Continued on paved path .25 miles parallel to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092780 - Valley Road around Safeway shopping complex at fast pace - HR 124.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092781 - Via Monte turned right hiking North still on paved path for .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092782 - to Shadelands Road - HR 130.  Turned right and hiked East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092783 - Shadelands .25 mile to Oak Grove - HR 130.  Turned right and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092784 - South .25 mile on Oak Grove back to Ygnacio Valley Road - HR 133.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092785 - Turned right and hiked West .25 mile.  Turned right on Via Monte and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092786 - hiked North back to Shadelands.  Turned righ and hiked .25 mile back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092787 - to Oak Grove. - at mile 12 feeling okay.  Turned left and hiked North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092788 - on paved path parallel to Oak Grove then on Oak Grove when path ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092789 - - 1 mile to Treat - HR 138.  Kathy drove us home for 13 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092791 -  ..
092792 - Breakfast - cream of wheat with rasins with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092793 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092794 - Dinner - lettuce tuna brocolli asparagus onion avocado tomato,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092795 - cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092797 -  ..
092798 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092803 -         ..
092804 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092805 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092806 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092807 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092808 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092809 -   78.  200318 0710............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092810 -               0720....BP HR..................................................... 120  63  42  smooth curve so likely in sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092811 -               0725....BP HR..................................................... 132  70  44  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092812 -               0730....weight.................................... 189                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092813 -               0730... 20 973520 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092814 -               0730... 80 177440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092815 -               0730... 05  630 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092816 -               0730... 75 4000 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092817 -           **  0730... 25   2575.0 Metoprolol Tartrate - considered skipping this morning, because HR 33 - went back up to 60 after walking around, so took the pill                                                                                                                                                                                                                                                                                                                                                                                                                                               
092818 -               1000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092819 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092820 -               1000... Gabapentin 300MG  14600MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092821 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092822 -               1130... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092823 -               1140....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092824 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092825 -               1700... 40 55120 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
092826 -             1 0000............ 10 13360  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092827 -             1 0000............ 10 12950  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092828 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092829 -               2000... 25   2600 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092830 -               0000....Tramadol 50 1650 at 2100 feeling okay now - actually didn't seem to make that much difference to legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092831 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092832 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092833 -               2100... 40 35000 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092834 -               2130... 1000  757000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092835 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092836 -               2200... 05  635 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092837 -               2200... 80 177520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092838 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092839 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092841 -  ..
092842 - ** At 0820 feeling sleepy and vision blurry seeing computer screen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092843 - after taking metoprolol at 0730, per above. ref SDS 0 Z64H  There is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092844 - kind of haze feeling on the forehead above the eyes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092846 -  ..
092847 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092849 -  ..
092850 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092851 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092852 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092854 -  ..
092855 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092857 -  ..
092858 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092860 -  ..
092861 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092862 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092864 -  ..
092865 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092867 -  ..
092868 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092869 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092871 -  ..
092872 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092873 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092874 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092875 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092876 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092877 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092878 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092879 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092880 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092881 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092882 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092883 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092884 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092886 -  ..
092887 - Breakfast - cream of wheat with rasins toast with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092888 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092889 - Dinner - corned beef potatoes cabbage carrots, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092891 -  ..
092892 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092897 -         ..
092898 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092899 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092900 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092901 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092902 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092903 -   79.  200319 0710............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092904 -               0820....BP HR..................................................... 138  75  47  smooth curve so likely in sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092905 -               0825....BP HR..................................................... 137  77  47  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092906 -               0830....weight.................................... 189                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092907 -               0830... 20 973540 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092908 -               0830... 80 177600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092909 -               0830... 05  640 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092910 -               0830... 75 4075 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092911 -           **  0830... 25   2625.0 Metoprolol Tartrate - considered skipping this morning, because HR 33 - went back up to 60 after walking around, so took the pill                                                                                                                                                                                                                                                                                                                                                                                                                                               
092912 -               1000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092913 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092914 -               1000... Gabapentin 300MG  14900MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092915 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092916 -               1130... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092917 -               1140....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092918 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092919 -               1220....miles...........  17.0  50.0  265   795 minutes temp  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092920 -               1740....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092921 -               1750....BP HR..................................................... 112  86 147   PAF continuing condition during most of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092922 -               1755....BP HR..................................................... 112  87 146   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092923 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092924 -               1830... 40 55160 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
092925 -               1900............ 10 13370  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092926 -               1900............ 10 12960  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092927 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092928 -               2000... 25   2650 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092929 -               0000....Tramadol 50 1650 at 2100 feeling okay now - actually didn't seem to make that much difference to legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092930 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092931 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092932 -               2100... 40 35040 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092933 -               2130... 1000  758000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092934 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092935 -               2200... 05  645 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092936 -               2200... 80 177680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092937 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092938 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092940 -  ..
092941 - ** At 0910 feeling sleepy and vision blurry seeing computer screen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092942 - after taking metoprolol at 0830, per above. ref SDS 0 UP9M  There is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092943 - kind of haze feeling on the forehead above the eyes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092945 -  ..
092946 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092948 -  ..
092949 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092950 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092951 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092953 -  ..
092954 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092956 -  ..
092957 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092959 -  ..
092960 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092961 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092963 -  ..
092964 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092966 -  ..
092967 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092968 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092970 -  ..
092971 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092972 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092973 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092974 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092975 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092976 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092977 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092978 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092979 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092980 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092981 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092982 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092983 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092985 -  ..
092986 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092987 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092989 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092990 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092991 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092992 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092993 -        Breathing....................................   0        100  2 big hills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092994 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092995 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092996 -        Wrist sprain right arm fall on 200319........   2         90  after fall on Treat about mile 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092997 -        Hand left edge skinned fall on 200319........   1         90  after fall on Treat about mile 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092998 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092999 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093000 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093001 -        Knee left meniscus...PRP 191009..............   2         10  after running to make traffic light at Ygnacio Valley Road and Oak Grove                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093002 -        Knee left patalla...PRP 191009...............   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093003 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093004 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093005 -        Knee right cruciate ligaments back of knee...   2         30  after running across Ygnacio Valley Road from North to South side on downhill to Oak Grove                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093006 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093007 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093008 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093009 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093010 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093011 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093012 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093013 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093014 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093015 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093016 -        Metatarsalgia left foot...PRP 191009.........   2         20  after reaching Oak Grove about mile 10 to end of 17 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093017 -        Metatarsalgia right foot..PRP 191009.........   2         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093018 -        Ankle right twisted in fall on 200319........   2         90  didn't notice pain until after hike due to adrenalin and pain meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093019 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093020 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093021 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093022 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093023 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093024 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093025 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093026 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093027 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093029 -  ..
093030 - Body feels okay after hiking 17 miles in 63 degrees, following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093031 - 191009 1500, ref SDS 78 0001, and hiking 2 big hills.
093033 - -
093034 - After hike left knee patella pain level 3; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093035 - pain level 3, and knee stiff standing up from sitting position;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093036 - cruciate ligaments pain level 0.  Left ankle pain level 2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093038 -  ..
093039 - Several hours after hike, feet pain level 0; left leg pain level 2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093040 - Did not take medication, per above. ref SDS 0 UP9M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093042 -  ..
093043 - Legs 6 hours after hike late at night - body does not ache.  Restless                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093044 - legs did not occur, so did not take Tramadol - see study above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093045 - ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093047 -  ..
093048 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093049 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093050 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093051 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093052 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093054 -     ..
093055 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093056 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093058 -  ..
093059 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093060 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093061 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093063 -  ..
093064 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093065 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093066 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093068 -  ..
093069 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093070 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093071 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093072 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093073 - ref SDS 77 SM4M  Before hike on 200313 shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093074 - Tailor's Bunions. ref SDS 0 QPXP  After hike did not apply Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093075 - Lactate 12% lotion both feet.  Wore Wrightsock thin double ply and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093076 - laced shoes less tightly.  Applied diclofenac to Tailors Bunion and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093077 - blisters on big toes both feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093079 -  ..
093080 - Concord 17 mile route - likely PAF entire hike.  Added extra 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093081 - loop at the end.  Starting energy okay wearing Hoka Bondi 6 shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093082 - received on 190927 1110, ref SDS 77 SM4M; and 2-ply Wright socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093083 - received on 191010 1344. ref SDS 79 SM4M  Today, hiking with naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093084 - and gabapentin.  Applied diclofenac to left knee and to Tailors Bunion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093085 - and blisters big toes both feet.  Took Glucosamine Chondroitin, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093086 - above. ref SDS 0 UP9M  This combination controlled pain as shown in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093087 - the study above, ref SDS 0 RSUU, but there was noticeably more pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093088 - today than in prior hikes the past month.  Left house about 1230 - HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093089 - 135, so in PAF.  On few occasions slipped into sinus, but then quickly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093090 - back into PAF, so essentially PAF entire hike.  Hiking slower than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093091 - normal pace on Cuneo slight uphill.  Crossed Treat going East - at .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093092 - mile HR 132.  Hiked on concrete sidewalk .25 mile to Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093093 - Continued East on Treat flat, asphault pavement shoulder, pace slow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093094 - hoping to fall back into sinus.  Hiking up slight hill to Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093095 - Road at mile .7 - HR 135 so still in PAF.  Continued on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093096 - downhill.  About 150 yards fell to the ground face forward slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093097 - into the traffic lane.  Caught myself with both hands.  Body did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093098 - hit the ground.  Only slight scratch on left edge of left hand.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093099 - wrist slightly sprained.  No bleeding, which would have been difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093100 - to stop taking apixaban blood thinner, per above. ref SDS 0 O25O  Fall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093101 - occurred stepping with Hoka Bondi shoes that have an elevated/thick                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093102 - sole for superior cushioning that protects feet from repetitive stress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093103 - injury.  In this case, the joint between asphault roadway and concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093104 - gutter was separated 2" elevation difference for 20 feet or so.  Have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093105 - easily navigated this condition a thousand times, but today, was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093106 - distracted checking cellphone GPS diagnostics against Polar Vantage V                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093107 - heart monitor also with GPS system.  Stepped in a way that twisted the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093108 - ankle.  Normally would adjust to avoid falling, but today hit the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093109 - ground.  Broke sunglasses.  Was able to wear them to finish the hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093110 - but need new equipment.  The fall today, supports avoiding Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093111 - shoes for Half Dome, reported on 190911 0500. ref SDS 75 CW9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093112 - Fortunate there was a break in vehicle traffic, so avoided being hit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093113 - falling slightly into the traffic lane.  Got up quickly and continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093114 - hiking East .25 mile to the corner of Clayton.  Time to 1.25 miles 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093115 - minutes - HR 131.  Turned corner onto Clayton and hiked 2 miles South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093116 - on concrete sidewalk.  Some Cream of Wheat swallowed at breakfast came                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093117 - up the throat.  Had to spit it out, indicating LESV is clogged likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093118 - due to pills taken this morning, per above. ref SDS 0 O25O  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093119 - Nations for Coca Cola to wash rest of food through LESV, i.e., clear                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093120 - throat - HR 125.  Continued on Clayton.  At mile 3.25 turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093121 - heading West on Ygnacio Valley Road still on concrete sidewalk - HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093122 - 138.  About mile 3.75 crossed from North to South side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093123 - Road to hike on asphault pavement against oncoming traffic.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093124 - to Pine Hollow road - time to mile 4.75 about 72 minutes.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093125 - Texaco gas station.  Turned corner hiked about 50 yards South on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093126 - Hollow and turned West onto Campus Road - HR 135.  Hiked .75 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093127 - uphill to the campus.  Breathing through nose all the way.  There was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093128 - no chest pressure nor shortness of breath, as has occurred the past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093129 - week.  This indicates fluid did not build up in the lungs from erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093130 - heart beat, called paroxysmal atrial fibrillation, explained on 200219                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093131 - 1150. ref SDS 89 W350  Nearing summit - HR 132.  Hiked slight downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093132 - about 40 yards - HR 133; then hiked around a bend joining Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093133 - from Ygnacio Valley Road continuing uphill to main college campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093134 - about 250 yards.  Breathing through nose without difficulty, and HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093135 - steady 134 going uphill.  At the summit hiking mileage so far today is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093136 - 6 miles and HR 130.  Hiked 1-loop around faculty and student parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093137 - lots about 1.25 miles - HR dropped to 130 going slight downhills and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093138 - back to 137 going uphill.  Back at visitor parking in front of main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093139 - campus at mile 7 in the hike turned North and hiked downhill .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093140 - to Ygnacio Valley Road - HR 124.  Turned corner and hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093141 - Ygnacio Valley Road past Cowell, then up and over the summit - HR 140.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093142 - Breathed through nose entire climb without shortness of breath.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093143 - West 2 miles downhill to Oak Grove.  About 30% of the way down began                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093144 - feeling left knee cruciate ligaments pain level 2 for rest of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093145 - Ran about 50 yards to make traffic light crossing intersection between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093146 - Ygnacio Valley Road and Oak Grove - HR 138.  After this run felt left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093147 - knee minuscus pain level 3 for 100 or so yards, then reduced to pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093148 - level 1 for rest of hike.  Continued on paved path .25 miles parallel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093149 - to Ygnacio Valley Road around Safeway shopping complex at fast pace -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093150 - HR 123.  At Via Monte turned right hiking North still on paved path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093151 - for .25 mile to Shadelands Road - HR 132.  Turned right and hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093152 - on Shadelands .25 mile to Oak Grove - HR 127.  Turned right and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093153 - South .25 mile on Oak Grove back to Ygnacio Valley Road - HR 130.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093154 - Turned right and hiked West .25 mile.  Turned right on Via Monte and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093155 - hiked North back to Shadelands.  Turned righ and hiked .25 mile back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093156 - to Oak Grove. - at mile 12 feeling okay.  Turned left and hiked North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093157 - on paved path parallel to Oak Grove then on Oak Grove, where path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093158 - ended - 1 mile to Treat, ran about 50 yards to make traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093159 - cross to North side of Treat - HR 145.  Turned right and hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093160 - East to San Miguel.  Continued on Treat uphill .5 mile.  At summit HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093161 - 147.  Continued on Treat .5 mile to Cuneo and turned left - HR 141.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093162 - Hiked 1 mile loop to end hike 17 milies.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093164 -  ..
093165 - Breakfast - cream of wheat rasins banana with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093166 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093167 - Dinner - corned beef asparagus potatoes cabbage carrots onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093169 -  ..
093170 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093175 -         ..
093176 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093177 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093178 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093179 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093180 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093181 -   80.  200320 0730............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093182 -               0740....BP HR..................................................... 129  78  47  slightly jagged curve so maybe in sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093183 -               0745....BP HR..................................................... 140  73  48  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093184 -               0750....weight.................................... 189                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093185 -               0750... 20 973560 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093186 -               0750... 80 177760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093187 -               0750... 05  650 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093188 -               0750... 75 4150 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093189 -           **  0750... 25   2675.0 Metoprolol Tartrate - considered skipping this morning, because HR 33 - went back up to 60 after walking around, so took the pill                                                                                                                                                                                                                                                                                                                                                                                                                                               
093190 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093191 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093192 -               0000... Gabapentin 300MG  14900MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093193 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093194 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093195 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093196 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093197 -               1700... 40 55200 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
093198 -             1 0000............ 10 13370  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093199 -             1 0000............ 10 12960  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093200 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093201 -               2000... 25   2700 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093202 -               0000....Tramadol 50 1650 at 2100 feeling okay now - actually didn't seem to make that much difference to legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093203 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093204 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093205 -               2100... 40 35080 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093206 -               2130... 1000  759000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093207 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093208 -               2200... 05  655 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093209 -               2200... 80 177840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093210 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093211 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093213 - ** At 0910 feeling sleepy and vision blurry seeing computer screen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093214 - after taking metoprolol at 0750, per above. ref SDS 0 O25O  There is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093215 - kind of haze feeling on the forehead above the eyes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093217 -  ..
093218 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093220 -  ..
093221 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093222 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093223 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093225 -  ..
093226 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093228 -  ..
093229 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093231 -  ..
093232 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093233 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093235 -  ..
093236 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093238 -  ..
093239 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093240 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093242 -  ..
093243 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093244 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093245 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093246 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093247 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093248 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093249 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093250 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093251 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093252 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093253 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093254 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093255 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093257 -  ..
093258 - Breakfast - cream of wheat with rasins banana with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093259 - Lunch - triscuts cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093260 - Dinner - hamburger cottage cheese tomato onion avocado, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093262 -  ..
093263 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093268 -         ..
093269 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093270 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093271 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093272 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093273 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093274 -   81.  200321 0740............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093275 -               0750....BP HR..................................................... 142  77  43  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093276 -               0755....BP HR..................................................... 143  76  48  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093277 -               0800....weight.................................... 190                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093278 -               0800... 20 973580 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093279 -               0800... 80 177920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093280 -               0800... 05  660 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093281 -               0800... 75 4225 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093282 -           **  0800... 25   2725.0 Metoprolol Tartrate - considered skipping this morning, because HR 33 - went back up to 60 after walking around, so took the pill                                                                                                                                                                                                                                                                                                                                                                                                                                               
093283 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093284 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093285 -               0000... Gabapentin 300MG  14900MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093286 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093287 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093288 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093289 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093290 -               1700... 40 55240 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
093291 -               1830............ 10 13380  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093292 -               1830............ 10 12970  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093293 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093294 -               2000... 25   2750 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093295 -               0000....Tramadol 50 1650 at 2100 feeling okay now - actually didn't seem to make that much difference to legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093296 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093297 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093298 -               2100... 40 35120 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093299 -               2130... 1000  760000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093300 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093301 -               2200... 05  665 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093302 -               2200... 80 178000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093303 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093304 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093306 - ** At 0910 feeling sleepy and vision blurry seeing computer screen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093307 - after taking metoprolol at 0750, per above. ref SDS 0 O25O  There is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093308 - kind of haze feeling on the forehead above the eyes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093310 -  ..
093311 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093313 -  ..
093314 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093315 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093316 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093318 -  ..
093319 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093321 -  ..
093322 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093324 -  ..
093325 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093326 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093328 -  ..
093329 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093331 -  ..
093332 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093333 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093335 -  ..
093336 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093337 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093338 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093339 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093340 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093341 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093342 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093343 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093344 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093345 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093346 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093347 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093348 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093350 -  ..
093351 - Breakfast - cheerios chia seeds banana with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093352 - Lunch - sandwich roast beef onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093353 - Dinner - sandwich tuna avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093355 -  ..
093356 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093361 -         ..
093362 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093363 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093364 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093365 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093366 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093367 -   82.  200322 0650............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093368 -               0710....BP HR..................................................... 121  75  68  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093369 -               0715....BP HR..................................................... 112  74  60  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093370 -               0720....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093371 -               0720... 20 973600 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093372 -               0720... 80 178080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093373 -               0720... 05  670 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093374 -               0720... 75 4300 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093375 -           **  0720... 25   2775.0 Metoprolol Tartrate - considered skipping this morning, because HR 33 - went back up to 60 after walking around, so took the pill                                                                                                                                                                                                                                                                                                                                                                                                                                               
093376 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093377 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093378 -               0000... Gabapentin 300MG  14900MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093379 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093380 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093381 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093382 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093383 -               1700... 40 55280 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
093384 -             1 0000............ 10 13380  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093385 -             1 0000............ 10 12970  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093386 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093387 -               2000... 25   2800 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093388 -               0000....Tramadol 50 1650 at 2100 feeling okay now - actually didn't seem to make that much difference to legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093389 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093390 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093391 -               2100... 40 35160 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093392 -               2130... 1000  761000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093393 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093394 -               2200... 05  675 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093395 -               2200... 80 178160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093396 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093397 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093399 - ** Metoprolol causing fatigue, feel sleepy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093401 -  ..
093402 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093404 -  ..
093405 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093406 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093407 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093409 -  ..
093410 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093412 -  ..
093413 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093415 -  ..
093416 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093417 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093419 -  ..
093420 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093422 -  ..
093423 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093424 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093426 -  ..
093427 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093428 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093429 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093430 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093431 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093432 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093433 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093434 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093435 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093436 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093437 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093438 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093439 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093441 -  ..
093442 - Breakfast - cheerios chia seeds banana with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093443 - Lunch - sandwich tunat chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093444 - Dinner - tuna lettuce tomato avocado asparagus onion cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093446 -  ..
093447 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093452 -         ..
093453 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093454 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093455 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093456 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093457 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093458 -   83.  200323 0730............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093459 -               0740....BP HR..................................................... 131  69  45  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093460 -               0745....BP HR..................................................... 137  73  48  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093461 -               0750....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093462 -               0750... 20 973620 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093463 -               0750... 80 178240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093464 -               0750... 05  680 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093465 -               0750... 75 4375 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093466 -           **  0750... 25   2825.0 Metoprolol Tartrate - considered skipping this morning, because HR 33 - went back up to 60 after walking around, so took the pill                                                                                                                                                                                                                                                                                                                                                                                                                                               
093467 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093468 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093469 -               0000... Gabapentin 300MG  14900MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093470 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093471 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093472 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093473 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093474 -               1700... 40 55320 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
093475 -               1830............ 10 13390  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093476 -               1830............ 10 12980  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093477 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093478 -               2000... 25   2850 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093479 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093480 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093481 -               2100... 40 35200 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093482 -               2130... 1000  762000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093483 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093484 -               2200... 05  685 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093485 -               2200... 80 178320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093486 -               2300....Tramadol 50 1700 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093487 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093488 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093490 - ** Metoprolol causing fatigue, feel sleepy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093492 -  ..
093493 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093495 -  ..
093496 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093497 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093498 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093500 -  ..
093501 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093503 -  ..
093504 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093506 -  ..
093507 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093508 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093510 -  ..
093511 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093513 -  ..
093514 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093515 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093517 -  ..
093518 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093519 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093520 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093521 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093522 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093523 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093524 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093525 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093526 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093527 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093528 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093529 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093530 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093532 -  ..
093533 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093534 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093536 -  ..
093537 - Breakfast - cream of wheat rasins banana                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093538 - Lunch - sandwich tuna fritos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093539 - Dinner - eggs onion asparagus toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093541 -  ..
093542 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093547 -         ..
093548 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093549 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093550 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093551 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093552 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093553 -   84.  200324 0520............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093554 -               0530....BP HR..................................................... 126  81  82  jagged curve so PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093555 -               0545....BP HR..................................................... 105  74  77  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093556 -               0550....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093557 -               0550... 20 973640 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093558 -               0550... 80 178400 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093559 -               0550... 05  690 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093560 -               0550... 75 4450 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093561 -           **  0550... 25   2875.0 Metoprolol Tartrate - considered skipping this morning, because HR 33 - went back up to 60 after walking around, so took the pill                                                                                                                                                                                                                                                                                                                                                                                                                                               
093562 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093563 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093564 -               0000... Gabapentin 300MG  14900MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093565 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093566 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093567 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093568 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093569 -               1700... 40 55360 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
093570 -             1 0000............ 10 13390  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093571 -             1 0000............ 10 12980  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093572 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093573 -               2000... 25   2900 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093574 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093575 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093576 -               2100... 40 35240 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093577 -               2130... 1000  763000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093578 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093579 -               2200... 05  695 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093580 -               2200... 80 178480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093581 -               0000....Tramadol 50 1700 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093582 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093583 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093585 - ** Metoprolol causing fatigue, feel sleepy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093587 -  ..
093588 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093590 -  ..
093591 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093592 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093593 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093595 -  ..
093596 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093598 -  ..
093599 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093601 -  ..
093602 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093603 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093605 -  ..
093606 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093608 -  ..
093609 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093610 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093612 -  ..
093613 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093614 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093615 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093616 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093617 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093618 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093619 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093620 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093621 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093622 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093623 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093624 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093625 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093627 -  ..
093628 - Breakfast - cheerios banana chia seeds milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093629 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093630 - Dinner - steak cottage cheese chip                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093632 -  ..
093633 - Vomiting: 0% - swallowed steak best in long time, indicates esophagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093634 - getting stronger                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093639 -         ..
093640 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093641 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093642 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093643 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093644 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093645 -   85.  200325 0730............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093646 -               0740....BP HR..................................................... 121  67  50  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093647 -               0745....BP HR..................................................... 140  73  47  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093648 -               0750....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093649 -               0750... 20 973660 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093650 -               0750... 80 178560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093651 -               0750... 05  700 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093652 -               0750... 75 4525 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093653 -           **  0750... 25   2925.0 Metoprolol Tartrate - considered skipping this morning, because HR 33 - went back up to 60 after walking around, so took the pill                                                                                                                                                                                                                                                                                                                                                                                                                                               
093654 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093655 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093656 -               0000... Gabapentin 300MG  14900MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093657 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093658 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093659 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093660 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093661 -               1700... 40 55400 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
093662 -               1830............ 10 13400  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093663 -               1830............ 10 12990  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093664 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093665 -               2000... 25   2950 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093666 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093667 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093668 -               2100... 40 35280 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093669 -               2130... 1000  764000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093670 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093671 -               2200... 05  705 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093672 -               2200... 80 178640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093673 -               0000....Tramadol 50 1700 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093674 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093675 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093677 - ** Metoprolol causing fatigue, feel sleepy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093679 -  ..
093680 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093682 -  ..
093683 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093684 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093685 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093687 -  ..
093688 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093690 -  ..
093691 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093693 -  ..
093694 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093695 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093697 -  ..
093698 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093700 -  ..
093701 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093702 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093704 -  ..
093705 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093706 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093707 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093708 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093709 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093710 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093711 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093712 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093713 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093714 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093715 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093716 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093717 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093719 -  ..
093720 - Breakfast - cheerios chia seeds milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093721 - Lunch - sandwich tuna chips cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093722 - Dinner - conred beef lettuce onion avocado tomato asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093724 -  ..
093725 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093730 -         ..
093731 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093732 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093733 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093734 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093735 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093736 -   86.  200326 0720............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093737 -               0730....BP HR..................................................... 123  70  48  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093738 -               0735....BP HR..................................................... 140  73  47  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093739 -               0740....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093740 -               0740... 20 973680 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093741 -               0740... 80 178640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093742 -               0740... 05  710 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093743 -               0740... 75 4600 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093744 -           **  0740... 25   2975.0 Metoprolol Tartrate - considered skipping this morning, because HR 33 - went back up to 60 after walking around, so took the pill                                                                                                                                                                                                                                                                                                                                                                                                                                               
093745 -               1030... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093746 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093747 -               1030... Gabapentin 300MG  15200MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093748 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093749 -               1100... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093750 -      forgot   0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093751 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093752 -               1135....miles...........  15.0  15.0  246   246 minutes temp  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093753 -               1620....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093754 -               1630....BP HR.....................................................  77  65  75   sinus continuing condition during most of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093755 -               1635....BP HR.....................................................  75  54  80   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093756 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093757 -               1700... 40 55440 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
093758 -             1 0000............ 10 13400  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093759 -             1 0000............ 10 12990  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093760 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093761 -               2000... 25   3000 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093762 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093763 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093764 -               2100... 40 35320 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093765 -               2130... 1000  765000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093766 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093767 -               2115....Tramadol 50 1750 for left knee hurting late in evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093768 -               2200... 05  715 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093769 -               2200... 80 178720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093770 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093771 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093773 - ** Metoprolol causing fatigue, feel sleepy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093775 -  ..
093776 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093778 -  ..
093779 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093780 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093781 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093783 -  ..
093784 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093786 -  ..
093787 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093789 -  ..
093790 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093791 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093793 -  ..
093794 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093796 -  ..
093797 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093798 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093800 -  ..
093801 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093802 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093803 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093804 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093805 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093806 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093807 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093808 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093809 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093810 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093811 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093812 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093813 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093815 -  ..
093816 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093817 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093819 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093820 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093821 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093822 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093823 -        Breathing....................................   0        100  much better today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093824 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093825 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093826 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093827 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093828 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093829 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093830 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093831 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093832 -        Knee left cruciate ligaments back of knee....   2         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093833 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093834 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093835 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093836 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093837 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093838 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093839 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093840 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093841 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093842 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093843 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093844 -        Metatarsalgia left foot...PRP 191009.........   2         15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093845 -        Metatarsalgia right foot..PRP 191009.........   2         15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093846 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093847 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093848 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093849 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093850 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093851 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093852 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093853 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093854 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093855 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093857 -  ..
093858 - Body feels wasted after hiking 15 miles in 58 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093859 - on 191009 1500, ref SDS 78 0001, and hiking 2 big hills.
093861 - -
093862 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093863 - pain level 1, and knee stiff standing up from sitting position;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093864 - cruciate ligaments pain level 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093866 -  ..
093867 - Several hours after hike, feet pain level 1; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093868 - Did not take medication, per above. ref SDS 0 R97F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093870 -  ..
093871 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093872 - pain level 3, so took Tramadol - see study above. ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093874 -  ..
093875 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093876 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093877 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093878 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093879 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093881 -     ..
093882 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093883 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093885 -  ..
093886 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093887 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093888 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093890 -  ..
093891 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093892 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093893 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093895 -  ..
093896 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093897 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093898 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093899 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093900 - ref SDS 77 SM4M  Before hike today on 200326 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093901 - and Tailor's Bunions. ref SDS 0 646F  After hike did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093902 - Ammonium Lactate 12% lotion both feet.  Wore Wrightsock thin double                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093903 - ply and laced shoes less tightly.  Applied diclofenac to Tailors                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093904 - Bunion and blisters on big toes both feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093906 -  ..
093907 - Concord 15 mile route - hiked extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093908 - energy okay wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093909 - ref SDS 77 SM4M; and 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093910 - ref SDS 79 SM4M  Today, hiking with naproxen and gabapentin.  Applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093911 - diclofenac to left knee and to Tailors Bunion and blisters big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093912 - both feet.  Forgot to take Glucosamine Chondroitin, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093913 - ref SDS 0 7N7H  This combination controlled pain as shown in the study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093914 - above, ref SDS 0 7N7H, but there was noticeably less pain today than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093915 - in prior hikes the past month.  Left house about 1135 - HR 49, so in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093916 - sinus.  Hiking normal pace on Cuneo slight uphill.  Crossed Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093917 - going East - at .25 mile HR 117.  Hiked on concrete sidewalk .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093918 - to Cowell.  Continued East on Treat flat asphault pavement shoulder,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093919 - pace slow.  Hiking up slight hill to Turtle Creek Road at mile .7 - HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093920 - 142 so maybe in PAF.  Continued on Treat downhill hiking East to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093921 - corner of Clayton.  Time to 1.25 miles 20 minutes - HR 143.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093922 - corner onto Clayton and hiked 2 miles South on concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093923 - After another .25 mile at mile 1.5 in the hike HR 121, dropped back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093924 - into sinus for rest of hike.  At mile 3 pain level 2 bottom right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093925 - metatarsalgia.  At mile 3.25 turned corner heading West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093926 - Valley Road still on concrete sidewalk - HR 124.  About mile 3.75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093927 - crossed from North to South side Ygnacio Valley Road to hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093928 - asphault pavement against oncoming traffic.  Bottom right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093929 - level 0.  Continued to Pine Hollow road - time to mile 4.75 about 71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093930 - minutes.  Stopped at Texaco gas station.  Turned corner hiked about 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093931 - yards South on Pine Hollow and turned West onto Campus Road - HR 128.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093932 - Hiked .75 mile uphill to the campus.  Breathing through nose all the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093933 - way.  There was no chest pressure nor shortness of breath, as has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093934 - occurred the past week.  This indicates today, there was no fluid in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093935 - lungs caused by heart failure, explained on 200219 1150. ref SDS 89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093936 - W350 - nearing summit - HR 131.  Hiked slight downhill about 40 yards                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093937 - - HR 133; then hiked around a bend joining Campus Drive from Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093938 - Valley Road continuing uphill to main college campus about 250 yards.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093939 - Breathing through nose without difficulty, and HR steady 134 going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093940 - uphill.  At the summit hiking mileage so far today is 6 miles and HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093941 - 130.  Hiked 1-loop around faculty and student parking lots about 1.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093942 - miles - HR dropped to 130 going slight downhills and back to 137 going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093943 - uphill.  Back at visitor parking in front of main campus at mile 7 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093944 - the hike turned North and hiked downhill .5 miles to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093945 - Road - HR 135.  Turned corner and hiked West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093946 - past Cowell, then up and over the summit - HR 135.  Breathed through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093947 - nose entire climb without shortness of breath.  Hiked West 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093948 - downhill to Oak Grove.  About 30% of the way down began feeling left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093949 - knee cruciate ligaments pain level 2 for rest of hike.  Avoided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093950 - running to make traffic light crossing intersection Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093951 - Road at Oak Grove - HR 132.  Continued on paved path .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093952 - parallel to Ygnacio Valley Road around Safeway shopping complex at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093953 - fast pace - HR 136.  At Via Monte turned right hiking North still on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093954 - paved path for .25 mile to Shadelands Road - HR 136.  Turned right and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093955 - hiked East on Shadelands .25 mile to Oak Grove - HR 136.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093956 - and hiked North on paved path parallel to Oak Grove then on Oak Grove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093957 - when path ended - 1 mile to Treat.  Cross to North side of Treat - HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093958 - 135.  Turned right and hiked 1 miles East to San Miguel - HR 143                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093959 - Continued on Treat uphill .5 mile.  At summit HR 148.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093960 - Treat .5 mile to Cuneo and turned left - HR 141.  Hiked 1 mile loop to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093961 - end hike 15 milies.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093963 -  ..
093964 - Breakfast - cheerios chia seeds milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093965 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093966 - Dinner - macaroni cheese corned beef brocolli avocado onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093968 -  ..
093969 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093974 -         ..
093975 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093976 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093977 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093978 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093979 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093980 -   87.  200327 0600............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093981 -               0610....BP HR..................................................... 127  70  45  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093982 -               0615....BP HR..................................................... 133  71  48  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093983 -               0620....weight.................................... 189                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093984 -               0620... 20 973700 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093985 -               0620... 80 178800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093986 -               0620... 05  720 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093987 -               0620... 75 4675 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093988 -           **  0620... 25   3050.0 Metoprolol Tartrate - considered skipping this morning, because HR 33 - went back up to 60 after walking around, so took the pill                                                                                                                                                                                                                                                                                                                                                                                                                                               
093989 -               1030... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093990 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093991 -               1030... Gabapentin 300MG  15500MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093992 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093993 -               1100... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093994 -               1100....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093995 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093996 -               1110....miles...........  16.0  31.0  262   508 minutes temp  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093997 -               1640....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093998 -               1700....BP HR..................................................... 105  60  54   sinus continuing condition during most of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093999 -               1705....BP HR..................................................... 109  58  51   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094000 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094001 -               1700... 40 55480 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
094002 -               1830............ 10 13410  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094003 -               1830............ 10 13000  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094004 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094005 -               2000... 25   3050 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094006 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094007 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094008 -               2100... 40 35360 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094009 -               2130... 1000  766000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094010 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094011 -               0000....Tramadol 50 1750 for left knee hurting late in evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094012 -               2200... 05  725 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094013 -               2200... 80 178880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094014 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094015 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094017 - ** Metoprolol causing fatigue, feel sleepy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094019 -  ..
094020 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094022 -  ..
094023 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094024 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094025 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094027 -  ..
094028 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094030 -  ..
094031 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094033 -  ..
094034 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094035 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094037 -  ..
094038 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094040 -  ..
094041 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094042 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094044 -  ..
094045 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094046 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094047 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094048 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094049 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094050 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094051 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094052 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094053 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094054 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094055 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094056 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094057 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094059 -  ..
094060 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094061 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094063 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094064 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094065 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094066 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094067 -        Breathing....................................   0        100  much better today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094068 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094069 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094070 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094071 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094072 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094073 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094074 -        Knee left patalla...PRP 191009...............   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094075 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094076 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094077 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094078 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094079 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094080 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094081 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094082 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094083 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094084 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094085 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094086 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094087 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094088 -        Metatarsalgia left foot...PRP 191009.........   2         15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094089 -        Metatarsalgia right foot..PRP 191009.........   2         15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094090 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094091 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094092 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094093 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094094 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094095 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094096 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094097 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094098 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094099 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094101 -  ..
094102 - Body feels okay after hiking 16 miles in 55 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094103 - on 191009 1500, ref SDS 78 0001, and hiking 2 big hills.
094105 - -
094106 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094107 - pain level 1, and knee stiff standing up from sitting position;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094108 - cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094110 -  ..
094111 - Several hours after hike, feet pain level 1; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094112 - Did not take medication, per above. ref SDS 0 3T3L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094114 -  ..
094115 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094116 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094117 - 3T3L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094119 -  ..
094120 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094121 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094122 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094123 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094124 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094126 -     ..
094127 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094128 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094130 -  ..
094131 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094132 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094133 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094135 -  ..
094136 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094137 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094138 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094140 -  ..
094141 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094142 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094143 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094144 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094145 - ref SDS 77 SM4M  Before hike today on 200326 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094146 - and Tailor's Bunions. ref SDS 0 646F  After hike did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094147 - Ammonium Lactate 12% lotion both feet.  Wore Wrightsock thin double                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094148 - ply and laced shoes less tightly.  Applied diclofenac to Tailors                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094149 - Bunion and blisters on big toes both feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094151 -  ..
094152 - Concord 16 mile route - did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094153 - Starting energy okay but windy and cold even with clear sky, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094154 - Hoka Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M; and 2-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094155 - Wright socks received on 191010 1344. ref SDS 79 SM4M  Today, hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094156 - with naproxen and gabapentin.  Applied diclofenac to left knee and to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094157 - Tailors Bunion and blisters big toes both feet.  Took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094158 - Chondroitin, per above. ref SDS 0 3T3L  This combination controlled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094159 - pain as shown in the study above. ref SDS 0 SRYQ  There was noticeably                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094160 - less pain today than in prior hikes the past month.  Left house about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094161 - 1110 - HR 58, so seemingly in sinus, but cellphone shows very erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094162 - heart beat, and would not record HR, so likely in PAF even with Palor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094163 - Vantage V reporting HR 58.  Had shortness of breath this morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094164 - bending over to tie shoes.  Hiking normal pace on Cuneo slight uphill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094165 - but no shortness of breath.  Crossed Treat going East - at .25 mile HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094166 - 94.  Hiked on concrete sidewalk .25 mile to Cowell.  Continued East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094167 - Treat flat asphault pavement shoulder, pace slow.  Hiking up slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094168 - hill to Turtle Creek Road at mile .7 - HR 89 and no shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094169 - breath, so definitely in sinus, indicating some time after getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094170 - dressed for the hike and now 30 minutes or so later, slipped back into                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094171 - sinus, and seemed to remain in sinus for rest of hike.  HR numbers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094172 - today are order of magnitude lower than yesterday, and any prior hikes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094173 - for past several months.  Continued on Treat downhill hiking East to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094174 - the corner of Clayton.  Time to 1.25 miles 19 minutes - HR 85.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094175 - corner onto Clayton and hiked 2 miles South on concrete sidewalk - HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094176 - below 100, stayed in sinus rest of hike.  At mile 2.5 bottom right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094177 - foot pain level 2 metatarsalgia - HR 90.  At mile 3.25 turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094178 - heading West on Ygnacio Valley Road still on concrete sidewalk - HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094179 - 92.  About mile 3.75 crossed from North to South side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094180 - Road to hike on asphault pavement against oncoming traffic.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094181 - to Pine Hollow road - time to mile 4.75 about 71 minutes.  Bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094182 - right foot pain level 0.  Stopped at Texaco gas station.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094183 - corner hiked about 50 yards South on Pine Hollow and turned West onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094184 - Campus Road - HR 90.  Hiked .75 mile uphill to the campus.  Breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094185 - through nose all the way, even when racing another hiker uphill.  He                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094186 - beat me soundly, but was pleased no shortness of breath.  The other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094187 - guy stopped halfway up and came back down.  Continuing up there was no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094188 - chest pressure nor shortness of breath.  This indicates today, there                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094189 - was no fluid in lungs caused by heart failure, explained on 200219                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094190 - 1150. ref SDS 89 W350 - nearing summit - HR 98.  Hiked slight downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094191 - about 40 yards - HR 101; then hiked around a bend joining Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094192 - from Ygnacio Valley Road continuing uphill to main college campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094193 - about 250 yards.  Breathing through nose without difficulty.  At the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094194 - summit hiking mileage so far today is 6 miles and HR 109.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094195 - 2-loops 1.25 miles each around faculty and student parking lots - HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094196 - dropped to 82 going slight downhills and back to 99 going up slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094197 - hills.  Nice seeing several sets of parents walking with their                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094198 - children during this period of national shutdown to prevent spread of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094199 - coronavirus contagion.  Back at visitor parking in front of main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094200 - campus at mile 8 in the hike turned North and hiked downhill .5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094201 - to Ygnacio Valley Road - HR 78.  Turned left and hiked West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094202 - Valley Road past Crystal Ranch Road.  Continued uphill past Cowell,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094203 - then up and over the summit - HR 104.  Nearing Cowell heard someone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094204 - call my name.  It was a guy crossing Ygnacio Valley Road and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094205 - continuing down Cowell.  He introduced himself and his wife Cindy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094206 - They had been hiking Lime trial in the hills, and were on the way home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094207 - going North down Cowell.  Exchanged pleasentries without stopping with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094208 - me going West on Ygnacio Valley Road and Rick and Cindy continuing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094209 - with others going North on Cowell.  On 190901 met Rick and Cindy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094210 - hiking in opposite directions on Treat, reported in case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094211 - 190101 0730. ref SDS 69 3Z5K  Nice to be remembered 6 months after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094212 - brief meeting on the trail.  Continuing West uphill breathed through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094213 - nose entire climb without shortness of breath - very good feeling in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094214 - sinus after concern PAF might be transforming into persistent AF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094215 - Hiked West 2 miles downhill to Oak Grove.  Ran 30 yards slow pace to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094216 - make traffic light crossing intersection Ygnacio Valley Road at Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094217 - Grove - HR 96.  Did not re-injure left knee.  Continued on paved path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094218 - .25 miles parallel to Ygnacio Valley Road around Safeway shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094219 - complex at fast pace - HR 96.  At Via Monte turned right hiking North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094220 - still on paved path for .25 mile to Shadelands Road - HR 95.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094221 - right and hiked East on Shadelands .25 mile to Oak Grove - HR 95.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094222 - Turned right and hiked .25 mile South on paved path parallel to Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094223 - Grove back to Ygancio Valley Road and a little farther to reach 13                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094224 - miles.  Then turned around and hiked back to Oak Grove.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094225 - and hiked North on path parallel to Oak Grove for 1 mile to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094226 - Ran about 50 yards to make traffic light crossing to North side of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094227 - Treat - HR 102.  Turned right and hiked 1 miles East on Treat to San                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094228 - Miguel - HR 112.  Continued on Treat uphill .5 mile.  At summit HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094229 - 107.  Continued on Treat .5 mile to Cuneo and turned left - HR 96, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094230 - hiked home for 16 miles.  This was best HR hiking, since December, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094231 - occurred before starting Amiodarone ordered by Doctor Pellegrini on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094232 - 200320 1741. ref SDS 92 XU9M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094234 -  ..
094235 - Breakfast - cheerios chia seeds milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094236 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094237 - Dinner - macaroni cheese brocolli avocado onion mushroom, fritos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094239 -  ..
094240 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094245 -         ..
094246 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094247 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094248 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094249 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094250 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094251 -   88.  200328 0720............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094252 -               0730....BP HR..................................................... 120  69  90  jagged curve so PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094253 -               0735....BP HR..................................................... 117  71  46  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094254 -               0740....weight.................................... 189                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094255 -               0740... 20 973720 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094256 -               0740... 80 178960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094257 -               0740... 05  730 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094258 -               0740... 75 4750 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094259 -           **  0740... 25   3075.0 Metoprolol Tartrate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094260 -           *** 0740... 200   400 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                      
094261 -               1030... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094262 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094263 -               1030... Gabapentin 300MG  15800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094264 -               0000... Oxycodone HCL Plain  5  160 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094265 -               1100... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094266 -               1100....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094267 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094268 -               1700... 40 55520 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
094269 -             1 0000............ 10 13410  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094270 -             1 0000............ 10 13000  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094271 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094272 -               2000... 25   3100 Metoprolol Tartrate RX _______ for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094273 -           *** 2000... 200   800 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094274 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094275 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094276 -               2100... 40 35400 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094277 -               2130... 1000  767000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094278 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094279 -               0000....Tramadol 50 1750 for left knee hurting late in evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094280 -               2200... 05  735 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094281 -               2200... 80 179040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094282 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094283 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094285 - ** Metoprolol causing fatigue, feel sleepy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094287 -  ..
094288 - ***200328 begin Amiodarone 2-200 pills twice a day for a week; on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094289 - 200403 take 1 pill twice a day for 1 week; on 200410 take 1 pill per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094290 - day to complement metropolol to lower HR until ablation to resolve PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094292 -  ..
094293 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094295 -  ..
094296 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094297 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094298 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094300 -  ..
094301 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094303 -  ..
094304 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094306 -  ..
094307 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094308 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094310 -  ..
094311 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094313 -  ..
094314 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094315 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094317 -  ..
094318 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094319 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094320 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094321 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094322 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094323 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094324 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094325 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094326 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094327 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094328 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094329 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094330 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094332 -  ..
094333 - Breakfast - egg sausage muffin with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094334 - Lunch - hamburger half fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094335 - Dinner - rice hamburger asparagus avocado onion mushroom, cake milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094337 -  ..
094338 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094343 -         ..
094344 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094345 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094346 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094347 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094348 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094349 -   89.  200329 0740............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094350 -               0740....BP HR..................................................... 127  69  47  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094351 -               0745....BP HR..................................................... 119  68  43  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094352 -               0750....weight.................................... 192                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094353 -               0750... 20 973740 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094354 -               0750... 80 179120 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094355 -               0750... 05  740 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094356 -               0750... 75 4825 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094357 -           **  0750... 25   3125.0 Metoprolol Tartrate RX #7101244                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094358 -           *** 0750... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                      
094359 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094360 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094361 -               0900... Gabapentin 300MG  16100MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094362 -               0900... Oxycodone HCL Plain  5  165 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094363 -               1000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094364 -               1000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094365 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094366 -               1150....miles...........  16.0  47.0  264   772 minutes temp  56 rain 20% of hike not big problem                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094367 -               1640....weight.................................... 190                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094368 -               1655....BP HR..................................................... 107  59  41   PAF continuing condition during most of hike very jagged sinus curve on cellphone                                                                                                                                                                                                                                                                                                                                                                                                                                  
094369 -               1705....BP HR..................................................... 124  63  43   PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094370 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094371 -               1700... 40 55560 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
094372 -               1830............ 10 13420  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094373 -               1830............ 10 13010  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094374 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094375 -               2000... 25   3150 Metoprolol Tartrate RX 7101244 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094376 -           *** 2000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094377 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094378 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094379 -               2100... 40 35440 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094380 -               2130... 1000  768000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094381 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094382 -               0000....Tramadol 50 1750 for left knee hurting late in evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094383 -               2200... 05  745 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094384 -               2200... 80 179200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094385 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094386 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094388 - ** Metoprolol causing fatigue, feel sleepy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094390 -  ..
094391 - ***200328 begin Amiodarone 2-200 pills twice a day for a week; on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094392 - 200403 take 1 pill twice a day for 1 week; on 200410 take 1 pill per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094393 - day to complement metropolol to lower HR until ablation to resolve PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094395 -  ..
094396 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094398 -  ..
094399 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094400 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094401 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094403 -  ..
094404 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094406 -  ..
094407 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094409 -  ..
094410 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094411 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094413 -  ..
094414 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094416 -  ..
094417 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094418 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094420 -  ..
094421 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094422 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094423 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094424 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094425 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094426 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094427 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094428 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094429 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094430 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094431 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094432 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094433 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094435 -  ..
094436 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094437 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094439 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094440 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094441 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094442 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094443 -        Breathing....................................   1        100  shortness breath on hills entire hike and after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094444 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094445 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094446 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094447 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094448 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094449 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094450 -        Knee left patalla...PRP 191009...............   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094451 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094452 -        Knee left cruciate ligaments back of knee....   1          6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094453 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094454 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094455 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094456 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094457 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094458 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094459 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094460 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094461 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094462 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094463 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094464 -        Metatarsalgia left foot...PRP 191009.........   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094465 -        Metatarsalgia right foot..PRP 191009.........   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094466 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094467 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094468 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094469 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094470 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094471 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094472 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094473 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094474 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094475 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094477 -  ..
094478 - Body feels disoriented after hiking 16 miles in 56 degrees, following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094479 - PRP on 191009 1500, ref SDS 78 0001, and hiking 2 big hills.
094481 - -
094482 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094483 - pain level 1, and knee stiff standing up from sitting position;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094484 - cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094486 -  ..
094487 - Several hours after hike, feet pain level 1; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094488 - Did not take medication, per above. ref SDS 0 R97F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094490 -  ..
094491 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094492 - pain level 3, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094493 - 3T3L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094495 -  ..
094496 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094497 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094498 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094499 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094500 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094502 -     ..
094503 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094504 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094506 -  ..
094507 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094508 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094509 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094511 -  ..
094512 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094513 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094514 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094516 -  ..
094517 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094518 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094519 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094520 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094521 - ref SDS 77 SM4M  Before hike today on 200326 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094522 - and Tailor's Bunions. ref SDS 0 646F  After hike did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094523 - Ammonium Lactate 12% lotion both feet.  Wore Wrightsock thin double                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094524 - ply and laced shoes less tightly.  Applied diclofenac to Tailors                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094525 - Bunion and blisters on big toes both feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094527 -  ..
094528 - Concord 16 mile route - did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094529 - Starting energy okay wearing Hoka Bondi 6 shoes received on 190927                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094530 - 1110, ref SDS 77 SM4M; and 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094531 - ref SDS 79 SM4M  Today, hiking with oxycodone and gabapentin.  Applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094532 - diclofenac to left knee.  Took Glucosamine Chondroitin, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094533 - ref SDS 0 L54N  This combination controlled pain as shown in the study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094534 - above. ref SDS 0 SUTX  There was noticeably less feet and knee pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094535 - today than in prior hikes the past month.  Heart beat (pulse)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094536 - controlled with both metoprolol and amiodarone, resulting in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094537 - significantly lower heart rates for entire hike, compared to prior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094538 - hikes the past months, and despite likely in PAF for entire hike today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094539 - based on repeated shortness of breath episodes hiking hills.  Started                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094540 - hike about 1155 - HR 74, so seemingly in PAF; cellphone shows very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094541 - erratic heart beat, and would not record HR.  Severe shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094542 - breath before hike bending over to tie shoes.  Hiking normal pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094543 - Cuneo slight uphill; slight shortness of breath.  Crossed Treat going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094544 - East - at .25 mile HR 83.  Hiked on concrete sidewalk .25 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094545 - Cowell.  Continued East on Treat flat asphault pavement shoulder, pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094546 - normal.  Hiking up slight hill to Turtle Creek Road at mile .7 - HR 92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094547 - and no shortness of breath.  Continued on Treat downhill hiking East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094548 - to the corner of Clayton.  Time to 1.25 miles 19 minutes - HR 87.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094549 - Turned corner onto Clayton and hiked 2 miles South on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094550 - sidewalk - HR below 100.  At mile 3.25 turned corner heading West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094551 - Ygnacio Valley Road still on concrete sidewalk - HR 94.  About mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094552 - 3.75 crossed from North to South side Ygnacio Valley Road to hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094553 - asphault pavement against oncoming traffic.  Continued to Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094554 - road - time to mile 4.75 about 72 minutes.  Stopped at Texaco gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094555 - station.  Turned corner hiked about 50 yards South on Pine Hollow and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094556 - turned West onto Campus Road - HR 84.  Hiked .75 mile uphill to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094557 - campus.  Breathing through nose all the way; last 400 yards very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094558 - significant chest pressure and shortness of breath.  This indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094559 - today, there was fluid in lungs caused by heart failure, explained on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094560 - 200219 1150. ref SDS 89 W350 - nearing summit - HR 99.  Hiked slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094561 - downhill about 40 yards - HR 88; then hiked around a bend joining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094562 - Campus Drive from Ygnacio Valley Road continuing uphill to main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094563 - college campus about 250 yards.  Breathing through nose great                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094564 - difficulty.  At the summit hiking mileage so far today is 6 miles and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094565 - HR 99.  Hiked 3-loops 1.25 miles each around faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094566 - parking lots - HR dropped to 75 going slight downhills and back to 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094567 - going up slight hills.  Back at visitor parking in front of main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094568 - campus at mile 9 in the hike turned North and hiked downhill .5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094569 - to Ygnacio Valley Road - HR 81.  Turned left and hiked West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094570 - Valley Road past Crystal Ranch Road.  Continued uphill past Cowell,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094571 - then up and over the summit - HR 103.  Breathed through nose entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094572 - climb but with some shortness of breath.  Hiked West 2 miles downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094573 - to Oak Grove - HR 89.  Continued on flat, paved path .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094574 - parallel to Ygnacio Valley Road around Safeway shopping complex at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094575 - fast pace - HR 94.  At Via Monte turned right hiking North still on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094576 - paved path for .25 mile to Shadelands Road - HR 103.  Turned right and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094577 - hiked East on Shadelands .25 mile to Oak Grove - HR 104.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094578 - and hiked .25 mile South on flat, paved path parallel to Oak Grove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094579 - back to Ygancio Valley Road completing loop around Safeway shoppint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094580 - complex - HR 124.  Hiked same loop back to Shadelands and turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094581 - onto Oak Grove - mile 15 in hike - HR 132.  Hiked North on Oak Grove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094582 - 1 mile to Treat, mile 16 ending hike HR 119.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094584 -  ..
094585 - Breakfast - cheerios banana chia seeds milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094586 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094587 - Dinner - meatloaf brocolli potatoes avocado tomato, pie milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094589 -  ..
094590 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094595 -         ..
094596 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094597 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094598 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094599 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094600 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094601 -   90.  200330 0710............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094602 -               0720....BP HR..................................................... 138  73  41  jagged curve so PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094603 -               0725....BP HR..................................................... 133  75  40  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094604 -               0730....weight.................................... 192                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094605 -               0730... 20 973760 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094606 -               0730... 80 179280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094607 -               0730... 05  750 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094608 -               0730... 75 4900 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094609 -           **  0000... 25   3125.0 Metoprolol Tartrate RX #7101244                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094610 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                      
094611 -               0900... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094612 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094613 -               0900... Gabapentin 300MG  16100MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094614 -               0000... Oxycodone HCL Plain  5  165 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094615 -               1000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094616 -               1000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094617 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094618 -               1110....miles...........  16.0  16.0  264   264 minutes temp  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094619 -               1630....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094620 -               1635....BP HR..................................................... 105  63  72   sinus continuing condition during most of hike very jagged sinus curve on cellphone                                                                                                                                                                                                                                                                                                                                                                                                                                
094621 -               1640....BP HR.....................................................  90  61  80   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094622 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094623 -               1700... 40 55600 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
094624 -             1 0000............ 10 13420  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094625 -             1 0000............ 10 13010  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094626 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094627 -           **  0000... 25   3150 Metoprolol Tartrate RX 7101244 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094628 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094629 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094630 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094631 -               2100... 40 35480 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094632 -               2130... 1000  769000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094633 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094634 -               0000....Tramadol 50 1750 for left knee hurting late in evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094635 -               2200... 05  755 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094636 -               2200... 80 179360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094637 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094638 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094640 -  ..
094641 - ** Metoprolol pause on 200330, because toxicity causing ARDS symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094642 - with fluid building up in lung sacs, further causing shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094643 - breath - see letter to VA dated 200329 0918.  May explain bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094644 - feeling caused by unknown drugs, reported on 200202, above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094645 - ref SDS 0 O68K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094647 -  ..
094648 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094649 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094651 -  ..
094652 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094654 -  ..
094655 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094656 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094657 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094659 -  ..
094660 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094662 -  ..
094663 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094665 -  ..
094666 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094667 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094669 -  ..
094670 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094672 -  ..
094673 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094674 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094676 -  ..
094677 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094678 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094679 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094680 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094681 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094682 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094683 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094684 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094685 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094686 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094687 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094688 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094689 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094691 -  ..
094692 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094693 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094695 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094696 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094697 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094698 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094699 -        Breathing....................................   1         25  shortness breath starting hike to mile 5 at Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094700 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094701 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094702 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094703 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094704 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094705 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094706 -        Knee left patalla...PRP 191009...............   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094707 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094708 -        Knee left cruciate ligaments back of knee....   1          6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094709 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094710 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094711 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094712 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094713 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094714 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094715 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094716 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094717 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094718 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094719 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094720 -        Metatarsalgia left foot...PRP 191009.........   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094721 -        Metatarsalgia right foot..PRP 191009.........   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094722 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094723 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094724 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094725 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094726 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094727 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094728 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094729 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094730 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094731 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094733 -  ..
094734 - Body feels wasted after hiking 16 miles in 61 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094735 - on 191009 1500, ref SDS 78 0001, and hiking 2 big hills.
094737 - -
094738 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094739 - pain level 0, and knee stiff standing up from sitting position;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094740 - cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094742 -  ..
094743 - Several hours after hike, feet pain level 2; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094744 - Did not take medication, per above. ref SDS 0 KB6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094746 -  ..
094747 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094748 - pain level 2, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094749 - KB6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094751 -  ..
094752 - Shoes wearing Hoka Bondi 6 Wide and with new set Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094753 - inserts protect against blisters, and with heel inserts to protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094754 - against plantarfaciitis, and for rebound energy.  Wrapped laces loose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094755 - to reduce pressure Tailor's Bunions.  Worked well during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094757 -     ..
094758 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094759 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094761 -  ..
094762 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094763 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094764 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094766 -  ..
094767 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094768 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094769 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094771 -  ..
094772 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094773 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094774 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094775 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094776 - ref SDS 77 SM4M  Before hike today on 200326 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094777 - and Tailor's Bunions. ref SDS 0 646F  After hike did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094778 - Ammonium Lactate 12% lotion both feet.  Wore Wrightsock thin double                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094779 - ply and laced shoes less tightly.  Applied diclofenac to Tailors                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094780 - Bunion and blisters on big toes both feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094782 -  ..
094783 - Concord 16 mile route - did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094784 - Starting energy good wearing Hoka Bondi 6 shoes received on 190927                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094785 - 1110, ref SDS 77 SM4M; and 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094786 - ref SDS 79 SM4M  Today, hiking with naproxen and gabapentin.  Applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094787 - diclofenac to left knee.  Took Glucosamine Chondroitin, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094788 - ref SDS 0 KB6F  This combination controlled pain as shown in the study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094789 - above. ref SDS 0 SYRR  There was noticeably less feet and knee pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094790 - today than in prior hikes the past month.  Heart beat (pulse) was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094791 - controlled with metoprolol or amiodarone, because caused ARDS -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094792 - shortness of breath yesterday evening and this morning.  Avoiding this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094793 - medication resulted in slightl higher heart rates, compared to prior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094794 - hikes taking Metoprolol, but significantly eliminated repeated and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094795 - severe shortness of breath episodes hiking hills that occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094796 - yesterday, per above. ref SDS 0 SVTP  Started hike about 1110 - HR 52,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094797 - so seemingly in sinus; cellphone shows very erratic heart beat, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094798 - would not record HR, indicating PAF.  Severe shortness of breath                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094799 - before hike bending over to tie shoes.  Hiking normal pace on Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094800 - slight uphill.  Shortness of breath, required breathing through mouth.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094801 - Crossed Treat going East - at .25 mile HR 101.  Hiked on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094802 - sidewalk .25 mile to Cowell.  Continued East on Treat flat asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094803 - pavement shoulder, pace normal.  Hiking up slight hill to Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094804 - Road at mile .7 - HR 103 breating through mouth.  Continued on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094805 - downhill hiking East to the corner of Clayton.  Time to 1.25 miles 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094806 - minutes - HR 101.  Turned corner onto Clayton and hiked 2 miles South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094807 - on concrete sidewalk - HR below 110, but shortness of breath required                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094808 - breathing through mouth all the way.  At mile 3.25 turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094809 - heading West on Ygnacio Valley Road still on concrete sidewalk - HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094810 - 109.  About mile 3.75 crossed from North to South side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094811 - Road to hike on asphault pavement against oncoming traffic.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094812 - to Pine Hollow road - time to mile 4.75 about 72 minutes.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094813 - Texaco gas station.  Turned corner hiked about 50 yards South on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094814 - Hollow and turned West onto Campus Road - HR 83.  Somehow severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094815 - shortness that occurred during hike yesterday, after the hike last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094816 - night, and during 1st 5 miles of hike today, nominally due to fluid in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094817 - lungs caused by heart failure (atrial fibrillation - AF), explained on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094818 - 200219 1150, ref SDS 89 W350, also caused by taking Metoprolol, and by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094819 - Amiodarone - to treat AF- just totally resolved.  Seemed like a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094820 - miracle.  Hiked .75 mile uphill to the campus breathing easily through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094821 - nose all the way.  Nearing summit - HR 122.  Hiked slight downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094822 - about 40 yards - HR 125; hiked around a bend joining Campus Drive from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094823 - Ygnacio Valley Road continuing uphill to main college campus about 250                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094824 - yards.  Breathing through nose easily.  At the summit hiking mileage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094825 - so far today is 6 miles and HR 149.  Hiked 3-loops 1.25 miles each                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094826 - around faculty and student parking lots - HR dropped to 123 going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094827 - slight downhills and back to 145 going up slight hills.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094828 - visitor parking in front of main campus at mile 9 in the hike turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094829 - North and hiked downhill .5 mile to Ygnacio Valley Road - HR 132.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094830 - Turned left and hiked West on Ygnacio Valley Road past Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094831 - Road.  Continued uphill past Cowell, then up and over the summit - HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094832 - 158.  Breathed easily through nose entire climb and without shortness                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094833 - of breath.  Hiked West 2 miles downhill to Oak Grove - HR 130.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094834 - Continued on flat, paved path .25 miles parallel to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094835 - Road around Safeway shopping complex at fast pace - HR 128.  At Via                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094836 - Monte turned right hiking North still on paved path for .25 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094837 - Shadelands Road - HR 103.  Turned right and hiked East on Shadelands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094838 - .25 mile to Oak Grove - HR 131.  Turned right and hiked .25 mile South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094839 - on flat, paved path parallel to Oak Grove back to Ygancio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094840 - completing loop around Safeway shopping complex - HR 147.  Seemed like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094841 - shortness of breath recurred - mild continued breathing easily through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094842 - nose.  Just a sense of the feeling.  Hiked same loop back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094843 - Shadelands and turned left onto Oak Grove - mile 15 in hike - HR 156.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094844 - Hiked North on Oak Grove 1 mile to Treat, mile 16 ending hike HR 148.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094846 -  ..
094847 - Breakfast - cheerios banana chia seeds milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094848 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094849 - Dinner - meatloaf asparagus macaroni cheese avocado onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094851 -  ..
094852 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094857 -         ..
094858 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094859 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094860 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094861 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094862 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094863 -   91.  200331 0710............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094864 -               0730....BP HR..................................................... 125  81  62  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094865 -               0735....BP HR..................................................... 111  74  69  slightly jagged curve so PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094866 -               0740....weight.................................... 190                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094867 -               0740... 20 973780 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094868 -               0740... 80 179440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094869 -               0740... 05  760 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094870 -               0740... 75 4975 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094871 -           **  0000... 25   3125.0 Metoprolol Tartrate RX #7101244                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094872 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                      
094873 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094874 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094875 -               0900... Gabapentin 300MG  16100MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094876 -               0900... Oxycodone HCL Plain  5  170 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094877 -               1000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094878 -               1000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094879 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094880 -               1700... 40 55640 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
094881 -               1830............ 10 13430  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094882 -               1830............ 10 13020  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094883 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094884 -           **  0000... 25   3150 Metoprolol Tartrate RX 7101244 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094885 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094886 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094887 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094888 -               2100... 40 35520 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094889 -               2130... 1000  770000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094890 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094891 -               0000....Tramadol 50 1750 for left knee hurting late in evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094892 -               2200... 05  765 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094893 -               2200... 80 179520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094894 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094895 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094897 -  ..
094898 - ** Metoprolol pause on 200330, because causing shortness of breath -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094899 - ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094901 -  ..
094902 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094903 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094905 -  ..
094906 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094908 -  ..
094909 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094910 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094911 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094913 -  ..
094914 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094916 -  ..
094917 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094919 -  ..
094920 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094921 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094923 -  ..
094924 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094926 -  ..
094927 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094928 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094930 -  ..
094931 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094932 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094933 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094934 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094935 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094936 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094937 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094938 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094939 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094940 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094941 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094942 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094943 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094945 -  ..
094946 - Breakfast - eggs sausage toast with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094947 - Lunch - half sandwich                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094948 - Dinner - meatloaf brocolli cheese avocado onion mashed potatoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094949 - mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094951 -  ..
094952 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094956 -         ..
094957 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094958 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094959 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094960 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094961 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094962 -   92.  200401 0610............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094963 -               0630....BP HR..................................................... 139  75  48  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094964 -               0635....BP HR..................................................... 132  68  47  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094965 -               0640....weight.................................... 190                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094966 -               0640... 20 973800 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094967 -               0640... 80 179600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094968 -               0640... 05  770 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094969 -               0640... 75 5050 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094970 -           **  0000... 25   3125.0 Metoprolol Tartrate RX #7101244                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094971 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                      
094972 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094973 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094974 -               0000... Gabapentin 300MG  16100MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094975 -               0000... Oxycodone HCL Plain  5  170 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094976 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094977 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094978 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094979 -               1700... 40 55680 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
094980 -             1 0000............ 10 13430  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094981 -             1 0000............ 10 13020  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094982 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094983 -           **  0000... 25   3150 Metoprolol Tartrate RX 7101244 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094984 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094985 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094986 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094987 -               2100... 40 35560 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094988 -               2130... 1000  771000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094989 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094990 -               2150....Tramadol 50 1800 for restless legs, mainly right lower leg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094991 -               2200... 05  775 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094992 -               2200... 80 179680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094993 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094994 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094996 -  ..
094997 - ** Metoprolol pause on 200330, because causing shortness of breath -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094998 - ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095000 -  ..
095001 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095002 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095004 -  ..
095005 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095007 -  ..
095008 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095009 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095010 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095012 -  ..
095013 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095015 -  ..
095016 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095018 -  ..
095019 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095020 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095022 -  ..
095023 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095025 -  ..
095026 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095027 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095029 -  ..
095030 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095031 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095032 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095033 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095034 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095035 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095036 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095037 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095038 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095039 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095040 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095041 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095042 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095044 -  ..
095045 - Breakfast - cheerios banana chia seeds milk with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095046 - Lunch - sandwich roast beef cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095047 - Dinner - brocolli lettuce steak avocado onion tomato mushrooms fritos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095049 -  ..
095050 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095054 -         ..
095055 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095056 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095057 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095058 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095059 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095060 -   93.  200402 0710............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095061 -               0720....BP HR..................................................... 115  77  68  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095062 -               0725....BP HR..................................................... 126  79  64  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095063 -               0730....weight.................................... 190                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095064 -               0730... 20 973820 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095065 -               0730... 80 179760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095066 -               0730... 05  780 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095067 -               0730... 75 5125 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095068 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                      
095069 -               0845... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095070 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095071 -               0845... Gabapentin 300MG  16400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095072 -               0000... Oxycodone HCL Plain  5  170 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095073 -               1050... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095074 -               1050....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095075 -           **  1100... 25   3125.0 Metoprolol Tartrate RX #7101244                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095076 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095077 -               1700... 40 55720 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
095078 -               1830............ 10 13440  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095079 -               1830............ 10 13030  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095080 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095081 -           **  0000... 25   3150 Metoprolol Tartrate RX 7101244 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095082 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095083 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095084 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095085 -               2100... 40 35600 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095086 -               2130... 1000  772000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095087 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095088 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095089 -               2200... 05  785 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095090 -               2200... 80 179840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095091 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095092 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095094 -  ..
095095 - ** Metoprolol resumed today on 200402, after pausing on 200330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095096 - because causing shortness of breath - ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095098 -  ..
095099 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095100 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095102 -  ..
095103 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095105 -  ..
095106 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095107 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095108 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095110 -  ..
095111 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095113 -  ..
095114 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095116 -  ..
095117 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095118 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095120 -  ..
095121 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095123 -  ..
095124 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095125 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095127 -  ..
095128 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095129 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095130 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095131 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095132 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095133 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095134 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095135 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095136 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095137 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095138 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095139 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095140 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095142 -  ..
095143 - Hiking - after half mile came back, because dressing on blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095144 - between legs failed, causing wound to get worse with each step.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095146 -  ..
095147 - Breakfast - cheerios chia seeds banana milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095148 - Lunch - sandwich tuna                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095149 - Dinner - asparagus rice hamburger avocado onion tomato mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095150 - cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095152 -  ..
095153 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095158 -         ..
095159 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095160 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095161 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095162 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095163 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095164 -   94.  200403 0700............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095165 -               0710....BP HR..................................................... 118  68  49  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095166 -               0715....BP HR..................................................... 120  69  50  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095167 -               0720....weight.................................... 190                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095168 -               0720... 20 973840 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095169 -               0720... 80 179920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095170 -           **  9720... 25   3150.0 Metoprolol Tartrate RX #7101244                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095171 -               0720... 05  790 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095172 -               0720... 75 5200 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095173 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                      
095174 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095175 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095176 -               0000... Gabapentin 300MG  16400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095177 -               0000... Oxycodone HCL Plain  5  170 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095178 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095179 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095180 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095181 -               1700... 40 55760 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
095182 -             1 0000............ 10 13440  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095183 -             1 0000............ 10 13030  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095184 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095185 -           **  0000... 25   3150 Metoprolol Tartrate RX 7101244 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095186 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095187 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095188 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095189 -               2100... 40 35640 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095190 -               2130... 1000  773000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095191 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095192 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095193 -               2200... 05  795 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095194 -               2200... 80 180000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095195 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095196 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095198 -  ..
095199 - ** Metoprolol resumed today on 200402, after pausing on 200330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095200 - because causing shortness of breath - ARDS  Only taking 1 pill per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095201 - day, because AF now seems to be occurring less often, and taking more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095202 - increases ARDS symptoms shortness of breath.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095204 -  ..
095205 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095206 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095208 -  ..
095209 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095211 -  ..
095212 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095213 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095214 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095216 -  ..
095217 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095219 -  ..
095220 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095222 -  ..
095223 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095224 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095226 -  ..
095227 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095229 -  ..
095230 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095231 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095233 -  ..
095234 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095235 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095236 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095237 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095238 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095239 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095240 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095241 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095242 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095243 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095244 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095245 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095246 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095248 -  ..
095249 - Breakfast - egg sausage cheese muffin with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095250 - Lunch - sandwich tuna                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095251 - Dinner - asparagus rice hamburger avocado onion tomato mushrooms,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095252 - cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095254 -  ..
095255 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095259 -         ..
095260 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095261 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095262 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095263 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095264 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095265 -   95.  200404 0740............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095266 -               0740....BP HR..................................................... 140  73  46  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095267 -               0745....BP HR..................................................... 129  73  44  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095268 -               0750....weight.................................... 190                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095269 -               0750... 20 973860 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095270 -               0750... 80 180080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095271 -           **  9750... 25   3175.0 Metoprolol Tartrate RX #7101244                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095272 -               0750... 05  800 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095273 -               0750... 75 5275 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095274 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                      
095275 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095276 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095277 -               0000... Gabapentin 300MG  16400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095278 -               0000... Oxycodone HCL Plain  5  170 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095279 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095280 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095281 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095282 -               1700... 40 55800 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
095283 -               1830............ 10 13450  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095284 -               1830............ 10 13040  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095285 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095286 -           **  0000... 25   3175 Metoprolol Tartrate RX 7101244 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095287 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - caused ARDS symptoms so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095288 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095289 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095290 -               2100... 40 35680 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095291 -               2130... 1000  774000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095292 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095293 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095294 -               2200... 05  805 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095295 -               2200... 80 180160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095296 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095297 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095299 -  ..
095300 - ** Metoprolol resumed today on 200402, after pausing on 200330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095301 - because causing shortness of breath - ARDS  Only taking 1 pill per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095302 - day, because AF now seems to be occurring less often, and taking more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095303 - increases ARDS symptoms - shortness of breath.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095305 -               Time                   HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095307 -               1106................. 141  smooth curve so sinus possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095308 -               1134.................  77  smooth curve so sinus possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095309 -               1135.................  96  smooth curve so sinus possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095310 -               1139................. 132  smooth curve so sinus possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095311 -               1151.................  79  smooth curve so sinus possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095312 -               1342.................  67  smooth curve so sinus possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095313 -               1415.................  77  smooth curve so sinus possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095314 -               1610.................  79  smooth curve so sinus possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095315 -               1612.................  65  smooth curve so sinus possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095316 -               1647.................  66  smooth curve so sinus possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095318 -  ..
095319 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095320 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095322 -  ..
095323 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095325 -  ..
095326 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095327 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095328 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095330 -  ..
095331 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095333 -  ..
095334 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095336 -  ..
095337 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095338 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095340 -  ..
095341 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095343 -  ..
095344 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095345 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095347 -  ..
095348 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095349 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095350 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095351 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095352 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095353 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095354 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095355 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095356 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095357 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095358 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095359 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095360 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095362 -  ..
095363 - Breakfast - egg pancake milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095364 - Lunch - sandwich tuna                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095365 - Dinner - asparagus avocado tuna onion tomato cottage cheese, fritos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095367 -  ..
095368 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095372 -         ..
095373 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095374 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095375 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095376 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095377 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095378 -   96.  200405 0710............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095379 -               0720....BP HR..................................................... 132  78  58  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095380 -               0725....BP HR..................................................... 117  71  56  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095381 -               0730....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095382 -               0730... 20 973880 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095383 -               0730... 80 180240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095384 -           **  9730... 25   3200.0 Metoprolol Tartrate RX #7101244                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095385 -               0730... 05  810 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095386 -               0730... 75 5350 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095387 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                      
095388 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095389 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095390 -               0000... Gabapentin 300MG  16400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095391 -               0000... Oxycodone HCL Plain  5  170 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095392 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095393 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095394 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095395 -               1700... 40 55840 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
095396 -             1 0000............ 10 13450  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095397 -             1 0000............ 10 13040  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095398 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095399 -           **  0000... 25   3200 Metoprolol Tartrate RX 7101244 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095400 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - caused ARDS symptoms so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095401 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095402 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095403 -               2100... 40 35720 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095404 -               2130... 1000  775000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095405 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095406 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095407 -               2200... 05  815 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095408 -               2200... 80 180320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095409 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095410 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095412 -  ..
095413 - ** Metoprolol resumed today on 200402, after pausing on 200330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095414 - ref SDS 0 KB45, because causing shortness of breath - ARDS  Only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095415 - taking 1 pill per day, because AF now seems to be occurring less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095416 - often, and taking more increases ARDS symptoms - shortness of breath.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095418 -               Time                   HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095420 -               1149.................  48  smooth curve so sinus possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095421 -               1332.................  49  smooth curve so sinus possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095422 -               1401.................  51  smooth curve so sinus possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095424 -  ..
095425 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095426 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095428 -  ..
095429 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095431 -  ..
095432 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095433 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095434 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095436 -  ..
095437 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095439 -  ..
095440 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095442 -  ..
095443 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095444 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095446 -  ..
095447 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095449 -  ..
095450 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095451 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095453 -  ..
095454 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095455 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095456 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095457 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095458 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095459 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095460 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095461 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095462 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095463 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095464 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095465 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095466 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095468 -  ..
095469 - Breakfast - cheerios chia seeds banana milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095470 - Lunch - sandwich tuna avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095471 - Dinner - rice steak asparagus onion olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095473 -  ..
095474 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095479 -         ..
095480 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095481 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095482 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095483 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095484 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095485 -   97.  200406 0650............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095486 -               0650....BP HR..................................................... 146  80  49  slightly jagged curve so mostly sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095487 -               0655....BP HR..................................................... 131  76  48  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095488 -               0700....weight.................................... 190                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095489 -               0700... 20 973900 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095490 -               0700... 80 180400 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095491 -           **  0000... 25   3200.0 Metoprolol Tartrate RX #7101244                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095492 -               0700... 05  820 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095493 -               0700... 75 5425 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095494 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                      
095495 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095496 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095497 -               0000... Gabapentin 300MG  16400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095498 -               0000... Oxycodone HCL Plain  5  170 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095499 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095500 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095501 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095502 -               1700... 40 55880 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
095503 -               1830............ 10 13460  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095504 -               1830............ 10 13050  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095505 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095506 -           **  0000... 25   3200 Metoprolol Tartrate RX 7101244 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095507 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - caused ARDS symptoms so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095508 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095509 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095510 -               2100... 40 35760 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095511 -               2130... 1000  776000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095512 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095513 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095514 -               2200... 05  825 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095515 -               2200... 80 180480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095516 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095517 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095519 -  ..
095520 - ** Metoprolol resumed today on 200402, after pausing on 200330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095521 - ref SDS 0 KB45, because causing shortness of breath - ARDS  Only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095522 - taking 1 pill per day, because AF now seems to be occurring less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095523 - often, and taking more increases ARDS symptoms - shortness of breath.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095525 -  ..
095526 - On 200406 paused Metorpolol in morning, because last night and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095527 - continuing this morning experiencing recurrance ARDS symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095528 - shortness of breath.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095530 -               Time                   HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095532 -               1026.................  63  smooth curve so sinus possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095533 -               1300.................  53  jagged but recognizable curve maybe sinus likely PAW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095534 -               1354.................  59  jagged but smoother curve mostly sinus with PAW activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095536 -  ..
095537 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095538 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095540 -  ..
095541 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095543 -  ..
095544 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095545 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095546 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095548 -  ..
095549 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095551 -  ..
095552 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095554 -  ..
095555 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095556 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095558 -  ..
095559 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095561 -  ..
095562 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095563 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095565 -  ..
095566 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095567 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095568 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095569 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095570 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095571 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095572 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095573 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095574 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095575 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095576 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095577 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095578 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095580 -  ..
095581 - Breakfast - cheerios chia seeds banana milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095582 - Lunch - sandwich balogna onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095583 - Dinner - rice meatloaf squash onion, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095585 -  ..
095586 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095591 -         ..
095592 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095593 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095594 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095595 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095596 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095597 -   98.  200407 0715............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095598 -               0720....BP HR..................................................... 128  85  71  slightly jagged curve so mostly sinus but mixed with PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095599 -               0725....BP HR..................................................... 138  84  63  slightly jagged curve so mostly sinus but mixed with PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095600 -               0730....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095601 -               0730... 20 973920 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095602 -               0730... 80 180560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095603 -           **  0730... 25   3225.0 Metoprolol Tartrate RX #7101244                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095604 -               0730... 05  830 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095605 -               0730... 75 5500 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095606 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                      
095607 -               1030... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095608 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095609 -               1030... Gabapentin 300MG  16700MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095610 -               0000... Oxycodone HCL Plain  5  170 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095611 -               1040... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095612 -               1100....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095613 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095614 -               1125....miles...........  16.0  16.0  244   244 minutes temp  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095615 -               1620....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095616 -               1635....BP HR.....................................................  96  61  92   sinus continuing condition during most of hike, now smooth sinus curve on cellphone                                                                                                                                                                                                                                                                                                                                                                                                                                
095617 -               1724....BP HR.....................................................  82  52  56   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095618 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095619 -               1700... 40 55920 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
095620 -             1 0000............ 10 13460  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095621 -             1 0000............ 10 13050  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095622 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095623 -           **  0000... 25   3225 Metoprolol Tartrate RX 7101244 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095624 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - caused ARDS symptoms so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095625 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095626 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095627 -               2100... 40 35800 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095628 -               2130... 1000  777000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095629 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095630 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095631 -               2200... 05  835 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095632 -               2200... 80 180640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095633 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095634 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095636 -  ..
095637 - ** Metoprolol resumed on 200402, after pausing on 200330, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095638 - KB45, because causing shortness of breath - ARDS  Only taking 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095639 - per day, because AF now seems to be occurring less often, and taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095640 - more increases ARDS symptoms - shortness of breath.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095642 -  ..
095643 - On 200406 paused metorpolol in morning, because last night and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095644 - continuing this morning recurrance minor ARDS symptoms shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095645 - breath, see HR above. ref SDS 0 HH5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095647 -  ..
095648 - On 200407 metoprolol resume because ARDS symptoms (shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095649 - breath) fully resolved, and HR controlled without metoprolol, however                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095650 - HR observed at 109 last night OA 1300, and possible PAF this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095651 - per above. ref SDS 0 RN8F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095653 -               Time                   HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095655 -               0830.................  71  jagged curve so likely PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095656 -               1030.................  52  smooth curve so likely sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095657 -               1050.................  56  smooth curve so likely sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095658 -               1100.................  51  smooth curve so likely sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095659 -               1725.................  56  smooth curve so likely sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095662 -  ..
095663 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095664 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095666 -  ..
095667 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095669 -  ..
095670 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095671 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095672 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095674 -  ..
095675 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095677 -  ..
095678 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095680 -  ..
095681 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095682 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095684 -  ..
095685 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095687 -  ..
095688 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095689 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095691 -  ..
095692 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095693 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095694 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095695 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095696 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095697 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095698 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095699 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095700 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095701 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095702 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095703 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095704 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095706 -  ..
095707 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095708 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095710 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095711 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095712 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095713 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095714 -        Breathing....................................   0        100  no shortness breath entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095715 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095716 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095717 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095718 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095719 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095720 -        Knee left meniscus...PRP 191009..............   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095721 -        Knee left patalla...PRP 191009...............   2          7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095722 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095723 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095724 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095725 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095726 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095727 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095728 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095729 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095730 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095731 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095732 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095733 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095734 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095735 -        Metatarsalgia left foot...PRP 191009.........   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095736 -        Metatarsalgia right foot..PRP 191009.........   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095737 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095738 -        Ankle right heel bone pain on 200407.........   7          1  came after 1 mile uphill then starting downhill, and went away after about 100+ yards, this happened previously about 2 weeks ago                                                                                                                                                                                                                                                                                                                                                                                                            
095739 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095740 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095741 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095742 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095743 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095744 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095745 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095746 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095747 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095749 -  ..
095750 - Body feels wasted after hiking 16 miles in 63 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095751 - on 191009 1500, ref SDS 78 0001, and hiking 2 big hills.
095753 - -
095754 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095755 - pain level 0, and knee stiff standing up from sitting position;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095756 - cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095758 -  ..
095759 - Several hours after hike, feet pain level 1; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095760 - Did not take medication, per above. ref SDS 0 R97F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095762 -  ..
095763 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095764 - pain level 3, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095765 - 3T3L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095767 -  ..
095768 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095769 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095770 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095771 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095772 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095774 -     ..
095775 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095776 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095778 -  ..
095779 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095780 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095781 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095783 -  ..
095784 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095785 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095786 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095788 -  ..
095789 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095790 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095791 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095792 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095793 - ref SDS 77 SM4M  Before hike today on 200407 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095794 - and Tailor's Bunions. ref SDS 0 USSW  After hike did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095795 - Ammonium Lactate 12% lotion both feet.  Wore Wrightsock thin double                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095796 - ply and laced shoes less loosely.  Did not applied diclofenac to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095797 - Tailors Bunion and blisters on big toes both feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095799 -  ..
095800 - Concord 16 mile route - hiked extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095801 - energy good wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095802 - ref SDS 77 SM4M; and 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095803 - ref SDS 79 SM4M  Today, hiking with naproxen and gabapentin.  Applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095804 - diclofenac to left knee.  Took Glucosamine Chondroitin, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095805 - ref SDS 0 RN8F  This combination controlled pain as shown in the study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095806 - above. ref SDS 0 URUV  There was noticeably less feet and knee pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095807 - today, than in prior hikes the past month.  Heart rate (HR) was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095808 - controlled with metoprolol, taken this morning, because elevated HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095809 - above 100 recurred during the night.  During hike today, HR noticably                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095810 - lower compared to prior hikes not taking Metoprolol.  No shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095811 - breath, so breathing easily through nose entire hike.  This aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095812 - with pausing metoprolol past 2 days, which resolved ARDS toxic fluid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095813 - bulding up in lung sacks, reported in letter to VA on 200329, cited on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095814 - 200330, shown above, ref SDS 0 KB45  Started hike about 1125 - HR 65,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095815 - so seemingly in sinus; cellphone shows very erratic heart beat, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095816 - would not record HR, indicating PAF.  No shortness of breath before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095817 - hike bending over to tie shoes.  Hiking normal pace on Cuneo slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095818 - uphill.  No shortness of breath, enabled breathing through nose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095819 - Crossed Treat going East - at .25 mile HR 112.  Normally HR in 90s, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095820 - maybe PAF.  Hiked on concrete sidewalk .25 mile to Cowell.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095821 - East on Treat flat asphault pavement shoulder, pace normal.  Hiking up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095822 - slight hill to Turtle Creek Road at mile .7 - HR 102.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095823 - Treat downhill hiking East to the corner of Clayton.  Time to 1.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095824 - miles 19 minutes - HR 96.  Turned corner onto Clayton and hiked 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095825 - miles South on concrete sidewalk - HR below 110.  At mile 3.25 turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095826 - corner heading West on Ygnacio Valley Road still on concrete sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095827 - - HR 104.  About mile 3.75 crossed from North to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095828 - Valley Road to hike on asphault pavement against oncoming traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095829 - Continued to Pine Hollow road - time to mile 4.75 about 72 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095830 - Stopped at Texaco gas station.  Turned corner hiked about 50 yards                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095831 - South on Pine Hollow and turned West onto Campus Road - HR 103.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095832 - .75 mile uphill to the campus breathing easily through nose all the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095833 - way.  Nearing summit - HR 112.  Hiked slight downhill about 40 yards -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095834 - HR 104; hiked around a bend joining Campus Drive from Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095835 - Road continuing uphill to main college campus about 250 yards.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095836 - Breathing through nose easily.  At the summit hiking mileage so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095837 - today is 6 miles and HR 114.  Hiked 2-loops 1.25 miles each around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095838 - faculty and student parking lots - HR dropped to 101 going slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095839 - downhills and back to 114 going up slight hills.  Back at visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095840 - parking in front of main campus at mile 9 in the hike turned North and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095841 - hiked downhill .5 mile to Ygnacio Valley Road - HR 100.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095842 - and hiked West on Ygnacio Valley Road past Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095843 - Continued uphill past Cowell, then up and over the summit - HR 120.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095844 - Breathed easily through nose entire climb and without shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095845 - breath.  From summit hiked West 2 miles downhill to Oak Grove - HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095846 - 104.  After several hundred yards going downhill right heal from lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095847 - ankle on an angle toward middle of foot felt pain level 6, as if                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095848 - something in the heel bone was broken.  Limped along for about 100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095849 - 200 yards and this went entirely away.  At Oak Grove, continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095850 - flat, paved path .25 miles parallel to Ygnacio Valley Road around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095851 - Safeway shopping complex at fast pace - HR 112.  At Via Monte turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095852 - right hiking North still on paved path for .25 mile to Shadelands Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095853 - - HR 115.  Turned right and hiked East on Shadelands .25 mile to Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095854 - Grove - HR 114.  Turned right and hiked .25 mile South on flat, paved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095855 - path parallel to Oak Grove back to Ygancio Valley Road completing loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095856 - around Safeway shopping complex - HR 118.  Turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095857 - North on pave path parallel to Oak Grove 1 mile to Treat - HR 122.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095858 - Hiked 1 mile East on concrete sidewalk to San Miguel - HR 119.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095859 - Maintained pace hiking upill on Treat.  At summit HR 134.  Maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095860 - Continued on flat road to Cuneo - HR 120.  Hiked 1-mile loop on Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095861 - to Kaski, to Cowell, back to Treat, to Cuneo and home - HR 120.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095863 -  ..
095864 - Breakfast - cheerios chia seeds milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095865 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095866 - Dinner - asparagus meatloaf avocado tomato onion, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095868 -  ..
095869 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095875 -         ..
095876 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095877 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095878 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095879 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095880 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095881 -   99.  200408 0750............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095882 -               0740....BP HR..................................................... 128  85  50  severely jagged curve so mostly PAF mixed with sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095883 -               0745....BP HR..................................................... 134  97  52  slightly jagged curve so mostly PAF mixed with sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095884 -               0750....weight.................................... 189                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095885 -               0750... 20 973940 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095886 -               0750... 80 180720 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095887 -           **  0000... 25   3225.0 Metoprolol Tartrate RX #7101244                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095888 -               0750... 05  840 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095889 -               0750... 75 5500 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095890 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                      
095891 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095892 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095893 -               1030... Gabapentin 300MG  17000MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095894 -               1030... Oxycodone HCL Plain  5  175 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095895 -               1040... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095896 -               1100....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095897 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095898 -               1145....miles...........  17.0  33.0  276   538 minutes temp  69  windy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095899 -               1710....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095900 -               1715....BP HR.....................................................  85  61  97   sinus continuing condition during most of hike, now smooth sinus curve on cellphone                                                                                                                                                                                                                                                                                                                                                                                                                                
095901 -               1720....BP HR.....................................................  92  62  96   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095902 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095903 -               1700... 40 55960 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
095904 -               1830............ 10 13470  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095905 -               1830............ 10 13060  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095906 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095907 -           **  0000... 25   3225 Metoprolol Tartrate RX 7101244 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095908 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - caused ARDS symptoms so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095909 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095910 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095911 -               2100... 40 35840 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095912 -               2130... 1000  778000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095913 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095914 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095915 -               2200... 05  845 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095916 -               2200... 80 180800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095917 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095918 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095920 -  ..
095921 - ** Metoprolol resumed on 200402, after pausing on 200330, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095922 - KB45, because causing shortness of breath - ARDS  Only taking 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095923 - per day, because AF now seems to be occurring less often, and taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095924 - more increases ARDS symptoms - shortness of breath.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095926 -  ..
095927 - On 200406 paused metorpolol in morning, because last night and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095928 - continuing this morning recurrance minor ARDS symptoms shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095929 - breath, see HR above. ref SDS 0 HH5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095931 -  ..
095932 - On 200407 metoprolol resume because ARDS symptoms (shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095933 - breath) fully resolved, and HR controlled without metoprolol, however                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095934 - HR observed at 109 last night OA 1300, and possible PAF this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095935 - per above. ref SDS 0 RN8F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095937 -  ..
095938 - On 200408 metoprolol paused because no HR above 100, while not hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095939 - in past 48 hours.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095942 -               Time                   HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095944 -               0830.................  71  jagged curve so likely PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095947 -  ..
095948 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095949 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095951 -  ..
095952 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095954 -  ..
095955 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095956 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095957 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095959 -  ..
095960 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095962 -  ..
095963 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095965 -  ..
095966 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095967 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095969 -  ..
095970 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095972 -  ..
095973 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095974 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095976 -  ..
095977 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095978 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095979 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095980 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095981 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095982 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095983 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095984 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095985 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095986 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095987 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095988 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095989 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095991 -  ..
095992 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095993 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095995 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095996 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095997 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095998 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095999 -        Breathing....................................   0        100  no shortness breath entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096000 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096001 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096002 -        Hip left.....................................   1         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096003 -        Back lower side..............................   1         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096004 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096005 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096006 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096007 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096008 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096009 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096010 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096011 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096012 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096013 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096014 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096015 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096016 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096017 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096018 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096019 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096020 -        Metatarsalgia left foot...PRP 191009.........   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096021 -        Metatarsalgia right foot..PRP 191009.........   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096022 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096023 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096024 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096025 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096026 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096027 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096028 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096029 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096030 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096031 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096032 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096034 -  ..
096035 - Body feels wasted after hiking 16 miles in 63 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096036 - on 191009 1500, ref SDS 78 0001, and hiking 2 big hills.
096038 - -
096039 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096040 - pain level 0, and knee stiff standing up from sitting position;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096041 - cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096043 -  ..
096044 - Several hours after hike, feet pain level 1; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096045 - Did not take medication, per above. ref SDS 0 R97F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096047 -  ..
096048 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096049 - pain level 3, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096050 - 3T3L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096052 -  ..
096053 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096054 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096055 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096056 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096057 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096059 -     ..
096060 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096061 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096063 -  ..
096064 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096065 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096066 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096068 -  ..
096069 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096070 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096071 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096073 -  ..
096074 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096075 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096076 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096077 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096078 - ref SDS 77 SM4M  Before hike today on 200407 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096079 - and Tailor's Bunions. ref SDS 0 USSW  After hike did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096080 - Ammonium Lactate 12% lotion both feet.  Wore Wrightsock thin double                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096081 - ply and laced shoes less loosely.  Did not applied diclofenac to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096082 - Tailors Bunion and blisters on big toes both feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096084 -  ..
096085 - Concord 16 mile route - did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096086 - Starting energy good wearing Hoka Bondi 6 shoes received on 190927                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096087 - 1110, ref SDS 77 SM4M; and 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096088 - ref SDS 79 SM4M  Today, hiking with naproxen and gabapentin.  Applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096089 - diclofenac to left knee.  Took Glucosamine Chondroitin, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096090 - ref SDS 0 PS4J  This combination controlled pain as shown in the study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096091 - above. ref SDS 0 SU5O  There was more feet pain today, than in prior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096092 - hikes the past month.  Heart rate (HR) was not controlled with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096093 - metoprolol taken this morning, because elevated HR above 100 did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096094 - recur during the night.  Took metoprolol in pocket on hike to take if                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096095 - HRs became erratic and spiked above 130.  During hike today, HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096096 - noticably lower compared to prior hikes not taking Metoprolol, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096097 - higher than yesterday.  Seemed to be in sinus entire hike.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096098 - shortness of breath, so breathing easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096099 - This aligns with pausing metoprolol past 2 days, which resolved ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096100 - toxic fluid bulding up in lung sacks, reported in letter to VA on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096101 - 200329, cited on 200330, shown above, ref SDS 0 KB45  Started hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096102 - about 1145 - HR 55, so seemingly in sinus; cellphone shows jagged                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096103 - curve for heart beat, indicating PAF.  No shortness of breath before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096104 - hike bending over to tie shoes.  Hiking normal pace on Cuneo slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096105 - uphill.  No shortness of breath, enabled breathing through nose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096106 - Crossed Treat going East - at .25 mile HR 102, lower than yesterday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096107 - 112.  Normally HR in 90s, so maybe PAF.  Hiked on concrete sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096108 - .25 mile to Cowell.  Continued East on Treat flat asphault pavement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096109 - shoulder, pace normal.  Hiking up slight hill to Turtle Creek Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096110 - mile .7 - HR 130 higher that 102 yesterday.  Continued on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096111 - downhill hiking East to the corner of Clayton.  Time to 1.25 miles 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096112 - minutes - HR 127 higher than 96 yesterday..  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096113 - Clayton and hiked 2 miles South on concrete sidewalk - HR below 130,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096114 - higher than below 110 yesterday.  About mile 2 on Clayton, bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096115 - right foot metatarsalgia pain level 2 for about .5 miles, then went                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096116 - away.  At mile 3.25 turned corner heading West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096117 - still on concrete sidewalk - HR 121 higher than 104 yesterday.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096118 - mile 3.75 crossed from North to South side Ygnacio Valley Road to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096119 - on asphault pavement against oncoming traffic.  Continued to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096120 - Hollow road - time to mile 4.75 about 72 minutes.  Stopped at Texaco                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096121 - gas station.  Turned corner hiked about 50 yards South on Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096122 - and turned West onto Campus Road - HR 117 higher than 103 yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096123 - Hiked .75 mile uphill to the campus breathing easily through nose all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096124 - the way.  Nearing summit - HR 130 higher than 112 yesterday.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096125 - slight downhill about 40 yards - HR 124 higher than 104 yesterday;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096126 - hiked around a bend joining Campus Drive from Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096127 - continuing uphill to main college campus about 250 yards.  Breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096128 - through nose easily.  At the summit hiking mileage so far today is 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096129 - miles and HR 131 higher than 114 yesterday.  Hiked 3-loops 1.25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096130 - each around faculty and student parking lots - HR dropped to 113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096131 - higher than 101 yesterday, going slight downhills, and increased to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096132 - 132 higher than 114 going up slight hills.  Back at visitor parking in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096133 - front of main campus at mile 9 in the hike turned North and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096134 - downhill .5 mile to Ygnacio Valley Road - HR 118 higher than 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096135 - yesterday.  Turned left and hiked West on Ygnacio Valley Road past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096136 - Crystal Ranch Road.  Continued uphill past Cowell, then up and over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096137 - the summit - HR 138 higher than 120 yesterday.  Breathed easily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096138 - through nose entire climb and without shortness of breath.  From                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096139 - summit hiked West 2 miles downhill to Oak Grove - HR 123 higher than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096140 - 104 yesterday.  Did not have lower ankel/heel pain on 2-mile downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096141 - that occurred yesterday.  At Oak Grove, continued on flat, paved path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096142 - .25 miles parallel to Ygnacio Valley Road around Safeway shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096143 - complex at fast pace - HR 101 lower than 112 yesterday.  At Via Monte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096144 - turned right hiking North still on paved path for .25 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096145 - Shadelands Road - HR 123 higher than 115 yesterday.  Turned right and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096146 - hiked East on Shadelands .25 mile to Oak Grove - HR 125 higher than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096147 - 114 yesterday.  Turned right and hiked .25 mile South on flat, paved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096148 - path parallel to Oak Grove back to Ygancio Valley Road completing loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096149 - around Safeway shopping complex - HR 126 higher than 118 yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096150 - Continued 2nd loop around Safeway complex back to Oak Grove - HR 124                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096151 - higher than 122 yesterday.  Turned left hiked North on pave path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096152 - parallel to Oak Grove 1 mile to Treat - HR 126 higher than 122                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096153 - yesterday.  Kathy drove us home for 17 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096155 -  ..
096156 - Breakfast - Cream of Wheat rasins chia seeds with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096157 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096158 - Dinner - pasta hamburger asparagus avocado tomato onion, donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096160 -  ..
096161 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096166 -         ..
096167 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096168 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096169 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096170 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096171 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096172 -  100.  200409 0730............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096173 -               0730....BP HR..................................................... 141  77  47  slightly jagged curve so mostly PAF mixed with sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096174 -               0735....BP HR..................................................... 136  73  46  slightly jagged curve so mostly PAF mixed with sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096175 -               0740....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096176 -               0740... 20 973960 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096177 -               0740... 80 180880 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096178 -               0740... 05  850 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096179 -               0740... 75 5575 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096180 -           **  0000... 25   3225.0 Metoprolol Tartrate RX #7101244 - last took metoprolol on 200407, per above. ref SDS 0 RN8F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096181 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                      
096182 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096183 -               0950... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096184 -               0950... Gabapentin 300MG  17300MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096185 -               0000... Oxycodone HCL Plain  5  175 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096186 -        forgot 0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096187 -               1100....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096188 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096189 -               1305....miles...........  16.0  49.0  263   801 minutes temp  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096190 -           **  1420... 25   3250 Metoprolol Tartrate RX 7101244 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096191 -               1810....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096192 -               1825....BP HR.....................................................  85  72 143   PAF - sinus curve normal but HR 143 shows PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096193 -               1830....BP HR.....................................................  92  79 142   PAF - sinus curve normal but HR 143 shows PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096194 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096195 -               1840... 40 56000 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
096196 -             1 0000............ 10 13470  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096197 -             1 0000............ 10 13060  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096198 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096199 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - caused ARDS symptoms so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096200 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096201 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096202 -               2100... 40 35880 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096203 -               2130... 1000  779000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096204 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096205 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096206 -               2200... 05  855 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096207 -               2200... 80 180960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096208 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096209 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096211 -  ..
096212 - ** Metoprolol resumed on 200402, after pausing on 200330, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096213 - KB45, because causing shortness of breath - ARDS  Only taking 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096214 - per day, because AF now seems to be occurring less often, and taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096215 - more increases ARDS symptoms - shortness of breath.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096217 -  ..
096218 - On 200406 paused metorpolol in morning, because last night and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096219 - continuing this morning recurrance minor ARDS symptoms shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096220 - breath, see HR above. ref SDS 0 HH5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096222 -  ..
096223 - On 200407 metoprolol resume because ARDS symptoms (shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096224 - breath) fully resolved, and HR controlled without metoprolol, however                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096225 - HR observed at 109 last night OA 0130, and possible PAF this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096226 - per above. ref SDS 0 RN8F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096228 -  ..
096229 - On 200408 metoprolol paused because no HR above 100, while not hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096230 - in past 48 hours.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096232 -  ..
096233 - On 200409 did not take metoprolol this morning.  Hike started with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096234 - noticably higher HRs.  About mile 2 HRs increased rest of the way to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096235 - mile 5 at Texaco station corner Ygnacio Valley Road and Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096236 - Bought Coca Cola to wash down metoprolol pill.  Ate few bites mini-pie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096237 - required for eating food with metoprolol.  Starting hike again, HRs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096238 - dropped below 130 - the red zone.  However several miles later they                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096239 - spiked a few times above 160.  In evening OA 2200 feeling slight ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096240 - symptoms recurring, as lung air sacks begin filling.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096242 -  ..
096243 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096244 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096246 -  ..
096247 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096249 -  ..
096250 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096251 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096252 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096254 -  ..
096255 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096257 -  ..
096258 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096260 -  ..
096261 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096262 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096264 -  ..
096265 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096267 -  ..
096268 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096269 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096271 -  ..
096272 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096273 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096274 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096275 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096276 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096277 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096278 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096279 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096280 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096281 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096282 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096283 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096284 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096286 -  ..
096287 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096288 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096290 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096291 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096292 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096293 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096294 -        Breathing....................................   0        100  no shortness breath entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096295 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096296 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096297 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096298 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096299 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096300 -        Knee left meniscus...PRP 191009..............   1         90  forgot to apply diclofenac medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096301 -        Knee left patalla...PRP 191009...............   1         90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096302 -        Knee buckling left..PRP 191009...............   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096303 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096304 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096305 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096306 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096307 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096308 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096309 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096310 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096311 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096312 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096313 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096314 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096315 -        Metatarsalgia left foot...PRP 191009.........   2         15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096316 -        Metatarsalgia right foot..PRP 191009.........   2         15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096317 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096318 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096319 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096320 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096321 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096322 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096323 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096324 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096325 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096326 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096327 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096329 -  ..
096330 - Body feels wasted after hiking 16 miles in 63 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096331 - on 191009 1500, ref SDS 78 0001, and hiking 2 big hills.
096333 - -
096334 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096335 - pain level 0, and knee stiff standing up from sitting position;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096336 - cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096338 -  ..
096339 - Several hours after hike, feet pain level 1; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096340 - Did not take medication, per above. ref SDS 0 R97F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096342 -  ..
096343 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096344 - pain level 3, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096345 - 3T3L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096347 -  ..
096348 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096349 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096350 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096351 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096352 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096354 -     ..
096355 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096356 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096358 -  ..
096359 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096360 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096361 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096363 -  ..
096364 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096365 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096366 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096368 -  ..
096369 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096370 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096371 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096372 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096373 - ref SDS 77 SM4M  Before hike today on 200409 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096374 - and Tailor's Bunions. ref SDS 0 UVPR  After hike applied Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096375 - Lactate 12% lotion both feet.  Wore Wrightsock thin double ply and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096376 - laced shoes less loosely.  Did not applied diclofenac to Tailors                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096377 - Bunion and blisters on big toes both feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096379 -  ..
096380 - Concord 16 mile route - did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096381 - Starting energy good wearing Hoka Bondi 6 shoes received on 190927                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096382 - 1110, ref SDS 77 SM4M; and 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096383 - ref SDS 79 SM4M  Today, hiking with hydrocodone and gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096384 - Applied diclofenac to left knee.  Took Glucosamine Chondroitin, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096385 - above. ref SDS 0 5Q3J  This combination controlled pain as shown in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096386 - the study above. ref SDS 0 UURP  There was more feet pain today, than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096387 - in prior hikes the past month.  Heart rate (HR) was not controlled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096388 - with metoprolol taken this morning, because elevated HR above 100 did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096389 - not recur during the night.  Felt some ARDS last night rising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096390 - prone position in bed, so did not take metoprolol this morning.  Put                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096391 - metoprolol pill in pocket on hike to take if HRs became erratic and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096392 - spiked above 130, as done yesterday, per above. ref SDS 0 USRR  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096393 - there was no spike during the hike, so did not take metoprolol.  HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096394 - seemed to be in sinus entire hike.  No shortness of breath, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096395 - breathing easily through nose entire hike.  This aligns with taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096396 - metoprolol yesterday, , which resolved ARDS toxic fluid bulding up in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096397 - lung sacks, reported in letter to VA on 200329, cited on 200330, shown                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096398 - above, ref SDS 0 KB45  Started hike about 1100 - HR 82 compared to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096399 - yesterday 95, so seemingly in PAF; cellphone showed slightly erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096400 - sinus curve.  No shortness of breath before hike bending over to tie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096401 - shoes.  Start hike normal pace on Cuneo slight uphill - feeling - no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096402 - chest pressure/pain that occurred yesterday.  No shortness of breath,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096403 - enabled breathing easily through nose, so no ARDS.  Crossed Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096404 - going East - at mile .25 HR 109 higher than yesterday 91.  Hiked on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096405 - concrete sidewalk .25 mile to Cowell.  Continued East on Treat flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096406 - asphault pavement shoulder, pace normal.  Hiking up slight hill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096407 - Turtle Creek Road at mile .7 - HR 112 lower than 125 yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096408 - Dropped to 104 then back to 127, so erratic, like PAF.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096409 - Treat downhill hiking East to the corner of Clayton.  Time to 1.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096410 - miles 20 minutes - HR 113 same as 112 yesterday.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096411 - Clayton and hiked 2 miles South on concrete sidewalk - HR below 120,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096412 - lower than below 125 yesterday.  At mile 3.25 turned corner heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096413 - West on Ygnacio Valley Road still on concrete sidewalk - HR 115 higher                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096414 - than 98 yesterday.  About mile 3.75 crossed from North to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096415 - Ygnacio Valley Road to hike on asphault pavement against oncoming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096416 - traffic.  Continued to Pine Hollow road.  Time to mile 4.75 about 72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096417 - minutes.  Stopped at Texaco gas station - HR 112 lower than 122                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096418 - yesterday.  Since no erratic HR and in sinus so far, did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096419 - metoprolol pill.  The pill taken yesterday, about 23 hours ago, seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096420 - to be still affecting patient physiology.  Turned corner hiked about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096421 - 50 yards South on Pine Hollow and turned West onto Campus Road - HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096422 - 111 lower than 121 yesterday.  Hiked .75 mile uphill to the campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096423 - breathing easily through nose all the way.  Nearing summit - HR 126                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096424 - same as 126 yesterday.  Hiked slight downhill about 40 yards - HR 114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096425 - much lower than 161 yesterday; hiked around a bend joining Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096426 - Drive from Ygnacio Valley Road continuing uphill to main college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096427 - campus about 250 yards.  Breathing through nose easily.  At the summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096428 - hiking mileage so far today is 6 miles and HR 123 much lower than 159                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096429 - yesterday.  Hiked 1-loops 1.25 miles around faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096430 - parking lots - HR dropped to 106 lower than 113 yesterday, going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096431 - slight downhills, and increased to 122 lower than 144 yesterday going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096432 - up slight hills.  Back at visitor parking in front of main campus at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096433 - mile 9 in the hike turned North and hiked downhill .5 mile to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096434 - Valley Road - HR 111 lower than 124 yesterday.  Turned left and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096435 - West on Ygnacio Valley Road past Crystal Ranch Road.  Continued uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096436 - Hiked up and over the summit - HR 127 about same as 125 yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096437 - Breathed easily through nose entire climb and without shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096438 - breath.  From summit hiked West 2 miles downhill.  At Oak Grove - HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096439 - 119 higherr than 108 yesterday.  At Oak Grove, continued on flat,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096440 - paved path around Safeway shopping complex.  Hiked 3- loops, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096441 - hiked North on Oak Grove to Treat - HR 123 lower than 129.  Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096442 - drove us home for 16 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096444 -  ..
096445 - Breakfast - cheerios chia seeds milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096446 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096447 - Dinner - lettuce stake asparagus avocado tomato onion, donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096449 -  ..
096450 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096455 -         ..
096456 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096457 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096458 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096459 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096460 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096461 -  101.  200410 0740............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096462 -               0740....BP HR..................................................... 126  73  57  slightly jagged curve so mostly PAF mixed with sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096463 -               0745....BP HR..................................................... 122  68  58  slightly jagged curve so mostly PAF mixed with sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096464 -               0750....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096465 -               0750... 20 973980 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096466 -               0750... 80 181040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096467 -           **  0000... 25   3225.0 Metoprolol Tartrate RX #7101244 - last took metoprolol on 200407, per above. ref SDS 0 RN8F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096468 -               0750... 05  860 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096469 -               0750... 75 5650 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096470 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                      
096471 -               0950... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096472 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096473 -               0950... Gabapentin 300MG  17600MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096474 -               0000... Oxycodone HCL Plain  5  175 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096475 -               1030... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096476 -               1100....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096477 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096478 -               1100....miles...........  15.0  64.0  247  1048 minutes temp  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096479 -               1540....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096480 -               1545....BP HR..................................................... 114  74  91   Sinus curve normal - seemed to be in sinus entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096481 -               1550....BP HR..................................................... 112  86  76   Sinus curve normal - seemed to be in sinus entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096482 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096483 -               1700... 40 56040 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
096484 -               1830............ 10 13480  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096485 -               1830............ 10 13070  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096486 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096487 -           **  0000... 25   3225 Metoprolol Tartrate RX 7101244 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096488 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - caused ARDS symptoms so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096489 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096490 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096491 -               2100... 40 35920 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096492 -               2130... 1000  780000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096493 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096494 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096495 -               2200... 05  865 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096496 -               2200... 80 181120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096497 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096498 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096500 -  ..
096501 - ** Metoprolol resumed on 200402, after pausing on 200330, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096502 - KB45, because causing shortness of breath - ARDS  Only taking 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096503 - per day, because AF now seems to be occurring less often, and taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096504 - more increases ARDS symptoms - shortness of breath.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096506 -  ..
096507 - On 200406 paused metorpolol in morning, because last night and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096508 - continuing this morning recurrance minor ARDS symptoms shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096509 - breath, see HR above. ref SDS 0 HH5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096511 -  ..
096512 - On 200407 metoprolol resume because ARDS symptoms (shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096513 - breath) fully resolved, and HR controlled without metoprolol, however                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096514 - HR observed at 109 last night OA 0130, and possible PAF this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096515 - per above. ref SDS 0 RN8F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096517 -  ..
096518 - On 200408 metoprolol paused because no HR above 100, while not hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096519 - in past 48 hours.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096521 -  ..
096522 - On 200409 did not take metoprolol this morning.  Hike started with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096523 - noticably higher HRs.  About mile 2 HRs increased rest of the way to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096524 - mile 5 at Texaco station corner Ygnacio Valley Road and Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096525 - Bought Coca Cola to wash down metoprolol pill.  Ate few bites mini-pie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096526 - required for eating food with metoprolol.  Starting hike again, HRs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096527 - dropped below 130 - the red zone.  However several miles later they                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096528 - spiked a few times above 160.  In evening OA 2200 feeling slight ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096529 - symptoms recurring, as lung air sacks begin filling.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096531 -  ..
096532 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096533 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096535 -  ..
096536 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096538 -  ..
096539 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096540 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096541 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096543 -  ..
096544 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096546 -  ..
096547 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096549 -  ..
096550 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096551 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096553 -  ..
096554 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096556 -  ..
096557 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096558 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096560 -  ..
096561 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096562 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096563 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096564 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096565 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096566 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096567 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096568 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096569 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096570 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096571 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096572 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096573 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096575 -  ..
096576 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096577 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096579 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096580 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096581 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096582 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096583 -        Breathing....................................   0        100  no shortness breath entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096584 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096585 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096586 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096587 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096588 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096589 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096590 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096591 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096592 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096593 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096594 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096595 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096596 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096597 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096598 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096599 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096600 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096601 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096602 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096603 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096604 -        Metatarsalgia left foot...PRP 191009.........   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096605 -        Metatarsalgia right foot..PRP 191009.........   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096606 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096607 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096608 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096609 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096610 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096611 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096612 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096613 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096614 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096615 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096616 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096618 -  ..
096619 - Body feels tired after hiking 16 miles in 68 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096620 - on 191009 1500, ref SDS 78 0001, and hiking 1 big hill.
096622 - -
096623 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096624 - slightly pain level 0, and knee stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096625 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096627 -  ..
096628 - Several hours after hike, feet pain level 1; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096629 - Did not take medication, per above. ref SDS 0 R97F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096631 -  ..
096632 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096633 - pain level 3, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096634 - 3T3L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096636 -  ..
096637 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096638 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096639 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096640 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096641 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096643 -     ..
096644 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096645 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096647 -  ..
096648 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096649 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096650 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096652 -  ..
096653 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096654 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096655 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096657 -  ..
096658 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096659 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096660 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096661 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096662 - ref SDS 77 SM4M  Before hike today on 200407 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096663 - and Tailor's Bunions. ref SDS 0 USSW  After hike did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096664 - Ammonium Lactate 12% lotion both feet.  Wore Wrightsock thin double                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096665 - ply and laced shoes less loosely.  Did not applied diclofenac to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096666 - Tailors Bunion and blisters on big toes both feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096668 -  ..
096669 - Concord 15 mile route - did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096670 - Starting energy good wearing Hoka Bondi 6 shoes received on 190927                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096671 - 1110, ref SDS 77 SM4M; and 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096672 - ref SDS 79 SM4M  Today, hiking with naproxen and gabapentin.  Applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096673 - diclofenac to left knee.  Took Glucosamine Chondroitin, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096674 - ref SDS 0 PS4J  This combination controlled pain as shown in the study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096675 - above. ref SDS 0 SU5O  There was more feet pain today, than in prior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096676 - hikes the past month.  Heart rate (HR) was not controlled with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096677 - metoprolol taken this morning, because elevated HR above 100 did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096678 - recur during the night.  Took metoprolol in pocket on hike to take if                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096679 - HRs became erratic and spiked above 130.  During hike today, HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096680 - noticably lower compared to prior hikes not taking Metoprolol, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096681 - higher than yesterday, when metorpolol was taken.  Seemed to be in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096682 - sinus entire hike.  No shortness of breath, so breathing easily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096683 - through nose entire hike.  This aligns with pausing metoprolol past 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096684 - days, which resolved ARDS toxic fluid bulding up in lung sacks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096685 - reported in letter to VA on 200329, cited on 200330, shown above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096686 - ref SDS 0 KB45  Started hike about 1305 - HR 55, so seemingly in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096687 - sinus; cellphone shows jagged curve for heart beat, indicating PAF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096688 - No shortness of breath before hike bending over to tie shoes.  Hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096689 - normal pace on Cuneo slight uphill.  No shortness of breath, enabled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096690 - breathing through nose.  Crossed Treat going East - at .25 mile HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096691 - 102, lower than yesterday 112.  Normally HR in 90s, so maybe PAF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096692 - Hiked on concrete sidewalk .25 mile to Cowell.  Continued East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096693 - Treat flat asphault pavement shoulder, pace normal.  Hiking up slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096694 - hill to Turtle Creek Road at mile .7 - HR 130 higher that 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096695 - yesterday.  Continued on Treat downhill hiking East to the corner of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096696 - Clayton.  Time to 1.25 miles 19 minutes - HR 127 higher than 96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096697 - yesterday..  Turned corner onto Clayton and hiked 2 miles South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096698 - concrete sidewalk - HR below 130, higher than below 110 yesterday.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096699 - mile 2.6 feeling bottom right foot metatarsalgia pain level 2; lasted                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096700 - about 1 mile.  At mile 3.25 turned corner heading West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096701 - Valley Road still on concrete sidewalk - HR 121 higher than 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096702 - yesterday.  About mile 3.75 crossed from North to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096703 - Valley Road to hike on asphault pavement against oncoming traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096704 - Continued to Pine Hollow road - time to mile 4.75 about 72 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096705 - Stopped at Texaco gas station.  Turned corner hiked about 50 yards                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096706 - South on Pine Hollow and turned West onto Campus Road - HR 117 higher                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096707 - than 103 yesterday.  Hiked .75 mile uphill to the campus breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096708 - easily through nose all the way.  Nearing summit - HR 130 higher than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096709 - 112 yesterday.  Hiked slight downhill about 40 yards - HR 124 higher                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096710 - than 104 yesterday; hiked around a bend joining Campus Drive from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096711 - Ygnacio Valley Road continuing uphill to main college campus about 250                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096712 - yards.  Breathing through nose easily.  At the summit hiking mileage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096713 - so far today is 6 miles and HR 131 higher than 114 yesterday.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096714 - 3-loops 1.25 miles each around faculty and student parking lots - HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096715 - dropped to 113 higher than 101 yesterday, going slight downhills, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096716 - increased to 132 higher than 114 going up slight hills.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096717 - visitor parking in front of main campus at mile 9 in the hike turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096718 - North and hiked downhill .5 mile to Ygnacio Valley Road - HR 118                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096719 - higher than 100 yesterday.  Turned left and hiked West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096720 - Valley Road past Crystal Ranch Road.  Continued uphill past Cowell,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096721 - then up and over the summit - HR 138 higher than 120 yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096722 - Breathed easily through nose entire climb and without shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096723 - breath.  From summit hiked West 2 miles downhill to Oak Grove - HR 123                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096724 - higher than 104 yesterday.  Did not have lower ankel/heel pain on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096725 - 2-mile downhill that occurred yesterday.  At Oak Grove felt tired,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096726 - feet hurt, but did 2-loops around Safeway shopping complex on flat,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096727 - paved path - .25 miles parallel to Ygnacio Valley Road.  At Via Monte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096728 - turned right hiking North still on paved path for .25 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096729 - Shadelands Road - HR 123 higher than 115 yesterday.  Turned right and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096730 - hiked East on Shadelands .25 mile to Oak Grove - HR 125 higher than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096731 - 114 yesterday.  Turned right and hiked .25 mile South on flat, paved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096732 - path parallel to Oak Grove back to Ygancio Valley Road completing loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096733 - around Safeway shopping complex - HR 126 higher than 118 yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096734 - Continued 2nd loop around Safeway complex back to Oak Grove - HR 124                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096735 - higher than 122 yesterday.  Turned left hiked North on pave path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096736 - parallel to Oak Grove 1 mile to Treat - HR 126 higher than 122                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096737 - yesterday.  Kathy drove us home for 15 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096739 -  ..
096740 - Breakfast - cheerios chia seeds milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096741 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096742 - Dinner - pasta steak asparagus avocado tomato onion, donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096744 -  ..
096745 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096751 -         ..
096752 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096753 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096754 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096755 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096756 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096757 -  102.  200411 0740............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096758 -               0740....BP HR..................................................... 128  78  53  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096759 -               0745....BP HR..................................................... 133  77  58  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096760 -               0750....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096761 -               0750... 20 974000 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096762 -               0750... 80 181200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096763 -           **  0000... 25   3225.0 Metoprolol Tartrate RX #7101244 - last took metoprolol on 200407, per above. ref SDS 0 RN8F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096764 -               0750... 05  870 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096765 -               0750... 75 5725 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096766 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                      
096767 -               0950... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096768 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096769 -               0950... Gabapentin 300MG  17600MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096770 -               0000... Oxycodone HCL Plain  5  175 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096771 -               1030... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096772 -               1100....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096773 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096774 -               1230....miles...........  17.0  81.0  274  1322 minutes temp  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096775 -               1730....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096776 -               1745....BP HR..................................................... 112  90 106   Sinus curve normal - seemed to be in sinus entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096777 -               1750....BP HR..................................................... 115  65  77   systolic seems like a signal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096778 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096779 -               1820... 40 56080 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
096780 -             1 0000............ 10 13480  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096781 -             1 0000............ 10 13070  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096782 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096783 -           **  0000... 25   3225 Metoprolol Tartrate RX 7101244 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096784 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - caused ARDS symptoms so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096785 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096786 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096787 -               2100... 40 35960 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096788 -               2130... 1000  781000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096789 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096790 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096791 -               2200... 05  875 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096792 -               2200... 80 181280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096793 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096794 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096796 -  ..
096797 - ** Metoprolol resumed on 200402, after pausing on 200330, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096798 - KB45, because causing shortness of breath - ARDS  Only taking 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096799 - per day, because AF now seems to be occurring less often, and taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096800 - more increases ARDS symptoms - shortness of breath.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096802 -  ..
096803 - On 200406 paused metorpolol in morning, because last night and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096804 - continuing this morning recurrance minor ARDS symptoms shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096805 - breath, see HR above. ref SDS 0 HH5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096807 -  ..
096808 - On 200407 metoprolol resume because ARDS symptoms (shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096809 - breath) fully resolved, and HR controlled without metoprolol, however                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096810 - HR observed at 109 last night OA 0130, and possible PAF this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096811 - per above. ref SDS 0 RN8F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096813 -  ..
096814 - On 200408 metoprolol paused because no HR above 100, while not hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096815 - in past 48 hours.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096817 -  ..
096818 - On 200409 did not take metoprolol this morning.  Hike started with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096819 - noticably higher HRs.  About mile 2 HRs increased rest of the way to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096820 - mile 5 at Texaco station corner Ygnacio Valley Road and Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096821 - Bought Coca Cola to wash down metoprolol pill.  Ate few bites mini-pie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096822 - required for eating food with metoprolol.  Starting hike again, HRs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096823 - dropped below 130 - the red zone.  However several miles later they                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096824 - spiked a few times above 160.  In evening OA 2200 feeling slight ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096825 - symptoms recurring, as lung air sacks begin filling.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096827 -  ..
096828 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096829 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096831 -  ..
096832 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096834 -  ..
096835 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096836 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096837 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096839 -  ..
096840 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096842 -  ..
096843 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096845 -  ..
096846 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096847 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096849 -  ..
096850 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096852 -  ..
096853 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096854 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096856 -  ..
096857 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096858 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096859 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096860 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096861 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096862 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096863 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096864 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096865 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096866 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096867 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096868 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096869 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096871 -  ..
096872 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096873 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096875 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096876 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096877 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096878 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096879 -        Breathing....................................   0        100  no shortness breath entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096880 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096881 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096882 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096883 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096884 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096885 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096886 -        Knee left patalla...PRP 191009...............   1          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096887 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096888 -        Knee left cruciate ligaments back of knee....   1         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096889 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096890 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096891 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096892 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096893 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096894 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096895 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096896 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096897 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096898 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096899 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096900 -        Metatarsalgia left foot...PRP 191009.........   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096901 -        Metatarsalgia right foot..PRP 191009.........   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096902 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096903 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096904 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096905 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096906 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096907 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096908 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096909 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096910 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096911 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096912 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096914 -  ..
096915 - Body feels okay after hiking 17 miles in 59 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096916 - on 191009 1500, ref SDS 78 0001, and hiking 1 big hill.
096918 - -
096919 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096920 - slightly pain level 0, and knee stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096921 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096923 -  ..
096924 - Several hours after hike, feet pain level 1; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096925 - Did not take medication, per above. ref SDS 0 R97F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096927 -  ..
096928 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096929 - pain level 3, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096930 - 3T3L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096932 -  ..
096933 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096934 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096935 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096936 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096937 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096939 -     ..
096940 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096941 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096943 -  ..
096944 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096945 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096946 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096948 -  ..
096949 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096950 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096951 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096953 -  ..
096954 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096955 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096956 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096957 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096958 - ref SDS 77 SM4M  Before hike today on 200407 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096959 - and Tailor's Bunions. ref SDS 0 USSW  After hike did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096960 - Ammonium Lactate 12% lotion both feet.  Wore Wrightsock thin double                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096961 - ply and laced shoes less loosely.  Did not applied diclofenac to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096962 - Tailors Bunion and blisters on big toes both feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096964 -  ..
096965 - Concord 15 mile route - did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096966 - Starting energy good wearing Hoka Bondi 6 shoes received on 190927                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096967 - 1110, ref SDS 77 SM4M; and 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096968 - ref SDS 79 SM4M  Today, hiking with naproxen and gabapentin.  Applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096969 - diclofenac to left knee.  Took Glucosamine Chondroitin, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096970 - ref SDS 0 S25O  This combination controlled pain as shown in the study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096971 - above. ref SDS 0 VQPY  There was less feet pain today, than in prior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096972 - hikes the past month.  Heart rate (HR) was not controlled with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096973 - metoprolol taken this morning, because elevated HR above 100 did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096974 - recur during the night.  Took metoprolol in pocket on hike to take if                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096975 - HRs became erratic and spiked above 130.  During hike today, HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096976 - noticably lower despite not taking metoprolol, compared to prior hikes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096977 - taking metoprolol and not taking metoprolol, e.g., yesterday.  Seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096978 - to be in sinus entire hike.  No shortness of breath, so breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096979 - easily through nose entire hike.  This aligns with pausing metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096980 - past 3 days, which resolved ARDS toxic fluid bulding up in lung sacks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096981 - reported in letter to VA on 200329, cited on 200330, shown above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096982 - ref SDS 0 KB45  Started hike about 1230 - HR 63, so seemingly in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096983 - sinus; cellphone shows smooth curve for heart beat.  No shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096984 - breath before hike bending over to tie shoes.  Hiking normal pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096985 - Cuneo slight uphill.  No shortness of breath, enabled breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096986 - through nose.  Crossed Treat going East - at .25 mile HR 112, higher                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096987 - than yesterday 102.  Hiked on concrete sidewalk .25 mile to Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096988 - Continued East on Treat flat asphault pavement shoulder, pace normal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096989 - Hiking up slight hill to Turtle Creek Road at mile .7 - HR 113 lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096990 - that 130 yesterday.  Continued on Treat downhill hiking East to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096991 - corner of Clayton.  Time to 1.25 miles 19 minutes - HR 113 lower than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096992 - 127 yesterday..  Turned corner onto Clayton and hiked 2 miles South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096993 - concrete sidewalk - HR below 120, lower than below 130 yesterday.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096994 - McDonald's about mile 1.8 in the hike felt left knee cruiate pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096995 - level 1.  Lasted about .25 miles.  At mile 2.2 bottom right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096996 - metatarsalgia pain level 1 lasted about 1 mile.  At mile 3.25 turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096997 - corner heading West on Ygnacio Valley Road still on concrete sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096998 - - HR 116 lower than 121 yesterday.  About mile 3.75 crossed from North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096999 - to South side Ygnacio Valley Road to hike on asphault pavement against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097000 - oncoming traffic.  Continued to Pine Hollow road - time to mile 4.75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097001 - about 72 minutes.  Stopped at Texaco gas station.  Turned corner hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097002 - about 50 yards South on Pine Hollow and turned West onto Campus Road -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097003 - HR 114 lower than 117 yesterday.  Hiked .75 mile uphill to the campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097004 - breathing easily through nose all the way.  Nearing summit - HR 125                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097005 - lower than 130 yesterday.  Hiked slight downhill about 40 yards - HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097006 - 115 lowerr than 104 yesterday; hiked around a bend joining Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097007 - Drive from Ygnacio Valley Road continuing uphill to main college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097008 - campus about 250 yards.  Breathing through nose easily.  At the summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097009 - hiking mileage so far today is 6 miles and HR 121 lower than 131                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097010 - yesterday.  Hiked 2-loops 1.25 miles each around faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097011 - parking lots - HR dropped to 107 lower than 113 yesterday, going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097012 - slight downhills, and increased to 124 lower than 132 going up slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097013 - hills.  Back at visitor parking in front of main campus at mile 8 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097014 - the hike turned North and hiked downhill .5 mile to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097015 - Road - HR 109 lower than 118 yesterday.  Going downhill felt left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097016 - cruciate and patella pain level 1 - lasted about .25 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097017 - left and hiked West on Ygnacio Valley Road past Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097018 - Continued uphill past Cowell, then up and over the summit - HR 128                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097019 - lower than 138 yesterday.  Breathed easily through nose entire climb                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097020 - and without shortness of breath.  From summit hiked West 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097021 - downhill to Oak Grove - HR 110 lower than 123 yesterday.  Felt left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097022 - knee cruciate again pain level 2 for .5 miles until reached flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097023 - ground.  Recalled felt tired yesterday at mile 12; but today, at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097024 - 13 (did 2 laps at the college today), seemed to have a lot energy.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097025 - Oak Grove, continued on flat, paved path for 2.75 1-mile laps around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097026 - Safeway shopping complex back to Oak Grove - HR 115 lower than 124                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097027 - yesterday.  Turned left hiked North on pave path parallel to Oak Grove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097028 - 1 mile to Treat - HR 122 lower than 126 yesterday.  Turned right and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097029 - hiked East 1 mile on flat - slightly uphill - sidewalk to San Simeon,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097030 - about mile 15.5 in the hike - HR 115.  Felt slight pressure in lungs,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097031 - similar to ARDS symptom shortness of breath.  Seemed odd because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097032 - breathing easily through nose entire route.  Continued on Treat to San                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097033 - Miguel - HR 116.  Hiked uphill on pavement, and over summit on Treat -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097034 - max HR 132.  Continued on flat pavement - HR 118, and completed 17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097035 - mile hike - HR 116.  After shower an hour later, bending over to dry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097036 - legs and feet, felt slight chest pressure like ARDS.  Seems odd,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097037 - because have not taken metorpolol for 2 days, reported on 200409 1420,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097038 - per above. ref SDS 0 5Q3J  Have had no ARDS symptoms until now, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097039 - maybe not ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097041 -  ..
097042 - Breakfast - eggs sausage toast with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097043 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097044 - Dinner - lettuce tuna salmon asparagus avocado tomato onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097046 -  ..
097047 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097052 -         ..
097053 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097054 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097055 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097056 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097057 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097058 -  103.  200412 0750............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097059 -               0720....BP HR..................................................... 129  79  55  erratic curve so maybe PAF and sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097060 -               0725....BP HR..................................................... 130  83  56  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097061 -               0730....weight.................................... 189                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097062 -               0730... 20 974020 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097063 -               0730... 80 181360 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097064 -               0730... 05  880 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097065 -               0730... 75 5800 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097066 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                      
097067 -               0950... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097068 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097069 -               0950... Gabapentin 300MG  17900MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097070 -               0000... Oxycodone HCL Plain  5  175 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097071 -               1030... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097072 -               1100....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097073 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097074 -               1230....miles...........  18.0  99.0  288  1610 minutes temp  70                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097075 -           **  1340... 25   3250.0 Metoprolol Tartrate RX #7101244                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097076 -               1740....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097077 -               1745....BP HR.....................................................  92  75 146   Sinus curve but HR extremely elevated even for after hike, so likely PAF                                                                                                                                                                                                                                                                                                                                                                                                                                           
097078 -               1750....BP HR.....................................................  94  79 147   Sinus curve but HR extremely elevated even for after hike, so likely PAF                                                                                                                                                                                                                                                                                                                                                                                                                                           
097079 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097080 -               1820... 40 56080 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
097081 -               1830............ 10 13490  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097082 -               1830............ 10 13080  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097083 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097084 -           **  2010... 25   3275 Metoprolol Tartrate RX 7101244 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097085 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - caused ARDS symptoms so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097086 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097087 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097088 -               2100... 40 36000 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097089 -               2130... 1000  782000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097090 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097091 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097092 -               2200... 05  885 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097093 -               2200... 80 181440 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097094 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097095 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097097 -  ..
097098 - ** Metoprolol resumed on 200402, after pausing on 200330, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097099 - KB45, because causing shortness of breath - ARDS  Only taking 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097100 - per day, because AF now seems to be occurring less often, and taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097101 - more increases ARDS symptoms - shortness of breath.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097103 -  ..
097104 - On 200406 paused metorpolol in morning, because last night and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097105 - continuing this morning recurrance minor ARDS symptoms shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097106 - breath, see HR above. ref SDS 0 HH5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097108 -  ..
097109 - On 200407 metoprolol resume because ARDS symptoms (shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097110 - breath) fully resolved, and HR controlled without metoprolol, however                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097111 - HR observed at 109 last night OA 0130, and possible PAF this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097112 - per above. ref SDS 0 RN8F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097114 -  ..
097115 - On 200408 metoprolol paused because no HR above 100, while not hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097116 - in past 48 hours.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097118 -  ..
097119 - On 200409 did not take metoprolol this morning.  Hike started with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097120 - noticably higher HRs.  About mile 2 HRs increased rest of the way to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097121 - mile 5 at Texaco station corner Ygnacio Valley Road and Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097122 - Bought Coca Cola to wash down metoprolol pill.  Ate few bites mini-pie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097123 - required for eating food with metoprolol.  Starting hike again, HRs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097124 - dropped below 130 - the red zone.  However several miles later they                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097125 - spiked a few times above 160.  In evening OA 2200 feeling slight ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097126 - symptoms recurring, as lung air sacks begin filling.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097128 -  ..
097129 - On 200412 did not take metoprolol this morning.  Hike started with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097130 - noticably higher HRs.  About mile 2 HRs increased rest of the way to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097131 - mile 5 at Texaco station corner Ygnacio Valley Road and Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097132 - Bought Coca Cola to wash down metoprolol pill.  Ate few bites mini-pie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097133 - required for eating food with metoprolol.  Starting hike again, HRs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097134 - dropped below 100.  However a mile later they spiked above 140.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097135 - After mile 9 and crossing summit Ygnacio Valley Road, HR dropped into                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097136 - sinus for rest of 18 mile hike.  After hike, HR increased to 150, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097137 - remained for 4 hours, so took 2nd metoprolol.  During night while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097138 - sleeping, HR very erratic.  By morning in sinus.  Pola HR report                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097139 - seems to say HR 0 twice at night.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097141 -  ..
097142 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097143 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097145 -  ..
097146 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097148 -  ..
097149 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097150 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097151 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097153 -  ..
097154 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097156 -  ..
097157 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097159 -  ..
097160 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097161 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097163 -  ..
097164 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097166 -  ..
097167 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097168 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097170 -  ..
097171 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097172 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097173 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097174 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097175 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097176 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097177 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097178 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097179 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097180 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097181 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097182 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097183 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097185 -  ..
097186 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097187 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097189 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097190 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097191 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097192 -        Chest pain...................................   1        100  slight starting hike - might be something else                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097193 -        Breathing....................................   0        100  no shortness breath entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097194 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097195 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097196 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097197 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097198 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097199 -        Knee left meniscus...PRP 191009..............   1          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097200 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097201 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097202 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097203 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097204 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097205 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097206 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097207 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097208 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097209 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097210 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097211 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097212 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097213 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097214 -        Metatarsalgia left foot...PRP 191009.........   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097215 -        Metatarsalgia right foot..PRP 191009.........   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097216 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097217 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097218 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097219 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097220 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097221 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097222 -        Blister below big toe left foot..............   1         50  didn't feel it, but taking off shoes and socks there was bubble                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097223 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097224 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097225 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097226 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097228 -  ..
097229 - Body feels okay very tired after hiking 18 miles in 70 degrees,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097230 - following PRP on 191009 1500, ref SDS 78 0001, and hiking 1 big hill.
097232 - -
097233 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097234 - slightly pain level 0, and knee stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097235 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097237 -  ..
097238 - Several hours after hike, feet pain level 1; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097239 - Did not take medication, per above. ref SDS 0 R97F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097241 -  ..
097242 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097243 - pain level 3, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097244 - 3T3L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097246 -  ..
097247 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097248 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097249 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097250 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097251 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097253 -     ..
097254 -    Socks wearing 1 pair new Smartwool socks received on 190326 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097255 -    ref SDS 71 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097257 -  ..
097258 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097259 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097260 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097262 -  ..
097263 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097264 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097265 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097267 -  ..
097268 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097269 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097270 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097271 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097272 - ref SDS 77 SM4M  Before hike today on 200412 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097273 - and Tailor's Bunions. ref SDS 0 VTXR  After hike did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097274 - Ammonium Lactate 12% lotion both feet.  Wore Wrightsock thin double                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097275 - ply and laced shoes less loosely.  Did not applied diclofenac to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097276 - Tailors Bunion and blisters on big toes both feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097278 -  ..
097279 - Concord 18 mile route - Hiked extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097280 - energy good wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097281 - ref SDS 77 SM4M; and 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097282 - ref SDS 79 SM4M  Today, hiking with naproxen and gabapentin.  Applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097283 - diclofenac to left knee.  Took Glucosamine Chondroitin, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097284 - ref SDS 0 DX5K  This combination controlled pain well, as shown in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097285 - study above. ref SDS 0 VTPU  There was less feet pain today, than in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097286 - prior hikes the past month.  Did not take metoprolol this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097287 - even though there was one event - HR spiked from 75 at 0500 to 131 at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097288 - 0505, then dropped back to 60 at 0509.  Rest of chart shows HR < 100,
097289 - but curve looks very erratic, indicating PAF.  Before hike no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097290 - shortness of breath bending over to tie shoes; felt ARDS constricted                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097291 - breathing attempting to situp in bed.  Presents conflicted medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097292 - profile - PAF HRs through night indicate take metoprolol.  Beginnings                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097293 - of ARDS symptoms indicate avoid metoprolol in order to prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097294 - increasing ARDS.  Took metoprolol in pocket on hike to take if HRs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097295 - became erratic and spike above 130.  During hike today, HR noticably                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097296 - higher than yesterday.  Seemed to be in PAF starting.  Cellphone could                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097297 - not report HR, because sinus curve too erratic.  HR spiked numerous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097298 - times, so at Texaco mile 4.25 took metoprolol.  Resuming hike HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097299 - dropped, but then increased for an hour.  After hiking another 4 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097300 - on reaching summit of Ygnacio Valley Road and starting downhill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097301 - about mile 9 - metoprolol took greater effect.  HR in sinus rest of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097302 - hike for 2 more hours....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097304 -              https://flow.polar.com/training/analysis/4519256133                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097306 -               ..
097308 -   
097310 -  ..
097311 - At about mile 12 hiking loops around Safeway shopping complex at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097312 - Ygnacio Valley Road and Via Monte, felt upper left leg hamstring pull.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097313 - Lasted about .25 miles.  No shortness of breath, so breathing easily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097314 - through nose entire hike.  This aligns with pausing metoprolol past 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097315 - days, on 200409, per above, ref SDS 0 WT9N, which resolved ARDS toxic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097316 - fluid bulding up in lung sacks, reported in letter to VA on 200329,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097317 - cited on 200330, shown above, ref SDS 0 KB45  HR stayed elevated about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097318 - 150 for 4 hours after hike, so took 2nd metoprolol pill OA 2010.  HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097319 - dropped to 40, then shot back up to 150.  Later gradually came down.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097321 -               ..
097323 -   
097325 -               ..
097327 -   
097329 -  ..
097330 - Breakfast - cheerios chia seeds banana with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097331 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097332 - Dinner - lettuce tuna salmon asparagus avocado tomato onion, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097334 -  ..
097335 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097341 -         ..
097342 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097343 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097344 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097345 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097346 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097347 -  104.  200413 0710............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097348 -               0730....BP HR..................................................... 128  69  47  jagged curve so maybe PAF and sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097349 -               0735....BP HR..................................................... 128  71  46  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097350 -               0740....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097351 -               0740... 20 974040 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097352 -               0740... 80 181520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097353 -               0740... 05  890 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097354 -               0740... 75 5800 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097355 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                      
097356 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097357 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097358 -               0950... Gabapentin 300MG  18200MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097359 -               0950... Oxycodone HCL Plain  5  180 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097360 -               1150... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097361 -               1150....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097362 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097363 -               1200....miles...........  18.0  18.0  293   293 minutes temp  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097364 -           **  0000... 25   3275.0 Metoprolol Tartrate RX #7101244 - pill in pocket take during hike if HRs spike not needed because HR sinus good range entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                               
097365 -               1730....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097366 -               1740....BP HR..................................................... 106  71  75   Sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097367 -               1745....BP HR.....................................................  99  62  78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097368 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097369 -               1820... 40 56120 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
097370 -             1 0000............ 10 13490  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097371 -             1 0000............ 10 13080  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097372 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097373 -           **  0000... 25   3275 Metoprolol Tartrate RX 7101244 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097374 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - caused ARDS symptoms so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097375 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097376 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097377 -               2100... 40 36040 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097378 -               2130... 1000  783000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097379 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097380 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097381 -               2200... 05  895 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097382 -               2200... 80 181600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097383 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097384 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097386 -  ..
097387 - ** Metoprolol resumed on 200402, after pausing on 200330, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097388 - KB45, because causing shortness of breath - ARDS  Only taking 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097389 - per day, because AF now seems to be occurring less often, and taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097390 - more increases ARDS symptoms - shortness of breath.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097392 -  ..
097393 - On 200406 paused metorpolol in morning, because last night and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097394 - continuing this morning recurrance minor ARDS symptoms shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097395 - breath, see HR above. ref SDS 0 HH5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097397 -  ..
097398 - On 200407 metoprolol resume because ARDS symptoms (shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097399 - breath) fully resolved, and HR controlled without metoprolol, however                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097400 - HR observed at 109 last night OA 0130, and possible PAF this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097401 - per above. ref SDS 0 RN8F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097403 -  ..
097404 - On 200408 metoprolol paused because no HR above 100, while not hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097405 - in past 48 hours.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097407 -  ..
097408 - On 200409 did not take metoprolol this morning.  Hike started with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097409 - noticably higher HRs.  About mile 2 HRs increased rest of the way to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097410 - mile 5 at Texaco station corner Ygnacio Valley Road and Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097411 - Bought Coca Cola to wash down metoprolol pill.  Ate few bites mini-pie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097412 - required for eating food with metoprolol.  Starting hike again, HRs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097413 - dropped below 130 - the red zone.  However several miles later they                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097414 - spiked a few times above 160.  In evening OA 2200 feeling slight ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097415 - symptoms recurring, as lung air sacks begin filling.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097417 -  ..
097418 - On 200412 did not take metoprolol this morning.  Hike started with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097419 - noticably higher HRs.  About mile 2 HRs increased rest of the way to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097420 - mile 5 at Texaco station corner Ygnacio Valley Road and Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097421 - Bought Coca Cola to wash down metoprolol pill.  Ate few bites mini-pie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097422 - required for eating food with metoprolol.  Starting hike again, HRs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097423 - dropped below 100.  However a mile later they spiked above 140.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097424 - After mile 9 and crossing summit Ygnacio Valley Road, HR dropped into                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097425 - sinus for rest of 18 mile hike.  After hike, HR increased to 150, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097426 - remained for 4 hours, so took 2nd metoprolol.  During night while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097427 - sleeping, HR very erratic.  By morning in sinus.  Pola HR report                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097428 - seems to say HR 0 twice at night.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097430 -  ..
097431 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097432 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097434 -  ..
097435 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097437 -  ..
097438 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097439 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097440 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097442 -  ..
097443 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097445 -  ..
097446 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097448 -  ..
097449 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097450 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097452 -  ..
097453 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097455 -  ..
097456 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097457 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097459 -  ..
097460 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097461 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097462 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097463 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097464 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097465 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097466 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097467 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097468 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097469 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097470 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097471 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097472 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097474 -  ..
097475 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097476 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097478 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097479 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097480 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097481 -        Chest pain...................................   1          1  slight starting hike - might be something else                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097482 -        Breathing....................................   0        100  no shortness breath entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097483 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097484 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097485 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097486 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097487 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097488 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097489 -        Knee left patalla...PRP 191009...............   2          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097490 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097491 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097492 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097493 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097494 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097495 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097496 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097497 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097498 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097499 -        Tailor's Bunion left foot.. PRP 190612.......   2         25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097500 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097501 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097502 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097503 -        Metatarsalgia left foot...PRP 191009.........   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097504 -        Metatarsalgia right foot..PRP 191009.........   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097505 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097506 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097507 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097508 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097509 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097510 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097511 -        Blister below big toe left foot..............   1        100  made dressing sock fit over dressing, was not worse during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097512 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097513 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097514 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097515 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097517 -  ..
097518 - Body feels okay very tired after hiking 18 miles in 75 degrees,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097519 - following PRP on 191009 1500, ref SDS 78 0001, and hiking 1 big hill.
097521 - -
097522 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097523 - slightly pain level 0, and knee stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097524 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097526 -  ..
097527 - Several hours after hike, feet pain level 1; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097528 - Did not take medication, per above. ref SDS 0 R97F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097530 -  ..
097531 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097532 - pain level 3, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097533 - 3T3L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097535 -  ..
097536 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097537 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097538 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097539 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097540 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097542 -  ..
097543 - Discovered bubble blister on edge left foot below big toe.  Popped it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097544 - with knife to drain fluid.  Applied neosporin, bandaid, hydroflora                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097545 - blue and tape.  Socks held this in place during hike.  Condition did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097546 - not worsen after hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097548 -  ..
097549 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097550 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097551 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097553 -  ..
097554 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097555 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097556 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097558 -  ..
097559 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097560 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097561 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097562 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097563 - ref SDS 77 SM4M  Before hike today on 200412 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097564 - and Tailor's Bunions. ref SDS 0 VTXR  After hike did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097565 - Ammonium Lactate 12% lotion both feet.  Wore Wrightsock thin double                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097566 - ply and laced shoes less loosely.  Did not applied diclofenac to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097567 - Tailors Bunion and blisters on big toes both feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097569 -  ..
097570 - Concord 18 mile route - Hiked extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097571 - energy good wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097572 - ref SDS 77 SM4M; and 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097573 - ref SDS 79 SM4M  Today, hiking with naproxen and gabapentin.  Applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097574 - diclofenac to left knee.  Took Glucosamine Chondroitin, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097575 - ref SDS 0 DX5K  This combination controlled pain well, as shown in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097576 - study above. ref SDS 0 VTPU  After stopping at Texaco at mile 4.25,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097577 - there was pain level 2 Tailors Bunion left foot.  Going uphill there                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097578 - was less pain than downhills.  There was more feet pain last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097579 - today, than past few days.  Did not take metoprolol this morning, even                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097580 - though major PAF highs and lows occurred all through last night...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097582 -              https://flow.polar.com/training/analysis/4521805003                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097584 -               ..
097586 -   
097588 -  ..
097589 - Since took two (2) metoprolol yesterday, should not need more pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097590 - for several days.  Before hike no shortness of breath bending over to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097591 - tie shoes; felt ARDS constricted breathing attempting to situp in bed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097592 - Presents conflicted medication profile - PAF HRs through night                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097593 - indicate take metoprolol.  Beginnings of ARDS symptoms indicate avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097594 - metoprolol in order to prevent increasing ARDS.  Took metoprolol in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097595 - pocket on hike to take if HRs became erratic and spike above 130.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097596 - During hike today, HR noticably lower than yesterday, never spiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097597 - once...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097600 -              https://flow.polar.com/training/analysis/4523636173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097602 -  ..
097603 - So at Texaco mile 4.25 did not take metoprolol, nor eat and drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097604 - anything.  After leaving Texaco hiked 13 miles.  HR in sinus and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097605 - followed profile of altitude rise and falls.  No evident PAF spikes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097606 - and falls with steady pace for 18 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097608 -  ..
097609 - Breakfast - cheerios chia seeds banana with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097610 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097611 - Dinner - lettuce tuna salmon asparagus avocado tomato onion, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097612 - donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097614 -  ..
097615 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097620 -         ..
097621 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097622 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097623 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097624 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097625 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097626 -  105.  200414 0710............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097627 -               0720....BP HR..................................................... 125  83  52  jagged curve so maybe PAF and sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097628 -               0725....BP HR..................................................... 137  94  74  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097629 -               0730....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097630 -               0730... 20 974060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097631 -               0730... 80 181680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097632 -               0730... 05  900 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097633 -               0730... 75 5875 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097634 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                          
097635 -               1000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097636 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097637 -               1000... Gabapentin 300MG  18500MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097638 -               0000... Oxycodone HCL Plain  5  180 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097639 -               1120... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097640 -               1130....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097641 -           **  1150... 25   3300.0 Metoprolol Tartrate RX #7101244 - took pill before leaving house because noticed HR reported > 100 at rest                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097642 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097643 -               1200....miles...........  12.0  30.0  198   491 minutes temp  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097644 -               1550....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097645 -               1600....BP HR.....................................................  92  60  56   sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097646 -               1605....BP HR.....................................................  93  58  48   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097647 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097648 -               1700... 40 56160 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
097649 -               1830............ 10 13500  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097650 -               1830............ 10 13090  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097651 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097652 -           **  0000... 25   3300 Metoprolol Tartrate RX 7101244 for afib                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097653 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - caused ARDS symptoms so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097654 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097655 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097656 -               2100... 40 36080 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097657 -               2130... 1000  784000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097658 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097659 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097660 -               2200... 05  905 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097661 -               2200... 80 181760 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097662 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097663 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097665 -  ..
097666 - ** Metoprolol resumed on 200402, after pausing on 200330, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097667 - KB45, because causing shortness of breath - ARDS  Only taking 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097668 - per day, because AF now seems to be occurring less often, and taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097669 - more increases ARDS symptoms - shortness of breath.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097671 -  ..
097672 - On 200406 paused metorpolol in morning, because last night and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097673 - continuing this morning recurrance minor ARDS symptoms shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097674 - breath, see HR above. ref SDS 0 HH5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097676 -  ..
097677 - On 200407 metoprolol resume because ARDS symptoms (shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097678 - breath) fully resolved, and HR controlled without metoprolol, however                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097679 - HR observed at 109 last night OA 0130, and possible PAF this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097680 - per above. ref SDS 0 RN8F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097682 -  ..
097683 - On 200408 metoprolol paused because no HR above 100, while not hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097684 - in past 48 hours.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097686 -  ..
097687 - On 200409 did not take metoprolol this morning.  Hike started with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097688 - noticably higher HRs.  About mile 2 HRs increased rest of the way to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097689 - mile 5 at Texaco station corner Ygnacio Valley Road and Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097690 - Bought Coca Cola to wash down metoprolol pill.  Ate few bites mini-pie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097691 - required for eating food with metoprolol.  Starting hike again, HRs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097692 - dropped below 130 - the red zone.  However several miles later they                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097693 - spiked a few times above 160.  In evening OA 2200 feeling slight ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097694 - symptoms recurring, as lung air sacks begin filling.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097696 -  ..
097697 - On 200412 did not take metoprolol this morning.  Hike started with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097698 - noticably higher HRs.  About mile 2 HRs increased rest of the way to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097699 - mile 5 at Texaco station corner Ygnacio Valley Road and Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097700 - Bought Coca Cola to wash down metoprolol pill.  Ate few bites mini-pie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097701 - required for eating food with metoprolol.  Starting hike again, HRs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097702 - dropped below 100.  However a mile later they spiked above 140.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097703 - After mile 9 and crossing summit Ygnacio Valley Road, HR dropped into                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097704 - sinus for rest of 18 mile hike.  After hike, HR increased to 150, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097705 - remained for 4 hours, so took 2nd metoprolol.  During night while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097706 - sleeping, HR very erratic.  By morning in sinus.  Pola HR report                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097707 - seems to say HR 0 twice at night.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097709 -  ..
097710 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097711 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097713 -  ..
097714 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097716 -  ..
097717 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097718 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097719 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097721 -  ..
097722 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097724 -  ..
097725 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097727 -  ..
097728 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097729 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097731 -  ..
097732 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097734 -  ..
097735 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097736 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097738 -  ..
097739 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097740 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097741 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097742 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097743 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097744 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097745 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097746 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097747 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097748 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097749 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097750 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097751 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097753 -  ..
097754 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097755 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097757 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097758 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097759 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097760 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097761 -        Breathing....................................   0        100  no shortness breath entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097762 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097763 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097764 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097765 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097766 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097767 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097768 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097769 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097770 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097771 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097772 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097773 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097774 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097775 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097776 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097777 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097778 -        Tailor's Bunion left foot.. PRP 190612.......   0        100  shaved before hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097779 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097780 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097781 -        Electric shocks middle 3 toes right foot.....   1          3  about mile 2.4 for .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097782 -        Metatarsalgia left foot...PRP 191009.........   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097783 -        Metatarsalgia right foot..PRP 191009.........   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097784 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097785 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097786 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097787 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097788 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097789 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097790 -        Blister below big toe left foot..............   1        100  made dressing sock fit over dressing, was not worse during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097791 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097792 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097793 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097794 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097796 -  ..
097797 - Body feels okay very tired after hiking 18 miles in 75 degrees,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097798 - following PRP on 191009 1500, ref SDS 78 0001, and hiking 1 big hill.
097800 - -
097801 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097802 - slightly pain level 0, and knee stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097803 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097805 -  ..
097806 - Several hours after hike, feet pain level 1; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097807 - Did not take medication, per above. ref SDS 0 R97F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097809 -  ..
097810 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097811 - pain level 3, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097812 - 3T3L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097814 -  ..
097815 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097816 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097817 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097818 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097819 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097821 -  ..
097822 - Discovered bubble blister on edge left foot below big toe.  Popped it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097823 - with knife to drain fluid.  Applied neosporin, bandaid, hydroflora                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097824 - blue and tape.  Socks held this in place during hike.  Condition did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097825 - not worsen after hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097827 -  ..
097828 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097829 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097830 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097832 -  ..
097833 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097834 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097835 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097837 -  ..
097838 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097839 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097840 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097841 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097842 - ref SDS 77 SM4M  Before hike today on 200412 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097843 - and Tailor's Bunions. ref SDS 0 VTXR  After hike did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097844 - Ammonium Lactate 12% lotion both feet.  Wore Wrightsock thin double                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097845 - ply and laced shoes less loosely.  Did not applied diclofenac to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097846 - Tailors Bunion and blisters on big toes both feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097848 -  ..
097849 - Concord 12 mile route - did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097850 - Starting energy good wearing Hoka Bondi 6 shoes received on 190927                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097851 - 1110, ref SDS 77 SM4M; and 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097852 - ref SDS 79 SM4M  Today, hiking with naproxen and gabapentin.  Applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097853 - diclofenac to left knee.  Took Glucosamine Chondroitin, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097854 - ref SDS 0 DX5K  This combination controlled pain well, as shown in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097855 - study above. ref SDS 0 VTPU  After stopping at Texaco at mile 4.25,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097856 - there was pain level 2 Tailors Bunion left foot.  Going uphill there                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097857 - was less pain than downhills.  There was more feet pain last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097858 - today, than past few days.  Planned to pause metoprolol today, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097859 - took it 2 dats ago on 200412, per above. ref SDS 0 DX5K  Forgot to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097860 - launch Polar Vantage V HR monitor overnight, so had no HR history to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097861 - guide taking metoprolol.  Noticed HRs in 70s, 80s and 90s at rest this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097862 - morning, so took metoprolol before starting hike, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097863 - ref SDS 0 UD8K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097865 -               ..
097866 -              https://flow.polar.com/training/analysis/4523636173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097868 -               ..
097870 -   
097872 -  ..
097873 - Had 1 HR spike during hike.  Seemed tired today, so cut hike off at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097874 - Cowell for 12 miles.  Hiking HR profile higher and less stable than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097875 - yesterday.  Post-hike HR profile looks terrible...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097878 -   
097880 -  ..
097881 - Breakfast - cheerios chia seeds banana with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097882 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097883 - Dinner - lettuce tuna salmon asparagus avocado tomato onion, half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097884 - sandwich balogna cheese, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097886 -  ..
097887 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097893 -         ..
097894 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097895 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097896 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097897 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097898 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097899 -  106.  200415 0710............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097900 -               0720....BP HR..................................................... 118  70  68  jagged curve so PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097901 -               0725....BP HR..................................................... 119  69  63  jagged curve so PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097902 -               0730....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097903 -               0730... 20 974080 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097904 -               0730... 80 181840 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097905 -           **  0730... 25   3325.0 Metoprolol Tartrate RX #7101244                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097906 -               0730... 05  910 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097907 -               0730... 75 5950 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097908 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                          
097909 -               1000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097910 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097911 -               1000... Gabapentin 300MG  18800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097912 -               0000... Oxycodone HCL Plain  5  180 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097913 -               1100... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097914 -               1120....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097915 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097916 -               1210....miles...........  17.0  47.0  276   767 minutes temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097917 -               1710....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097918 -               1720....BP HR.....................................................  97  66  77   sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097919 -               1725....BP HR..................................................... 104  64  61   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097920 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097921 -               1820... 40 56200 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
097922 -             1 0000............ 10 13500  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097923 -             1 0000............ 10 13090  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097924 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097925 -           **  0000... 25   3335 Metoprolol Tartrate RX 7101244 for afib - did not take pill because ARDS after 2200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097926 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - caused ARDS symptoms so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097927 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097928 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097929 -               2100... 40 36120 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097930 -               2130... 1000  785000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097931 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097932 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097933 -               2200... 05  915 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097934 -               2200... 80 181920 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097935 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097936 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097938 -  ..
097939 - ** Metoprolol resumed on 200402, after pausing on 200330, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097940 - KB45, because causing shortness of breath - ARDS  Only taking 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097941 - per day, because AF now seems to be occurring less often, and taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097942 - more increases ARDS symptoms - shortness of breath.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097944 -  ..
097945 - On 200406 paused metorpolol in morning, because last night and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097946 - continuing this morning recurrance minor ARDS symptoms shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097947 - breath, see HR above. ref SDS 0 HH5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097949 -  ..
097950 - On 200407 metoprolol resume because ARDS symptoms (shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097951 - breath) fully resolved, and HR controlled without metoprolol, however                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097952 - HR observed at 109 last night OA 0130, and possible PAF this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097953 - per above. ref SDS 0 RN8F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097955 -  ..
097956 - On 200408 metoprolol paused because no HR above 100, while not hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097957 - in past 48 hours.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097959 -  ..
097960 - On 200409 did not take metoprolol this morning.  Hike started with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097961 - noticably higher HRs.  About mile 2 HRs increased rest of the way to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097962 - mile 5 at Texaco station corner Ygnacio Valley Road and Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097963 - Bought Coca Cola to wash down metoprolol pill.  Ate few bites mini-pie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097964 - required for eating food with metoprolol.  Starting hike again, HRs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097965 - dropped below 130 - the red zone.  However several miles later they                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097966 - spiked a few times above 160.  In evening OA 2200 feeling slight ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097967 - symptoms recurring, as lung air sacks begin filling.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097969 -  ..
097970 - On 200412 did not take metoprolol this morning.  Hike started with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097971 - noticably higher HRs.  About mile 2 HRs increased rest of the way to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097972 - mile 5 at Texaco station corner Ygnacio Valley Road and Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097973 - Bought Coca Cola to wash down metoprolol pill.  Ate few bites mini-pie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097974 - required for eating food with metoprolol.  Starting hike again, HRs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097975 - dropped below 100.  However a mile later they spiked above 140.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097976 - After mile 9 and crossing summit Ygnacio Valley Road, HR dropped into                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097977 - sinus for rest of 18 mile hike.  After hike, HR increased to 150, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097978 - remained for 4 hours, so took 2nd metoprolol.  During night while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097979 - sleeping, HR very erratic.  By morning in sinus.  Pola HR report                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097980 - seems to say HR 0 twice at night.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097982 -  ..
097983 - On 200415 yesterday hike had higher HR profile, and post-hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097984 - through the night sleeping, HR erratic, so taking metoprolol in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097985 - morning with regular medication regimen.  Late at night OA 2200,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097986 - bending over to dry feet after shower, felt ARDS, so did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097987 - metoprolol pill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097989 -  ..
097990 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097991 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097993 -  ..
097994 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097996 -  ..
097997 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097998 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097999 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098001 -  ..
098002 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098004 -  ..
098005 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098007 -  ..
098008 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098009 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098011 -  ..
098012 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098014 -  ..
098015 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098016 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098018 -  ..
098019 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098020 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098021 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098022 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098023 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098024 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098025 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098026 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098027 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098028 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098029 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098030 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098031 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098033 -  ..
098034 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098035 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098037 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098038 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098039 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098040 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098041 -        Breathing....................................   0        100  no shortness breath entire hike; after 2200 took shower bending over to dry feet felt ARDS, so paused metoprolol pill until morning                                                                                                                                                                                                                                                                                                                                                                                                          
098042 -        Trapezius right side neck/shoulder...........   8          1  few times during hike turning head felt severe sharp pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098043 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098044 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098045 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098046 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098047 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098048 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098049 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098050 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098051 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098052 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098053 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098054 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098055 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098056 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098057 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098058 -        Tailor's Bunion left foot.. PRP 190612.......   0        100  shaved few days ago                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098059 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098060 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098061 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098062 -        Metatarsalgia left foot...PRP 191009.........   1          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098063 -        Metatarsalgia right foot..PRP 191009.........   1          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098064 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098065 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098066 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098067 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098068 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098069 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098070 -        Blister below big toe left foot..............   1        100  Interfera Blue dressing sock fit over dressing, okay during hike, after hike slight bubble                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098071 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098072 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098073 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098074 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098076 -  ..
098077 - Body feels okay very tired after hiking 17 miles in 82 degrees,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098078 - following PRP on 191009 1500, ref SDS 78 0001, and hiking 1 big hill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098079 - Heat expends a lot of enegy; felt depleted last 3 miles.
098081 - -
098082 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098083 - slightly pain level 0, and knee stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098084 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098086 -  ..
098087 - Several hours after hike, feet pain level 1; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098088 - Did not take medication, per above. ref SDS 0 R97F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098090 -  ..
098091 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098092 - pain level 3, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098093 - 3T3L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098095 -  ..
098096 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098097 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098098 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098099 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098100 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098102 -  ..
098103 - Discovered bubble blister on edge left foot below big toe.  Popped it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098104 - with knife to drain fluid.  Applied neosporin, bandaid, hydroflora                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098105 - blue and tape.  Socks held this in place during hike.  Condition did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098106 - not worsen after hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098108 -  ..
098109 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098110 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098111 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098113 -  ..
098114 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098115 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098116 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098118 -  ..
098119 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098120 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098121 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098122 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098123 - ref SDS 77 SM4M  Before hike today on 200412 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098124 - and Tailor's Bunions. ref SDS 0 VTXR  After hike did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098125 - Ammonium Lactate 12% lotion both feet.  Wore Wrightsock thin double                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098126 - ply and laced shoes less loosely.  Did not applied diclofenac to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098127 - Tailors Bunion and blisters on big toes both feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098129 -  ..
098130 - Concord 17 mile route - did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098131 - Starting energy good wearing Hoka Bondi 6 shoes received on 190927                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098132 - 1110, ref SDS 77 SM4M; and 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098133 - ref SDS 79 SM4M  Today, hiking with naproxen and gabapentin.  Applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098134 - diclofenac to left knee.  Took Glucosamine Chondroitin, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098135 - ref SDS 0 GW5L  This combination controlled pain well - there was less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098136 - feet pain today. as shown in the study above. ref SDS 0 WRUY  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098137 - metoprolol this morning with other meds.  HR profile indicates sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098138 - all the way, with no evident PAF spikes in either direction.  Average                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098139 - HR 99, Max 128, min 57, seems like best hike ever for HR...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098141 -               ..
098142 -              https://flow.polar.com/training/analysis/4531300423                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098144 -               ..
098146 -   
098148 -  ..
098149 - Post hike seems worse than yesterday...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098151 -              https://flow.polar.com/training/analysis/4533449678                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098154 -   
098156 -  ..
098157 - Saving this record in Excel format seems to show heart stopped for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098158 - about 3 minutes the following day from 03:14:26 (line 11670) until                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098159 - 03:1730 (line 11854).  Further seems this would cause death or severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098160 - neurological damage, rendering patient unable to wake up and enter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098161 - this stuff, so evidently there is misinterpretation somehow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098163 -  ..
098164 - At 2200, feeling ARDS bending down to dry feet after shower, so did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098165 - not take metoprolol in evening.  If HRs > 70 in morning, will take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098166 - pill, otherwise will allow ARDS to continue clearing from lung sacks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098168 -  ..
098169 - Breakfast - cheerios chia seeds banana with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098170 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098171 - Dinner - tuna salmon asparagus avocado tomato onion cottage cheese,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098172 - jello                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098174 -  ..
098175 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098181 -         ..
098182 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098183 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098184 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098185 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098186 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098187 -  107.  200416 0820............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098188 -               0920....BP HR..................................................... 133  79  81  jagged curve so PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098189 -               0925....BP HR..................................................... 132  83  78  jagged curve so PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098190 -               0930....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098191 -               0930... 20 974100 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098192 -               0930... 80 182000 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098193 -           **  0930... 25   3350.0 Metoprolol Tartrate RX #7101244                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098194 -               0930... 05  920 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098195 -               0930... 75 6025 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098196 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                          
098197 -               1030... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098198 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098199 -               1030... Gabapentin 300MG  18800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098200 -               0000... Oxycodone HCL Plain  5  180 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098201 -               1100... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098202 -               1120....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098203 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098204 -               1225....miles...........  13.0  60.0  207   977 minutes temp  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098205 -               1630....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098206 -               1730....BP HR..................................................... 114  78  72   sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098207 -               1735....BP HR..................................................... 136  78  48   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098208 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098209 -               1840... 40 56240 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
098210 -               1930............ 10 13510  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098211 -               1930............ 10 13100  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098212 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098213 -           **  0000... 25   3350 Metoprolol Tartrate RX 7101244 for afib - did not take pill because ARDS after 2200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098214 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - caused ARDS symptoms so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098215 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098216 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098217 -               2100... 40 36160 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098218 -               2130... 1000  786000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098219 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098220 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098221 -               2200... 05  925 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098222 -               2200... 80 182080 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098223 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098224 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098226 -  ..
098227 - ** Metoprolol resumed on 200402, after pausing on 200330, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098228 - KB45, because causing shortness of breath - ARDS  Only taking 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098229 - per day, because AF now seems to be occurring less often, and taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098230 - more increases ARDS symptoms - shortness of breath.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098232 -  ..
098233 - On 200406 paused metorpolol in morning, because last night and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098234 - continuing this morning recurrance minor ARDS symptoms shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098235 - breath, see HR above. ref SDS 0 HH5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098237 -  ..
098238 - On 200407 metoprolol resume because ARDS symptoms (shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098239 - breath) fully resolved, and HR controlled without metoprolol, however                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098240 - HR observed at 109 last night OA 0130, and possible PAF this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098241 - per above. ref SDS 0 RN8F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098243 -  ..
098244 - On 200408 metoprolol paused because no HR above 100, while not hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098245 - in past 48 hours.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098247 -  ..
098248 - On 200409 did not take metoprolol this morning.  Hike started with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098249 - noticably higher HRs.  About mile 2 HRs increased rest of the way to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098250 - mile 5 at Texaco station corner Ygnacio Valley Road and Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098251 - Bought Coca Cola to wash down metoprolol pill.  Ate few bites mini-pie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098252 - required for eating food with metoprolol.  Starting hike again, HRs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098253 - dropped below 130 - the red zone.  However several miles later they                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098254 - spiked a few times above 160.  In evening OA 2200 feeling slight ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098255 - symptoms recurring, as lung air sacks begin filling.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098257 -  ..
098258 - On 200412 did not take metoprolol this morning.  Hike started with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098259 - noticably higher HRs.  About mile 2 HRs increased rest of the way to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098260 - mile 5 at Texaco station corner Ygnacio Valley Road and Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098261 - Bought Coca Cola to wash down metoprolol pill.  Ate few bites mini-pie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098262 - required for eating food with metoprolol.  Starting hike again, HRs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098263 - dropped below 100.  However a mile later they spiked above 140.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098264 - After mile 9 and crossing summit Ygnacio Valley Road, HR dropped into                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098265 - sinus for rest of 18 mile hike.  After hike, HR increased to 150, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098266 - remained for 4 hours, so took 2nd metoprolol.  During night while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098267 - sleeping, HR very erratic.  By morning in sinus.  Pola HR report                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098268 - seems to say HR 0 twice at night.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098270 -  ..
098271 - On 200415 yesterday hike had higher HR profile, and post-hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098272 - through the night sleeping, HR erratic, so taking metoprolol in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098273 - morning with regular medication regimen.  Late at night OA 2200,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098274 - bending over to dry feet after shower, felt ARDS, so did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098275 - metoprolol pill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098277 -  ..
098278 - On 200416 yesterday hike had very good HR profile. ref SDS 0 WSUT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098279 - Post-hike through the night HR erratic, seem to have had several                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098280 - cardiac arrests, with one lasting 3 minutes. ref SDS 0 1448  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098281 - morning no ARDS, so took 1 metoproolol pill. ref SDS 0 4K4M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098283 -  ..
098284 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098285 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098287 -  ..
098288 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098290 -  ..
098291 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098292 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098293 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098295 -  ..
098296 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098298 -  ..
098299 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098301 -  ..
098302 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098303 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098305 -  ..
098306 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098308 -  ..
098309 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098310 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098312 -  ..
098313 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098314 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098315 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098316 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098317 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098318 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098319 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098320 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098321 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098322 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098323 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098324 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098325 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098327 -  ..
098328 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098329 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098331 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098332 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098333 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098334 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098335 -        Breathing....................................   0        100  no shortness breath entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098336 -        Trapezius right side neck/shoulder...........   8          1  few times during hike turning head felt severe sharp pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098337 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098338 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098339 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098340 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098341 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098342 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098343 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098344 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098345 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098346 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098347 -        Hamstring tendon left leg.PRP 191009.........   2          1   about mile 2 on Clayton sidewalk for about .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098348 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098349 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098350 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098351 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098352 -        Tailor's Bunion left foot.. PRP 190612.......   0        100  shaved few days ago                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098353 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098354 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098355 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098356 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098357 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098358 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098359 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098360 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098361 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098362 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098363 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098364 -        Blister below big toe left foot..............   0        100  Interfera Blue dressing sock fit over dressing, okay during hike, after hike slight bubble                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098365 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098366 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098367 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098368 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098370 -  ..
098371 - Body feels okay after hiking 13 miles in 73 degrees, following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098372 - 191009 1500, ref SDS 78 0001, and hiking 1 big hill.
098374 - -
098375 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098376 - slightly pain level 0, and knee stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098377 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098379 -  ..
098380 - Several hours after hike, feet pain level 1; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098381 - Did not take medication, per above. ref SDS 0 R97F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098383 -  ..
098384 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098385 - pain level 3, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098386 - 3T3L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098388 -  ..
098389 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098390 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098391 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098392 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098393 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098395 -  ..
098396 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098397 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098398 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098400 -  ..
098401 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098402 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098403 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098405 -  ..
098406 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098407 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098408 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098409 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098410 - ref SDS 77 SM4M  Before hike today on 200412 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098411 - and Tailor's Bunions. ref SDS 0 VTXR  After hike did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098412 - Ammonium Lactate 12% lotion both feet.  Wore Wrightsock thin double                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098413 - ply and laced shoes less loosely.  Did not applied diclofenac to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098414 - Tailors Bunion and blisters on big toes both feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098416 -  ..
098417 - Concord 13 mile route - did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098418 - Starting energy good wearing Hoka Bondi 6 shoes received on 190927                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098419 - 1110, ref SDS 77 SM4M; and 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098420 - ref SDS 79 SM4M  Today, hiking with naproxen (but only 1 pill instead                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098421 - of 2) and gabapentin.  Applied diclofenac to left knee.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098422 - Glucosamine Chondroitin, per above. ref SDS 0 4K4M  This combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098423 - controlled pain well - there was less feet pain today. as shown in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098424 - study above. ref SDS 0 WUUW  Took metoprolol this morning with other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098425 - meds, because ARDS that occurred last night, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098426 - FG6F, was resolved this morning, and also because concern about heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098427 - after Polar monitoring seems to show the heart stopped beating for 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098428 - minutes last night. ref SDS 0 1448  Popped blood blister on edge of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098429 - left foot below big toe, so it would drain.  Used Interfera Blue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098430 - dressing to protect blister during hike.  Worked well, at least did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098431 - not cause pain while hiking.  Held hike to 12 miles, with 1 less major                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098432 - hill than yesterday.  Did 3 loops in parking lot at college.  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098433 - summit on Ygnacio Valley Road, then returned and took Cowell home,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098434 - rather than hike down to Oak Grove, over to Treat and home, as done                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098435 - yesterday.  HR profile indicates sinus all the way, with no evident                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098436 - PAF spikes in either direction.  Average HR 132, Max 149, min 92.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098438 -             ..
098439 -            HR  200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098440 -            AVG   132     99    120    108    122    115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098441 -            MAX   149    128    160    128    173    132                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098442 -            Min    92     57     72     61     68     94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098444 -  ..
098445 - But HR seems oddly stable with little variation going up and down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098446 - hills.  Average HR 132 higher than yesterday 99, where yesterday was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098447 - longer with several more major hills.  Moreover, yesterday, HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098448 - closely parallelled terraine elevation changes, whereas today, it was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098449 - constant.  Both hikes were begun after taking metoprolol.  No evident                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098450 - reason for average HR to be 40% higher today, doing an easier                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098451 - route....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098453 -              https://flow.polar.com/training/analysis/4535156718                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098456 -   
098457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098459 -  ..
098460 - Post hike seems similar but worse than yesterday...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098462 -              https://flow.polar.com/training/analysis/4536932078                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098465 -   
098467 -  ..
098468 - This morning, sent letter to Doctor Pellegrini reporting Polar monitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098469 - shows HR paused 3 minutes last night.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098471 -  ..
098472 - In the afternoon, received letter from the doctor attributing cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098473 - arrest episodes report to equipment glitch, rather than actual cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098474 - arrest, reasoning that heart rate pause of 3 minutes would be very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098475 - noticable.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098477 -  ..
098478 - Breakfast - cheerios chia seeds egg sausage with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098479 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098480 - Dinner - pasta hamburger cheese asparagus avocado tomato onion,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098481 - jello                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098483 -  ..
098484 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098490 -         ..
098491 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098492 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098493 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098494 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098495 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098496 -  108.  200417 0710............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098497 -               0720....BP HR..................................................... 141  76  57  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098498 -               0725....BP HR..................................................... 128  75  53  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098499 -               0730....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098500 -               0730... 20 974120 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098501 -               0730... 80 182160 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098502 -           **  0730... 25   3375.0 Metoprolol Tartrate RX #7101244                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098503 -               0730... 05  930 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098504 -               0730... 75 6100 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098505 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                          
098506 -               1000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098507 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098508 -               1000... Gabapentin 300MG  18800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098509 -               0000... Oxycodone HCL Plain  5  180 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098510 -               1030... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098511 -               1100....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098512 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098513 -               1155....miles...........  19.0  79.0  308  1285 minutes temp  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098514 -               1740....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098515 -               1800....BP HR..................................................... 127  71  59   sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098516 -               1805....BP HR..................................................... 119  67  55   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098517 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098518 -               1840... 40 56280 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
098519 -             1 1830............ 10 13510  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098520 -             1 1830............ 10 13100  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098521 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098522 -           **  0000... 25   3375 Metoprolol Tartrate RX 7101244 for afib - did not take pill because ARDS after 2200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098523 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - caused ARDS symptoms so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098524 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098525 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098526 -               2100... 40 36200 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098527 -               2130... 1000  787000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098528 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098529 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098530 -               2200... 05  935 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098531 -               2200... 80 182240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098532 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098533 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098535 -  ..
098536 - ** Metoprolol - on 200417, like yesterday, had ARDS bending over after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098537 - shower last night so did not take metoprolol last night in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098538 - prevent difficult breathing from increasing.  This morning still some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098539 - ARDS, but seems less, so took metoprolol, per above. ref SDS 0 RY4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098541 -  ..
098542 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098543 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098545 -  ..
098546 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098548 -  ..
098549 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098550 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098551 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098553 -  ..
098554 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098556 -  ..
098557 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098559 -  ..
098560 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098561 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098563 -  ..
098564 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098566 -  ..
098567 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098568 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098570 -  ..
098571 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098572 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098573 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098574 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098575 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098576 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098577 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098578 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098579 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098580 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098581 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098582 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098583 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098585 -  ..
098586 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098587 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098589 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098590 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098591 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098592 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098593 -        Breathing....................................   0         20  shortness breath hills; some ARDS bending down before hike, so took metoprolol this morning; this increased ARDS, but seemed to dissipate about mile 10 and mile 17.                                                                                                                                                                                                                                                                                                                                                                         
098594 -        Trapezius right side neck/shoulder...........   8          1  few times during hike turning head felt severe sharp pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098595 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098596 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098597 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098598 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098599 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098600 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098601 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098602 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098603 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098604 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098605 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098606 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098607 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098608 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098609 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098610 -        Tailor's Bunion left foot.. PRP 190612.......   0        100  shaved few days ago                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098611 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098612 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098613 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098614 -        Metatarsalgia left foot...PRP 191009.........   2         10  last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098615 -        Metatarsalgia right foot..PRP 191009.........   2         10  last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098616 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098617 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098618 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098619 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098620 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098621 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098622 -        Blister below big toe left foot..............   0        100  Intrafera Blue dressing sock fit over dressing, okay during hike, after hike slight bubble                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098623 -        Blister below big toe right foot.............   3         10  last 2 miles will need Intrafera Blue dressing tomorrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098624 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098625 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098626 -        Restless legs................................   0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098628 -  ..
098629 - Body feels okay after hiking 19 miles in 63 degrees, following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098630 - 191009 1500, ref SDS 78 0001, and hiking 3 big hills.  New blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098631 - below big toe right foot will need special dressing tomorrow for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098632 - hiking.
098634 - -
098635 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098636 - slightly pain level 0, and knee stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098637 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098639 -  ..
098640 - Several hours after hike, feet pain level 1; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098641 - Did not take medication, per above. ref SDS 0 R97F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098643 -  ..
098644 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098645 - pain level 3, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098646 - 3T3L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098648 -  ..
098649 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098650 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098651 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098652 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098653 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098655 -  ..
098656 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098657 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098658 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098660 -  ..
098661 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098662 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098663 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098665 -  ..
098666 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098667 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098668 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098669 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098670 - ref SDS 77 SM4M  Before hike today on 200412 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098671 - and Tailor's Bunions. ref SDS 0 VTXR  After hike did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098672 - Ammonium Lactate 12% lotion both feet.  Wore Wrightsock thin double                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098673 - ply and laced shoes less loosely.  Did not applied diclofenac to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098674 - Tailors Bunion and blisters on big toes both feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098676 -  ..
098677 - Concord 19 mile route - hiked extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098678 - energy good wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098679 - ref SDS 77 SM4M; and 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098680 - ref SDS 79 SM4M  Today, hiking with naproxen (but only 1 pill instead                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098681 - of 2) and gabapentin.  Applied diclofenac to left knee.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098682 - Glucosamine Chondroitin, per above. ref SDS 0 RY4H  This combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098683 - controlled pain well - there was more feet pain today. as shown in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098684 - study above. ref SDS 0 RY4H  Took metoprolol this morning with other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098685 - meds, because ARDS that occurred last night, seemed less severe this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098686 - morning. ref SDS 0 WWUW   Polar report from 1600 yesterday until OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098687 - 0700 this morning shows worse HR pauses (i.e., cardiac arrests) than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098688 - yesterday, per above. ref SDS 0 YO5O  Popped blood blister on edge of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098689 - left foot below big toe, so it would drain.  Used Interfera Blue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098690 - dressing to protect blister during hike.  Worked well, at least did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098691 - not cause pain while hiking.  Hiked 19 miles, including 3 loops in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098692 - parking lot at college, and 2-loop at Safeway complex.  Left knee held                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098693 - up well with Diclofenac topical gel - pain level 0 up and down hills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098694 - until after last hill felt pain level 1 left knee patella for 2 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098695 - Raced a guy on Clayton from McDonald's about .5 miles; he caught up to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098696 - shoulder.  Increased pace and he could not pass, then he fell back.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098697 - Hiking on Campus Road uphill from Pin Hollow suffered ARDS.  Very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098698 - difficult breathing through mouth last 300 yards to summit.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098699 - back to Ygnacio Valley Road and then past Crystal Ranch Road, still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098700 - avoiding this long very steep route to avoid over conditioning the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098701 - heart that has dilated left ventrical, suspected of causing PAF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098702 - Hiked uphill past Cowell and over summit on Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098703 - Surprised ARDS did not recur, so somehow hiking purged toxic liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098704 - from lung sacks.  Besides breathing easily uphill, felt no fatigue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098705 - hiking 1 mile uphill to summit; collateral blood vessels must have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098706 - kicked in - felt adrenaline and endorphin rush.  Continued downhill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098707 - Oak Grove.  Hiked loop around Safeway complex to Via Monte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098708 - Shadelands, Oak Grove and back to Ygnacio Valley Road.  Hiked another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098709 - partial loop; turned left hiking North on Oak Grove to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098710 - Increased speed hiking up the hill at San Miguel, again very easy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098711 - today, another adrenaline and endorphin rush.  At summit continued to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098712 - Cuneo and did extra mile loop, making 19 mile hike.  Polar HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098713 - indicates sinus all the way, with only 1 PAF spike at HR 123.  Much                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098714 - better diagnostics than yesterday...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098716 -            HR  200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098717 -            AVG    96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098718 -            MAX   125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098720 -  ..
098721 - HR profile closely parallelled terraine elevation changes, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098722 - hiking maintains healthy heart rhythm...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098724 -              https://flow.polar.com/training/analysis/4538930488                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098728 -   
098729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098731 -  ..
098732 - Post hike seems a lot better than yesterday...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098734 -              https://flow.polar.com/training/analysis/4540951863                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098737 -   
098739 -  ..
098740 - There were no evident cardiac arrest episodes, compared to yesterday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098741 - that showed numerous heart stoppages of minutes duration.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098742 - Pellegrini explains heart stoppages likely did not occur yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098743 - and attributes the reports to hardward malfunction.  For some reason                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098744 - no hardware malfunctions occurred last night.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098746 -  ..
098747 - In the late evening after 2100, begin feeling ARDS breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098748 - difficulty, when laying the chair backrest flatter.  Difficult to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098749 - appreciate the cause, since took metoprolol in the morning.  ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098750 - occurred 4 hours later hiking up Campus Road, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098751 - WYTW  However, there was no difficult breathing 90 minutes later,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098752 - hiking up Ygnacio Valley Road, nor an hour after that hiking up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098753 - Treat.  So, what caused ARDS to recur 5 hours later?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098755 -  ..
098756 - Breakfast - cheerios chia seeds with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098757 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098758 - Dinner - pasta brocolli hamburger cheese avocado onion, jello                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098760 -  ..
098761 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098766 -         ..
098767 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098768 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098769 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098770 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098771 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098772 -  109.  200418 0710............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098773 -               0720....BP HR..................................................... 128  84  76  erratic curve so PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098774 -               0725....BP HR..................................................... 124  87  56  erratic curve so PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098775 -               0730....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098776 -               0730... 20 974140 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098777 -               0730... 80 182320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098778 -           **  0730... 25   3400.0 Metoprolol Tartrate RX #7101244                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098779 -               0730... 05  940 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098780 -               0730... 75 6175 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098781 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                          
098782 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098783 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098784 -               1000... Gabapentin 300MG  18800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098785 -               1000... Oxycodone HCL Plain  5  185 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098786 -               1030... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098787 -               1100....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098788 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098789 -               1225....miles...........  16.0  95.0  259  1544 minutes temp  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098790 -               1730....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098791 -               1740....BP HR..................................................... 112  59  56   sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098792 -               1745....BP HR..................................................... 109  49  34   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098793 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098794 -               1820... 40 56320 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
098795 -               1930............ 10 13520  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098796 -               1930............ 10 13110  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098797 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098798 -           **  0000... 25   3400 Metoprolol Tartrate RX 7101244 for afib - did not take pill because ARDS in evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098799 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - caused ARDS symptoms so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098800 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098801 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098802 -               2100... 40 36240 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098803 -               2130... 1000  788000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098804 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098805 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098806 -               2200... 05  945 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098807 -               2200... 80 182400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098808 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098809 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098811 -  ..
098812 - ** Metoprolol - on 200418, like yesterday, had ARDS laying back in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098813 - recliner chair late at night, and bending over after shower, so did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098814 - not take metoprolol last night in order to prevent difficult breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098815 - from increasing.  This morning no evident ARDS, so took metoprolol,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098816 - per above. ref SDS 0 CL6F  About 2 hours later had difficulty bending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098817 - over to tie shoes for hiking; but, this did not occur during the hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098818 - ref SDS 0 XQWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098820 -  ..
098821 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098822 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098824 -  ..
098825 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098827 -  ..
098828 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098829 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098830 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098832 -  ..
098833 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098835 -  ..
098836 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098838 -  ..
098839 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098840 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098842 -  ..
098843 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098845 -  ..
098846 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098847 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098849 -  ..
098850 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098851 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098852 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098853 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098854 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098855 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098856 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098857 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098858 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098859 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098860 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098861 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098862 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098864 -  ..
098865 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098866 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098868 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098869 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098870 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098871 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098872 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098873 -        Trapezius right side neck/shoulder...........   9          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098874 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098875 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098876 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098877 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098878 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098879 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098880 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098881 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098882 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098883 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098884 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098885 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098886 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098887 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098888 -        Little Toe blister left foot.................   3          1  last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098889 -        Tailor's Bunion left foot.. PRP 190612.......   0        100  shaved few days ago                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098890 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098891 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098892 -        Electric shocks middle 3 toes right foot.....   1          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098893 -        Metatarsalgia left foot...PRP 191009.........   3         20  last 4 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098894 -        Metatarsalgia right foot..PRP 191009.........   3         20  last 4 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098895 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098896 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098897 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098898 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098899 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098900 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098901 -        Blister below big toe left foot..............   0        100  hydrofera Blue dressing sock fit over dressing, okay during hike, after hike no bubble                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098902 -        Blister below big toe right foot.............   0        100  hydrofera Blue dressing sock fit over dressing, okay during hike, after hike no bubble                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098903 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098904 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098905 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098907 -  ..
098908 - Body feels good after hiking 12 miles in 65 degrees, following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098909 - 191009 1500, ref SDS 78 0001, and hiking 3 big hills.
098911 - -
098912 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098913 - slightly pain level 0, and knee stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098914 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098916 -  ..
098917 - Several hours after hike, feet pain level 1; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098918 - Did not take medication, per above. ref SDS 0 R97F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098920 -  ..
098921 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098922 - pain level 3, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098923 - 3T3L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098925 -  ..
098926 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098927 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098928 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098929 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098930 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098932 -  ..
098933 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098934 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098935 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098937 -  ..
098938 - Hydrofera Blue dressing applied to blisters below big toes on both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098939 - feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098941 -  ..
098942 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098943 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098944 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098946 -  ..
098947 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098948 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098949 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098950 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098951 - ref SDS 77 SM4M  Before hike today on 200412 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098952 - and Tailor's Bunions. ref SDS 0 VTXR  After hike did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098953 - Ammonium Lactate 12% lotion both feet.  Wore Wrightsock thin double                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098954 - ply and laced shoes less loosely.  Did not applied diclofenac to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098955 - Tailors Bunion and blisters on big toes both feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098957 -  ..
098958 - Concord 16 mile route - did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098959 - Starting energy good wearing Hoka Bondi 6 shoes received on 190927                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098960 - 1110, ref SDS 77 SM4M; and 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098961 - ref SDS 79 SM4M  Today, hiking with oxycodone instead of naproxen, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098962 - gabapentin.  Applied diclofenac to left knee.  Took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098963 - Chondroitin, per above. ref SDS 0 CL6F  This combination controlled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098964 - pain well - except there was more feet pain today. as shown in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098965 - study above. ref SDS 0 XPXU  Took metoprolol this morning with other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098966 - meds, because ARDS that occurred last night, seemed resolved this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098967 - morning. ref SDS 0 XPSU  Today, did not feel ARDS bending over to tie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098968 - shoes; more importantly, unlike yesterday, there was no ARDS hiking up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098969 - Campus Road today.  Polar report from 1600 yesterday until OA 0700                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098970 - this morning shows no HR pauses (i.e., cardiac arrests), much better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098971 - than yesterday, which shows numerous and prolonged HR pauses, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098972 - above. ref SDS 0 WYXR  Popped new blood blister on edge of right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098973 - below big toe, so it would drain.  Used Hydrafera Blue dressing to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098974 - protect blisters on both feet during hike.  Worked well, at least did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098975 - not cause pain while hiking.  Hiked 16 miles.  Hiking on Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098976 - uphill from Pine Hollow did not suffer ARDS difficult breathing last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098977 - 300 yards to summit, as occurred yesterday, per above. ref SDS 0 WYTW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098978 - At main college campus hiked 2 loops in parking lot.  Turning from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098979 - downhill to uphill on 1st loop leg muscles tired hiking .5 miles from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098980 - back to faculty parking.  On 2nd loop at bottom of student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098981 - parking, felt surge of power in the legs, possiibly vasodilation (2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098982 - wind, reported on 180602 1806. ref SDS 60 O842).  There was no leg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098983 - fatigue hiking back uphill from student to faculty parking on the 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098984 - loop.  On reaching main campus visitor parking, hiked downhill back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098985 - Ygnacio Valley Road and then past Crystal Ranch Road, still avoiding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098986 - this long, steep route in order to avoid over conditioning the heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098987 - that has dilated left atrial, reported in ECHO test on 200122 1414,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098988 - ref SDS 86 UO3H, and suspected causing PAF.  Hiked uphill past Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098989 - and over summit on Ygnacio Valley Road.  Surprised ARDS did not recur                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098990 - from taking metoprolol this morning, per above. ref SDS 0 XPSU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098991 - Somehow hiking purged toxic liquid from lung sacks.  Besides breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098992 - easily, felt no fatigue hiking 1 mile uphill to summit; vasodilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098993 - (2nd wind), adrenaline and endorphin rush avoided fatigue hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098994 - and steepest uphill on the route.  Past the summit, continued downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098995 - 2 miles to Oak Grove.  Hiked loop around Safeway complex to Via Monte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098996 - Shadelands, Oak Grove and back to Ygnacio Valley Road.  Hiked another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098997 - partial loop; turned left hiking North on Oak Grove to Treat.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098998 - East on Treat 1 mile to San Miguel.  Increased speed hiking uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098999 - Treat at San Miguel, again very easy today, another adrenaline and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099000 - endorphin rush from vasodilation and drawing blood from other organs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099001 - At summit continued to Cuneo, but did not hike extra mile loop, making                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099002 - 16 mile hike.  Polar HR profile indicates sinus all the way, with only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099003 - 1 PAF spike at HR 123.  Much better diagnostics than yesterday...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099005 -             ..
099006 -            HR  200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099007 -            AVG    90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099008 -            MAX   112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099009 -            Min    62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099011 -  ..
099012 - HR profile closely parallelled terraine elevation changes, without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099013 - significant spikes up or down.  Indicates hiking maintains healthy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099014 - heart rhythm without evidence of PAF.  HR has declined the past 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099015 - days, and today, seems lower than expected for this level of exercise,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099016 - attributable to metoprolol drug that lowers HR...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099018 -              https://flow.polar.com/training/analysis/4542927573                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099022 -   
099023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099025 -  ..
099026 - Post hike seems better than yesterday, with longer periods of stable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099027 - HR in sinus through the night...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099029 -              https://flow.polar.com/training/analysis/4545834583                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099032 -   
099034 -  ..
099035 - Wore Polar Vantage V on right wrist, because left wrist is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099036 - tramautized wearing the device all day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099038 -  ..
099039 - In the late evening after 2100, begin feeling ARDS breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099040 - difficulty, when bending down to dry feet after shower, and leaning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099041 - recliner chair back toward horizontal.  Also slight wheezing at times.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099042 - Difficult to appreciate the cause, since took metoprolol in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099043 - morning.  ARDS did not seem to occur at any time hiking today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099044 - ref SDS 0 XQWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099046 -  ..
099047 - Breakfast - cream of wheat rasins with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099048 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099049 - Dinner - pasta brocolli hamburger cheese avocado onion, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099051 -  ..
099052 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099056 -         ..
099057 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099058 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099059 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099060 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099061 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099062 -  110.  200419 0730............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099063 -               0740....BP HR..................................................... 140  76  44  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099064 -               0745....BP HR..................................................... 140  85  45  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099065 -               0750....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099066 -               0750... 20 974160 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099067 -               0750... 80 182480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099068 -           **  0750... 25   3425.0 Metoprolol succinct switched on 200419 from Tartrate RX #7101244 to reduce ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099069 -               0750... 05  950 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099070 -               0750... 75 6250 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099071 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                          
099072 -               0000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099073 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099074 -               0000... Gabapentin 300MG  18800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099075 -               0000... Oxycodone HCL Plain  5  185 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099076 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099077 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099078 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099079 -               1700... 40 56340 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
099080 -             1 0000............ 10 13520  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099081 -             1 0000............ 10 13110  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099082 -               2020... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099083 -           **  0000... 25   3425 Metoprolol Tartrate RX 7101244 for afib - did not take pill because ARDS in evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099084 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - caused ARDS symptoms so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099085 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099086 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099087 -               2100... 40 36280 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099088 -               2130... 1000  789000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099089 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099090 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099091 -               2200... 05  955 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099092 -               2200... 80 182560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099093 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099094 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099096 -  ..
099097 - ** Metoprolol - on 200419, switched from Tartrate to Succinct; like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099098 - yesterday, had ARDS laying back in recliner chair late at night, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099099 - bending over after shower, also slight wheezing laying back in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099100 - recliner; so, did not take metoprolol last night in order to prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099101 - difficult breathing from increasing.  This still feeling ARDS leaning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099102 - back in recliner, so switched to metoprolol succinct per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099103 - ref SDS 0 KK4N  Seems like HR profile was best yet taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099104 - succinct.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099106 -  ..
099107 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099108 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099110 -  ..
099111 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099113 -  ..
099114 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099115 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099116 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099118 -  ..
099119 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099121 -  ..
099122 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099124 -  ..
099125 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099126 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099128 -  ..
099129 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099131 -  ..
099132 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099133 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099135 -  ..
099136 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099137 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099138 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099139 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099140 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099141 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099142 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099143 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099144 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099145 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099146 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099147 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099148 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099150 -  ..
099151 - Hiking - day off                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099153 -             ..
099154 -            HR  200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099155 -            AVG   no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099156 -            MAX  hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099157 -            Min           62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099159 -  ..
099160 - Non-hiking HR profile seems good, like yesterday...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099162 -              https://flow.polar.com/training/analysis/4549444873                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099165 -   
099167 -  ..
099168 - In the late evening after after 2100, begin feeling slight ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099169 - breathing difficulty, when bending down to dry feet after shower, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099170 - leaning recliner chair back toward horizontal.  Also slight wheezing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099171 - at times.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099173 -  ..
099174 - Breakfast - cheerios chia seeds with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099175 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099176 - Dinner - pasta brocolli hamburger cheese avocado onion, jello                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099178 -  ..
099179 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099184 -         ..
099185 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099186 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099187 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099188 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099189 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099190 -  111.  200420 0710............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099191 -               0720....BP HR..................................................... 150  85  46  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099192 -               0725....BP HR..................................................... 139  74  40  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099193 -               0730....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099194 -               0730... 20 974180 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099195 -               0730... 80 182640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099196 -           **  0730... 25   3450.0 Metoprolol succinct switched on 200419 from Tartrate RX #7101244 to reduce ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099197 -               0730... 05  960 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099198 -               0730... 75 6325 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099199 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                          
099200 -               1000... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099201 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099202 -               1000... Gabapentin 300MG  19100MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099203 -               0000... Oxycodone HCL Plain  5  185 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099204 -               1030... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099205 -               1100....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099206 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099207 -               1155....miles...........  18.0  18.0  297   297 minutes  temp  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099208 -               1730....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099209 -               1740....BP HR.....................................................  97  77 146   sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099210 -               1745....BP HR..................................................... 108  79 146   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099211 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099212 -               1815... 40 56380 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
099213 -               1940............ 10 13530  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099214 -               1940............ 10 13120  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099215 -               2015... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099216 -           **  0000... 25   3450 Metoprolol Tartrate RX 7101244 for afib - did not take pill because ARDS in evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099217 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - caused ARDS symptoms so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099218 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099219 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099220 -               2100... 40 36320 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099221 -               2130... 1000  790000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099222 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099223 -               2160....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099224 -               2200... 05  965 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099225 -               2200... 80 182720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099226 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099227 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099229 -  ..
099230 - ** Metoprolol - on 200420, switched from Tartrate to Succinct; like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099231 - yesterday, had ARDS laying back in recliner chair late at night, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099232 - bending over after shower, also slight wheezing laying back in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099233 - recliner; so, did not take metoprolol last night in order to prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099234 - difficult breathing from increasing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099236 -  ..
099237 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099238 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099240 -  ..
099241 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099243 -  ..
099244 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099245 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099246 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099248 -  ..
099249 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099251 -  ..
099252 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099254 -  ..
099255 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099256 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099258 -  ..
099259 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099261 -  ..
099262 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099263 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099265 -  ..
099266 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099267 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099268 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099269 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099270 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099271 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099272 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099273 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099274 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099275 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099276 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099277 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099278 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099280 -  ..
099281 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099282 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099284 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099285 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099286 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099287 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099288 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099289 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099290 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099291 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099292 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099293 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099294 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099295 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099296 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099297 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099298 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099299 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099300 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099301 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099302 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099303 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099304 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099305 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099306 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099307 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099308 -        Electric shocks middle 3 toes right foot.....   1          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099309 -        Metatarsalgia left foot...PRP 191009.........   2         20  last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099310 -        Metatarsalgia right foot..PRP 191009.........   2         20  last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099311 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099312 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099313 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099314 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099315 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099316 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099317 -        Blister below big toe left foot..............   0        100  hydrofera Blue dressing sock fit over dressing, okay during hike, after hike no bubble                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099318 -        Blister below big toe right foot.............   0        100  hydrofera Blue dressing sock fit over dressing, okay during hike, after hike no bubble                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099319 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099320 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099321 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099323 -  ..
099324 - Body feels okay after hiking 18 miles in 65 degrees, following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099325 - 191009 1500, ref SDS 78 0001, and hiking 3 big hills.
099327 - -
099328 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099329 - slightly pain level 0, and knee stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099330 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099332 -  ..
099333 - Several hours after hike, feet pain level 1; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099334 - Did not take medication, per above. ref SDS 0 R97F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099336 -  ..
099337 - Legs 6 hours after hike late at night - body hurting.  Left knee pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099338 - level 1, and restless legs, so took Tramadol, ref SDS 0 5S4I, - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099339 - also study on 200101 0701, ref SDS 83 OG9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099341 -  ..
099342 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099343 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099344 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099345 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099346 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099348 -  ..
099349 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099350 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099351 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099353 -  ..
099354 - Hydrofera Blue dressing applied to blisters below big toes on both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099355 - feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099357 -  ..
099358 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099359 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099360 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099362 -  ..
099363 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099364 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099365 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099366 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099367 - ref SDS 77 SM4M  Before hike today on 200412 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099368 - and Tailor's Bunions. ref SDS 0 VTXR  After hike applied Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099369 - Lactate 12% lotion both feet.  Wore Wrightsock thin double ply and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099370 - laced shoes less loosely.  Did not applied diclofenac to Tailors                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099371 - Bunion and blisters on big toes both feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099373 -  ..
099374 - Concord 18 mile route - did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099375 - Starting energy good wearing Hoka Bondi 6 shoes received on 190927                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099376 - 1110, ref SDS 77 SM4M; and 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099377 - ref SDS 79 SM4M  Today, hiking with naproxen, but only 1 pill instead                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099378 - of 2, and gabapentin.  Applied diclofenac to left knee.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099379 - Glucosamine Chondroitin, per above. ref SDS 0 5S4I  This combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099380 - controlled pain well - except there was more feet pain today. as shown                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099381 - in the study above. ref SDS 0 XVQR  Switched to metoprolol succinct                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099382 - this morning with other meds, because ARDS that occurred last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099383 - seemed resolved this morning. ref SDS 0 XUUX  Today, did not feel ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099384 - bending over to tie shoes.  Polar report from 1600 yesterday until OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099385 - 0700 this morning shows no HR pauses (i.e., cardiac arrests).  Used                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099386 - Hydrafera Blue dressing to protect blisters on both feet during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099387 - Worked well, at least did not cause pain while hiking.  Hiked 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099388 - miles.  Hiking on Campus Road uphill from Pine Hollow did not suffer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099389 - ARDS difficult breathing last 300 yards to summit, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099390 - 200417, per above. ref SDS 0 WYTW  At main college campus hiked 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099391 - loops in parking lot.  On uphill of 1st loop leg muscles tired.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099392 - Turning from downhill to head back uphill at the bottom of student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099393 - parking, felt distinct surge of power in the legs, possiibly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099394 - vasodilation (2nd wind, reported on 180602 1806. ref SDS 60 O842).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099395 - There was no leg fatigue hiking back uphill from student to faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099396 - parking on next 2 loops.  On reaching main campus visitor parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099397 - after 3rd loop, hiked downhill back to Ygnacio Valley Road and then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099398 - past Crystal Ranch Road, still avoiding this long, steep route to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099399 - avoid over conditioning the heart that has dilated left ventrical,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099400 - suspected of causing PAF.  Hiked uphill past Cowell and over summit on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099401 - Ygnacio Valley Road.  Surprised ARDS did not recur from taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099402 - metoprolol this morning, per above. ref SDS 0 XUUX  Somehow hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099403 - purged toxic liquid from lung sacks.  Besides breathing easily, felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099404 - no fatigue hiking 1 mile uphill to summit; vasodilation (2nd wind),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099405 - adrenaline and endorphin rush avoided fatigue hiking uphill.  Past the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099406 - summit, continued downhill 2 miles to Oak Grove.  Hiked 2-loops around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099407 - Safeway complex to Via Monte, Shadelands, Oak Grove and back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099408 - Ygnacio Valley Road.  Hiked 3rd partial loop, then turned left hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099409 - North on Oak Grove to Treat.  Hiked East on Treat 1 mile to San                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099410 - Miguel.  Increased speed hiking uphill on Treat at San Miguel, again                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099411 - very easy today, another adrenaline and endorphin rush from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099412 - vasodilation and drawing blood from other organs.  At summit continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099413 - to Cuneo, but did not hike extra mile loop, making 18 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099414 - Polar HR profile indicates possible sinus all the way, with only 1 PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099415 - spike at HR 145.  Overall HR profile worse than prior 2 hikes...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099417 -             ..
099418 -            HR  200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099419 -            AVG   132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099420 -            MAX   148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099421 -            Min    67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099424 -  ..
099425 - HR profile only mildly parallelles terraine elevation changes, without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099426 - significant spikes up or down, similar to hike 4 days ago on 200416,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099427 - per above. ref SDS 0 WVUS  HR increased significantly from 2 days ago,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099428 - and seems higher than expected for comparable level of exercise.  Only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099429 - evident change is switching to metoprolol succinct from tartrate, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099430 - above. ref SDS 0 XUUX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099433 -              https://flow.polar.com/training/analysis/4551569478                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099437 -   
099438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099440 -  ..
099441 - Post hike HR profile "train wreck," worst yet, with wild spikes up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099442 - and down; shows near continuous PAF...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099444 -              https://flow.polar.com/training/analysis/4552621528                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099447 -   
099449 -  ..
099450 - In the late evening after 2100, did not feel ARDS breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099451 - difficulty, when bending down to dry feet after shower, and leaning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099452 - recliner chair back toward horizontal.  No slight wheezing at any                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099453 - time, which improves on prior days.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099455 -  ..
099456 - Breakfast - eggs sausage toast with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099457 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099458 - Dinner - pasta asperagus hamburger tuna salmon cottage cheese avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099459 - tomato onion, fritos balogna cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099461 -  ..
099462 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099468 -         ..
099469 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099470 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099471 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099472 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099473 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099474 -  112.  200421 0340............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099475 -               0820....BP HR..................................................... 115  68  55  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099476 -               0825....BP HR..................................................... 124  70  56  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099477 -               0830....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099478 -               0830... 20 974200 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099479 -               0830... 80 182800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099480 -           **  0830... 25   3475.0 Metoprolol Tartrate switched on 200421 from Succinct RX #7101244 to lower HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099481 -               0830... 05  970 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099482 -               0830... 75 6400 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099483 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                          
099484 -               1000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099485 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099486 -               1000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099487 -               0000... Oxycodone HCL Plain  5  185 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099488 -               1030... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099489 -      forgot.. 0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099490 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099491 -               1200....miles...........  12.0  30.0  201   498 minutes  temp  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099492 -               1610....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099493 -               1630....BP HR..................................................... 106  51  43   sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099494 -               1635....BP HR..................................................... 119  58  48   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099495 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099496 -               1815... 40 56420 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
099497 -             1 0000............ 10 13530  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099498 -             1 0000............ 10 13120  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099499 -               2020... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099500 -           **  0000... 25   3450 Metoprolol Tartrate RX 7101244 for afib - did not take pill because ARDS in evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099501 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - caused ARDS symptoms so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099502 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099503 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099504 -               2100... 40 36360 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099505 -               2130... 1000  791000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099506 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099507 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099508 -               2200... 05  975 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099509 -               2200... 80 182880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099510 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099511 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099513 -  ..
099514 - ** Metoprolol - on 200421, switched from Succinct to Tartrate; like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099515 - yesterday, had ARDS laying back in recliner chair late at night, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099516 - bending over after shower, also slight wheezing laying back in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099517 - recliner; so, did not take metoprolol last night in order to prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099518 - difficult breathing from increasing.  Switched back to Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099519 - because yesterday had poor HR during hike, and post-hike through the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099520 - night HR profile was very poor, per above. ref SDS 0 XURQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099522 -  ..
099523 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099524 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099526 -  ..
099527 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099529 -  ..
099530 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099531 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099532 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099534 -  ..
099535 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099537 -  ..
099538 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099540 -  ..
099541 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099542 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099544 -  ..
099545 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099547 -  ..
099548 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099549 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099551 -  ..
099552 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099553 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099554 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099555 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099556 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099557 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099558 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099559 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099560 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099561 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099562 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099563 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099564 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099566 -  ..
099567 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099568 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099570 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099571 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099572 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099573 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099574 -        Breathing ARDS...............................   0        100  difficulty breathing bending down to tie shoes before hike, did not occur hiking hills during hike and seems resolved after hike                                                                                                                                                                                                                                                                                                                                                                                                             
099575 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099576 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099577 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099578 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099579 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099580 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099581 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099582 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099583 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099584 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099585 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099586 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099587 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099588 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099589 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099590 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099591 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099592 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099593 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099594 -        Electric shocks middle 3 toes right foot.....   1          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099595 -        Metatarsalgia left foot...PRP 191009.........   0        100  significant improvement with 12 mile hike 6 miles less than yesterday                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099596 -        Metatarsalgia right foot..PRP 191009.........   0        100  significant improvement with 12 mile hike 6 miles less than yesterday                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099597 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099598 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099599 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099600 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099601 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099602 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099603 -        Blister below big toe left foot..............   0        100  hydrofera Blue dressing sock fit over dressing, okay during hike, after hike no bubble                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099604 -        Blister below big toe right foot.............   0        100  hydrofera Blue dressing sock fit over dressing, okay during hike, after hike no bubble                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099605 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099606 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099607 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099609 -  ..
099610 - Body feels good after hiking 12 miles in 75 degrees, following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099611 - 191009 1500, ref SDS 78 0001, and hiking 3 big hills.
099613 - -
099614 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099615 - slightly pain level 0, and knee stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099616 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099618 -  ..
099619 - Several hours after hike, feet pain level 1; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099620 - Did not take medication, per above. ref SDS 0 R97F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099622 -  ..
099623 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099624 - pain level 3, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099625 - 3T3L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099627 -  ..
099628 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099629 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099630 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099631 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099632 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099634 -  ..
099635 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099636 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099637 - blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099639 -  ..
099640 - Hydrofera Blue dressing applied to blisters below big toes on both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099641 - feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099643 -  ..
099644 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099645 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099646 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099648 -  ..
099649 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099650 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099651 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099652 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099653 - ref SDS 77 SM4M  Before hike today on 200412 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099654 - and Tailor's Bunions. ref SDS 0 VTXR  After hike applied Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099655 - Lactate 12% lotion both feet.  Wore Wrightsock thin double ply and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099656 - laced shoes less loosely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099658 -  ..
099659 - Concord 12 mile route - hiked extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099660 - energy good wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099661 - ref SDS 77 SM4M; and 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099662 - ref SDS 79 SM4M  Today, hiking with naproxen - 2 pills instead of only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099663 - 1, and gabapentin.  Applied diclofenac to left knee.  Forgot to take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099664 - Glucosamine Chondroitin, per above. ref SDS 0 QP3K  This combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099665 - controlled pain well - except left knee pain level 2 coming downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099666 - on Campus Drive to Ygnacio Valley Road about mile 8 - see study above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099667 - ref SDS 0 XXPQ  Switched back to metoprolol tartrate because HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099668 - profile last night after taking metoprolol succinct yesterday, was a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099669 - "train wreck," per above. ref SDS 0 XVWW  This morning Polar report                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099670 - from 1600 yesterday until OA 0330 this morning shows 2 evident HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099671 - pauses (i.e., cardiac arrests).  Used Hydrafera Blue dressing to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099672 - protect blisters on both feet during hike.  Worked well, at least did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099673 - not cause pain while hiking.  Hiked 12 miles.  Hiking on Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099674 - uphill from Pine Hollow did not suffer ARDS difficult breathing last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099675 - 300 yards to summit, as occurred on 200417, per above. ref SDS 0 WYTW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099676 - At main college campus hiked 1 loop in parking lot.  On uphill of 1st                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099677 - loop leg muscles tired.  Turning from downhill to head back uphill at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099678 - the bottom of student parking, felt distinct surge of power in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099679 - legs, possiibly vasodilation (2nd wind, reported on 180602 1806.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099680 - ref SDS 60 O842).  On reaching main campus visitor parking, hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099681 - downhill back to Ygnacio Valley Road and then past Crystal Ranch Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099682 - still avoiding this long, steep route to avoid over conditioning the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099683 - heart that has dilated left ventrical, suspected of causing PAF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099684 - Hiked uphill past Cowell and over summit on Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099685 - Breathing easily hiking 1 mile uphill; vasodilation (2nd wind),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099686 - adrenaline and endorphin rush avoided fatigue hiking uphill.  Past the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099687 - summit, reversed direction and hiked .5 mile downhill back to Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099688 - Turned left and hiked North 1 mile to Treat.  Turned left and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099689 - West .25 mile to Cuneo.  Dediced to hike extra mile loop, making 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099690 - mile hike.  Polar HR profile indicates possible sinus all the way,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099691 - with only 1 PAF spike at HR 123.  Overall HR profile significant                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099692 - improvement taking metoprolol tartrate compared to taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099693 - succinct yesterday...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099695 -             ..
099696 -            HR  200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099697 -            AVG    87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099698 -            MAX   124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099699 -            Min    60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099702 -  ..
099703 - HR profile closely parallel to terraine elevation changes, without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099704 - significant spikes up or down, similar to hike 4 days ago on 200416,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099705 - per above. ref SDS 0 WVUS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099708 -              https://flow.polar.com/training/analysis/4555609178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099712 -   
099713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099732 -  ..
099733 - Breakfast - cream of wheat rasins with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099734 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099735 - Dinner - pasta brocolli hamburger tuna salmon cottage cheese avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099736 - tomato onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099738 -  ..
099739 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099744 -         ..
099745 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099746 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099747 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099748 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099749 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099750 -  113.  200422 0650............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099751 -               0650....BP HR..................................................... 131  78  46  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099752 -               0655....BP HR..................................................... 130  68  45  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099753 -               0700....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099754 -               0700... 20 974220 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099755 -               0700... 80 182960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099756 -           **  0700... 25   3500.0 Metoprolol Tartrate switched on 200421 from Succinct RX #7101244 to lower HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099757 -               0700... 05  980 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099758 -               0700... 75 6475 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099759 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                          
099760 -               0930... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099761 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099762 -               0930... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099763 -               0000... Oxycodone HCL Plain  5  185 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099764 -               0930... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099765 -             . 0930....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099766 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099767 -               1200....miles...........  16.0  46.0  265   763 minutes  temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099768 -               1650....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099769 -               1630....BP HR..................................................... 106  51  43   sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099770 -               1635....BP HR..................................................... 101  72  76   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099771 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099772 -               1815... 40 56460 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
099773 -               1700............ 10 13540  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099774 -               1700............ 10 13130  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099775 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099776 -           **  0000... 25   3450 Metoprolol Tartrate RX 7101244 for afib - did not take pill because ARDS in evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099777 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - caused ARDS symptoms so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099778 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099779 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099780 -               2100... 40 36400 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099781 -               2130... 1000  792000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099782 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099783 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099784 -               2200... 05  985 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099785 -               2200... 80 183040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099786 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099787 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099789 -  ..
099790 - ** Metoprolol Tartrate; - on 200422, continued because good HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099791 - during hike yesterday, per above, ref SDS 0 XYTU  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099792 - metoprolol last night in order to prevent ARDS difficult breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099793 - from increasing.  This morning only slight feelings ARDS.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099794 - taking metoprolol tartrate at 0700, ref SDS 0 R45G, by 1100 there were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099795 - strong feelings of ARDS bending down to dry feet after shower before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099796 - going hiking.  During hike had no ARDS episodes.  Breathed easily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099797 - through nose on all uphills, see below. ref SDS 0 YQWQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099799 -  ..
099800 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099801 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099803 -  ..
099804 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099806 -  ..
099807 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099808 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099809 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099811 -  ..
099812 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099814 -  ..
099815 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099817 -  ..
099818 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099819 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099821 -  ..
099822 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099824 -  ..
099825 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099826 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099828 -  ..
099829 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099830 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099831 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099832 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099833 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099834 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099835 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099836 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099837 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099838 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099839 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099840 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099841 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099843 -  ..
099844 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099845 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099847 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099848 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099849 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099850 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099851 -        Breathing ARDS...............................   0        100  difficulty breathing bending down to tie shoes before hike, did not occur hiking hills during hike and seems resolved after hike                                                                                                                                                                                                                                                                                                                                                                                                             
099852 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099853 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099854 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099855 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099856 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099857 -        Knee left meniscus...PRP 191009..............   1          2  2 mile downhill YVR pain at intra articulare went away reaching flat and did not recur for 4 miles to end                                                                                                                                                                                                                                                                                                                                                                                                                                    
099858 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099859 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099860 -        Knee left cruciate ligaments back of knee....   2          5  2 miles on Oak Grove and on Treat, but went away going uphill after San Miguel                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099861 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099862 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099863 -        Hamstring tendon left leg.PRP 191009.........   2          5  2 miles on Oak Grove and on Treat, but went away going uphill after San Miguel                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099864 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099865 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099866 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099867 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099868 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099869 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099870 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099871 -        Electric shocks middle 3 toes right foot.....   1          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099872 -        Metatarsalgia left foot...PRP 191009.........   3         10  last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099873 -        Metatarsalgia right foot..PRP 191009.........   3         10  last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099874 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099875 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099876 -        Callus big toe left foot.....................   3          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099877 -        Callus big toe right foot....................   3          5  bubble blister on big toe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099878 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099879 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099880 -        Blister below big toe left foot..............   0        100  hydrofera Blue dressing sock fit over dressing, okay during hike, after hike no bubble                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099881 -        Blister below big toe right foot.............   0        100  hydrofera Blue dressing sock fit over dressing, okay during hike, after hike no bubble                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099882 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099883 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099884 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099886 -  ..
099887 - Body feels wasted after hiking 16 miles in 82 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099888 - on 191009 1500, ref SDS 78 0001, and hiking 3 big hills.
099890 - -
099891 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099892 - slightly pain level 0, and knee stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099893 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099895 -  ..
099896 - Several hours after hike, feet pain level 1; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099897 - Did not take medication, per above. ref SDS 0 R97F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099899 -  ..
099900 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099901 - pain level 3, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099902 - 3T3L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099904 -  ..
099905 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099906 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099907 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099908 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099909 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099911 -  ..
099912 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099913 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099914 - blister areas edge both big toes and both Tailors Bunions.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099915 - hike blisters were worse.  There was bubble blood blister on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099916 - foot.  Could not pop this blister, because naproxen could cause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099917 - severe bleeding.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099919 -  ..
099920 - Hydrofera Blue dressing applied to blisters below big toes on both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099921 - feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099923 -  ..
099924 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099925 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099926 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099928 -  ..
099929 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099930 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099931 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099932 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099933 - ref SDS 77 SM4M  Before hike today on 200412 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099934 - and Tailor's Bunions. ref SDS 0 VTXR  After hike did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099935 - Ammonium Lactate to the feet.  Wore Wrightsock thin double ply and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099936 - laced shoes less loosely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099938 -  ..
099939 - Concord 16 mile route - did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099940 - Starting energy good wearing Hoka Bondi 6 shoes received on 190927                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099941 - 1110, ref SDS 77 SM4M; and 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099942 - ref SDS 79 SM4M  Today, hiking with naproxen - 2 pills instead of only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099943 - 1, and gabapentin.  Applied diclofenac to left knee.  Took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099944 - Chondroitin, per above. ref SDS 0 R45G  This combination controlled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099945 - pain well - except left knee pain level 2 coming downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099946 - Drive to Ygnacio Valley Road about mile 8, and again coming down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099947 - Ygnacio Valley Road to Oak Grove - ran part of this 2 miles, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099948 - noticed pain level 2 - see study above. ref SDS 0 YPWY  Used Hydrafera                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099949 - Blue with white tape to protect blisters on both feet during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099950 - Worked well.  Adrenaline and endorphins suppressed pain until last 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099951 - or 4 miles.  Legs feeling tired first 5 miles.  Stopped at Texaco                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099952 - about mile 5, and bought coke to replace liquid and provide energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099953 - Covered face with shirt for mask required for new coronavirus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099954 - protocol.  Temperature today is 83, so lost 5 pounds just sweating.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099955 - Hiking on Campus Road .75 mile uphill from Pine Hollow did not suffer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099956 - ARDS difficult breathing last 300 yards to summit, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099957 - 200417, per above. ref SDS 0 WYTW  Felt surge of power in the legs,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099958 - possiibly vasodilation (2nd wind, reported on 180602 1806. ref SDS 60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099959 - O842).  Feeling power in legs continued for rest of hike.  Hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099960 - easily uphill without fatigue is very encouraging.  At main college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099961 - campus hiked 2-loops in parking lot.  After hiking from upper Faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099962 - parking downhill to bottom of student parking downhill, turned and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099963 - hiked back uphill.  About halfway uphill in student parking lot, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099964 - right turn and hiked up steeper hill about 220 yards, adding to length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099965 - of uphills, so up and down is about 440.  Doing this for 2 loops adds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099966 - a mile to the hike.  Then continued uphill through student, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099967 - faculty parking back to main campus visitor parking.  After 2nd loop,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099968 - hiked downhill on Campus Drive to Ygnacio Valley Road.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099969 - and hiked West past Crystal Ranch Road.  Continued 1 mile uphill past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099970 - Cowell.  Hiked uphill without fatigue and no ARDS breathing easily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099971 - through nose all the way.  About mile 9 crossed from South to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099972 - side of Ygnacio Valley Road in order to hike on wider shoulder with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099973 - less slope, so ankles, knees and hips are not stressed.  Passed the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099974 - lady with the neck brace.  Said hello.  She was silent as usual.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099975 - Continued uphill to summit, turned around to check traffic.  The lady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099976 - had increased speed to hike behind me about 10 yards.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099977 - traffic crossed to South side of Ygnacio Valley Road to use better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099978 - shoulder.  Hiked 2 miles downhill to Oak Grove.  The lady is about 6'                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099979 - tall and has long fast stride going downhill.  Hiking on North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099980 - Ygnacio Valley Road she opened 400 yard lead at one point, but slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099981 - at severe camber for about .25 mile stretch.  Increased speed, so by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099982 - Oak Grove closed to within 200 yards.  She continued slower on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099983 - paved path parallel to Ygnacio Valley Road and in front of Safeway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099984 - commercial complex.  She crossed over Via Monte to continue West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099985 - Ygnacio Valley Road.  Turned North on Via Monte and hiked 2 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099986 - loops around the Safeway commercial Complex.  On 2nd partial loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099987 - turned left and hiked North on Oak Grove 1 mile to Treat.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099988 - right and hiked East 1 mile to San Miguel.  Hiked uphill 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099989 - summit and continued to Cuneo.  Feet were pain level 4, so did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099990 - hike 1 mile loop at the end.  Made home for 16 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099992 -             ..
099993 -            HR  200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099994 -            AVG    98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099995 -            MAX   121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099996 -            Min    50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099998 -  ..
099999 - HR profile closely parallels terraine elevation changes.  Low HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100000 - indicates sinus all the way without significant spikes up or down,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100001 - which indicates no PAF, similar to hike yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100002 - ref SDS 0 XYTU  Hiking combined with metoprolol tartrate controlled HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100003 - well to maintain sinus and avoid arrhythmia...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100006 -              https://flow.polar.com/training/analysis/4559816943                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100010 -   
100011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100013 -  ..
100014 - Left arm breaking out with rash-like bumps wearing Polar Venture V                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100015 - heart monitor, so did not wear for rest of day and overnight.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100017 -  ..
100018 - In the late evening after 2100, did not feel ARDS breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100019 - difficulty, when bending down to dry feet after shower, and leaning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100020 - recliner chair back toward horizontal.  No slight wheezing at any                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100021 - time, which improves on prior days.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100023 -  ..
100024 - Breakfast - eggs toast with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100025 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100026 - Dinner - pasta brocolli hamburger tuna salmon cottage cheese avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100027 - tomato onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100029 -  ..
100030 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100035 -         ..
100036 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100037 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100038 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100039 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100040 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100041 -  114.  200423 0640............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100042 -               0710....BP HR..................................................... 145  72  45  slightly jagged curve so sinus but maybe PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100043 -               0715....BP HR..................................................... 136  73  45  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100044 -               0720....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100045 -               0720... 20 974220 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100046 -               0720... 80 182960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100047 -           **  0720... 25   3500.0 Metoprolol Tartrate switched on 200421 from Succinct RX #7101244 to lower HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100048 -               0720... 05  980 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100049 -               0720... 75 6475 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100050 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                          
100051 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100052 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100053 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100054 -               0000... Oxycodone HCL Plain  5  185 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100055 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100056 -             . 0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100057 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100058 -               1350....miles...........   4.0  50.0   78   841 minutes  temp  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100059 -               1810....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100060 -               1820....BP HR..................................................... 116  74  53   sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100061 -               1825....BP HR..................................................... 121  64  52   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100062 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100063 -               1830... 40 56460 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
100064 -             1 0000............ 10 13540  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100065 -             1 0000............ 10 13130  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100066 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100067 -           **  0000... 25   3450 Metoprolol Tartrate RX 7101244 for afib - did not take pill because ARDS in evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100068 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - caused ARDS symptoms so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100069 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100070 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100071 -               2100... 40 36400 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100072 -               2130... 1000  792000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100073 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100074 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100075 -               2200... 05  985 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100076 -               2200... 80 183040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100077 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100078 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100080 -  ..
100081 - ** Metoprolol Tartrate; - on 200422, continued because good HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100082 - during hike yesterday, per above, ref SDS 0 XYTU  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100083 - metoprolol last night in order to prevent ARDS difficult breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100084 - from increasing.  This morning only slight feelings ARDS.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100085 - taking metoprolol tartrate at 0700, ref SDS 0 R45G, by 1100 there were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100086 - strong feelings of ARDS bending down to dry feet after shower before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100087 - going hiking.  During hike had no ARDS episodes.  Breathed easily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100088 - through nose on all uphills, see below. ref SDS 0 YQWQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100090 -  ..
100091 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100092 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100094 -  ..
100095 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100097 -  ..
100098 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100099 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100100 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100102 -  ..
100103 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100105 -  ..
100106 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100108 -  ..
100109 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100110 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100112 -  ..
100113 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100115 -  ..
100116 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100117 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100119 -  ..
100120 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100121 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100122 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100123 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100124 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100125 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100126 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100127 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100128 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100129 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100130 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100131 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100132 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100134 -  ..
100135 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100136 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100138 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100139 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100140 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100141 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100142 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100143 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100144 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100145 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100146 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100147 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100148 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100149 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100150 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100151 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100152 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100153 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100154 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100155 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100156 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100157 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100158 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100159 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100160 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100161 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100162 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100163 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100164 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100165 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100166 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100167 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100168 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100169 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100170 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100171 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100172 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100173 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100174 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100175 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100177 -  ..
100178 - Body feels good after hiking  4 miles in 85 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100179 - on 191009 1500, ref SDS 78 0001, and hiking 3 big hills.
100181 - -
100182 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100183 - slightly pain level 0, and knee stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100184 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100186 -  ..
100187 - Several hours after hike, feet pain level 1; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100188 - Did not take medication, per above. ref SDS 0 R97F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100190 -  ..
100191 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100192 - pain level 3, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100193 - 3T3L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100195 -  ..
100196 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100197 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100198 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100199 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100200 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100202 -  ..
100203 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100204 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100205 - blister areas edge both big toes and both Tailors Bunions.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100206 - hike blisters were no worse.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100208 -  ..
100209 - Hydrofera Blue dressing applied to blisters below big toes on both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100210 - feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100212 -  ..
100213 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100214 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100215 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100217 -  ..
100218 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100219 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100220 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100221 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100222 - ref SDS 77 SM4M  Before hike today on 200423 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100223 - and Tailor's Bunions.  Wore Wrightsock thin double ply and laced shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100224 - less loosely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100226 -  ..
100227 - Sacramento 4 mile route - drove to Sacramento to visit Kathy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100228 - Amy's family, actually in Elk Grove.  Kathy recouperating from broken                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100229 - arm caused by Kaiser attempting to reset dislocated shoulder on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100230 - 200413.  Walked from Amy's house a few blocks away, to a local park,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100231 - less than a mile.  Kathy sat and rested.  Then walked to end of park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100232 - and back to the house.  Drove to Costco.  Walked around the store for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100233 - 30 minutes or so, then back to the car in the parking lot.  On the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100234 - way driving home, stopped at Costco on Monument in Concord ot get                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100235 - some dairy products that were not practicle to buy at Costco in Elk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100236 - Grove and leave in the care for several hours.  Walked around the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100237 - store for 20 minutes, then back to the car.  Total recorded by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100238 - cellphone 4 miles...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100240 -             ..
100241 -            HR  200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100242 -            AVG    78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100243 -            MAX   111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100244 -            Min    50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100247 -  ..
100248 - HR profile without significant spikes up or down.  Indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100249 - metoprolol tartrate controlled HR well...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100252 -              https://flow.polar.com/training/analysis/4564021683                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100256 -   
100257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100259 -  ..
100260 - Post hike HR profile best ever with no spikes above 100 throughout the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100261 - night...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100264 -              https://flow.polar.com/training/analysis/4565529908                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100268 -   
100269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100271 -  ..
100272 - Breakfast - cream of wheat rasins with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100273 - Lunch - half hamburber fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100274 - Dinner - eggs cottage cheese avocado mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100276 -  ..
100277 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100282 -         ..
100283 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100284 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100285 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100286 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100287 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100288 -  115.  200424 0640............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100289 -               0720....BP HR..................................................... 141  78  51  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100290 -               0725....BP HR..................................................... 136  90  55  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100291 -               0730....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100292 -               0730... 20 974240 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100293 -               0730... 80 183120 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100294 -           **  0730... 25   3525.0 Metoprolol Tartrate switched on 200421 from Succinct RX #7101244 to lower HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100295 -               0730... 05  990 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100296 -               0730... 75 6550 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100297 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                          
100298 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100299 -               1030... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100300 -               1030... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100301 -               0000... Oxycodone HCL Plain  5  185 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100302 -               1030... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100303 -             . 1100....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100304 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100305 -               1150....miles...........  13.0  63.0  214  1055 minutes  temp  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100306 -               1600....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100307 -               1610....BP HR..................................................... 110  46  31   sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100308 -               1615....BP HR..................................................... 121  60  45   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100309 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100310 -               1700... 40 56500 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
100311 -               1830............ 10 13550  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100312 -               1830............ 10 13140  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100313 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100314 -           **  0000... 25   3525 Metoprolol Tartrate RX 7101244 for afib - did not take pill because ARDS in evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100315 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - caused ARDS symptoms so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100316 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100317 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100318 -               2100... 40 36440 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100319 -               2130... 1000  793000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100320 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100321 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100322 -               2200... 05  995 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100323 -               2200... 80 183200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100324 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100325 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100327 -  ..
100328 - ** Metoprolol Tartrate; - on 200422, continued because good HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100329 - during hike yesterday, per above, ref SDS 0 XYTU  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100330 - metoprolol last night in order to prevent ARDS difficult breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100331 - from increasing.  This morning only slight feelings ARDS.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100332 - taking metoprolol tartrate at 0700, ref SDS 0 R45G, by 1100 there were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100333 - strong feelings of ARDS bending down to dry feet after shower before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100334 - going hiking.  During hike had no ARDS episodes.  Breathed easily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100335 - through nose on all uphills, see below. ref SDS 0 YWQR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100337 -  ..
100338 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100339 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100341 -  ..
100342 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100344 -  ..
100345 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100346 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100347 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100349 -  ..
100350 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100352 -  ..
100353 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100355 -  ..
100356 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100357 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100359 -  ..
100360 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100362 -  ..
100363 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100364 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100366 -  ..
100367 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100368 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100369 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100370 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100371 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100372 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100373 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100374 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100375 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100376 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100377 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100378 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100379 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100381 -  ..
100382 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100383 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100385 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100386 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100387 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100388 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100389 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100390 -        Trapezius right side neck/shoulder...........   8          1  comes and goes vry brief                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100391 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100392 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100393 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100394 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100395 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100396 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100397 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100398 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100399 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100400 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100401 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100402 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100403 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100404 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100405 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100406 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100407 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100408 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100409 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100410 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100411 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100412 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100413 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100414 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100415 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100416 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100417 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100418 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100419 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100420 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100421 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100422 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100424 -  ..
100425 - Body feels good after hiking  13 miles in 90 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100426 - on 191009 1500, ref SDS 78 0001, and hiking 3 big hills.
100428 - -
100429 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100430 - slightly pain level 0, and knee stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100431 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100433 -  ..
100434 - Several hours after hike, feet pain level 1; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100435 - Did not take medication, per above. ref SDS 0 R97F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100437 -  ..
100438 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100439 - pain level 3, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100440 - 3T3L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100442 -  ..
100443 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100444 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100445 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100446 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100447 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100449 -  ..
100450 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100451 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100452 - blister areas edge both big toes and both Tailors Bunions.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100453 - hike blisters were no worse.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100455 -  ..
100456 - Hydrofera Blue dressing applied to blisters below big toes on both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100457 - feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100459 -  ..
100460 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100461 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100462 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100464 -  ..
100465 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100466 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100467 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100468 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100469 - ref SDS 77 SM4M  Before hike today on 200423 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100470 - and Tailor's Bunions.  Wore Wrightsock thin double ply and laced shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100471 - less loosely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100473 -  ..
100474 - Concord 13 mile route - hiked extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100475 - energy good wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100476 - ref SDS 77 SM4M; and 2-ply Wright socks received on 191010 1344.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100477 - ref SDS 79 SM4M  Today, hiking with hydrocodone (actually Norco), and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100478 - gabapentin.  Applied diclofenac to left knee.  Took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100479 - Chondroitin, per above. ref SDS 0 HI5G  This combination controlled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100480 - pain well - see study above. ref SDS 0 YVRP  Took Metoprolol 1 pill 25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100481 - mg in morning to manage HR, since profile last night shows no evident                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100482 - PAF spikes nor pauses (i.e., cardiac arrests). ref SDS 0 KB6O  Used                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100483 - Hydrafera Blue dressing to protect blisters on both feet during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100484 - Worked well, at least did not cause pain while hiking.  Hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100485 - Campus Road uphill from Pine Hollow had good energy surge in legs from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100486 - vasodilation (2nd wind, reported on 180602 1806. ref SDS 60 O842).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100487 - This lasted on hills for rest of hike. did not suffer ARDS difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100488 - breathing last 300 yards to summit, as occurred on 200417, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100489 - ref SDS 0 WYTW  Actually breathed easily hiking uphill for rest of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100490 - hike after 5 miles.  At main college campus hiked 2-loops through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100491 - Faculty and then Student parking lots. tired.  Turning from downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100492 - to head back uphill at the bottom of student parking, felt distinct                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100493 - surge of power in the legs, possiibly vasodilation (2nd wind, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100494 - on 180602 1806. ref SDS 60 O842).  On reaching main campus visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100495 - parking, hiked downhill back to Ygnacio Valley Road and then past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100496 - Crystal Ranch Road, still avoiding this long, steep route to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100497 - over conditioning the heart that has dilated left ventrical, suspected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100498 - of causing PAF.  Hiked uphill past Cowell and over summit on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100499 - Valley Road.  Breathing easily hiking 1 mile uphill; vasodilation (2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100500 - wind), adrenaline and endorphin rush avoided fatigue hiking uphill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100501 - Past the summit, reversed direction and hiked .5 mile downhill back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100502 - Cowell.  Turned left and hiked North 1 mile to Treat.  Turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100503 - hiked West .25 mile to Cuneo.  Dediced to hike extra mile loop, making                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100504 - 13 mile hike.  Polar HR profile indicates possible sinus all the way,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100505 - with no PAF spikes...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100508 -             ..
100509 -            HR  200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100510 -            AVG    89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100511 -            MAX   120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100512 -            Min    56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100515 -  ..
100516 - Overall HR profile shows significantly less paroxysmal atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100517 - fibrillation activity the past few days, with evident continuous sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100518 - heart beat...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100521 -              https://flow.polar.com/training/analysis/4567587283                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100525 -   
100526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100528 -  ..
100529 - Post hike HR profile another "train wreck" with veritable explosion of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100530 - AF episodes with spikes above 100 throughout the night...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100533 -              https://flow.polar.com/training/analysis/4568736748                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100537 -   
100538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100540 -  ..
100541 - Breakfast - cheerios chia seeds milk with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100542 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100543 - Dinner - tuna salmon avocado fritos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100545 -  ..
100546 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100552 -         ..
100553 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100554 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100555 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100556 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100557 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100558 -  116.  200425 0640............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100559 -               0620....BP HR..................................................... 133  74  55  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100560 -               0625....BP HR..................................................... 135  75  56  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100561 -               0630....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100562 -               0630... 20 974260 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100563 -               0630... 80 183280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100564 -           **  0630... 25   3550.0 Metoprolol Tartrate switched on 200421 from Succinct RX #7101244 to lower HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100565 -               0630... 05 1000 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100566 -               0630... 75 6625 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100567 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                          
100568 -               1010... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100569 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100570 -               1010... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100571 -               0000... Oxycodone HCL Plain  5  185 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100572 -               1030... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100573 -             . 1100....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100574 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100575 -               1100....miles...........  18.0  81.0  296  1351 minutes  temp  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100576 -               1640....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100577 -               1650....BP HR.....................................................  89  52  63   sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100578 -               1655....BP HR.....................................................  94  55  59   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100579 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100580 -               1700... 40 56540 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
100581 -             1 0000............ 10 13550  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100582 -             1 0000............ 10 13140  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100583 -               2020... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100584 -           **  0000... 25   3550 Metoprolol Tartrate RX 7101244 for afib - did not take pill because ARDS in evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100585 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - caused ARDS symptoms so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100586 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100587 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100588 -               2100... 40 36480 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100589 -               2130... 1000  794000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100590 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100591 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100592 -               2200... 05 1005 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100593 -               2200... 80 183360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100594 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100595 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100597 -  ..
100598 - ** Metoprolol Tartrate; - on 200425, continued because getting good HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100599 - profile during hikes.  Did not take metoprolol in evening in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100600 - prevent ARDS difficult breathing.  This morning only slight feelings                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100601 - ARDS.  After taking metoprolol tartrate in morning, by 1100 there were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100602 - strong feelings of ARDS bending down to dry feet after shower before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100603 - going hiking.  During hike had no ARDS episodes.  Breathed easily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100604 - through nose on all uphills, see below. ref SDS 0 YYXR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100606 -  ..
100607 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100608 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100610 -  ..
100611 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100613 -  ..
100614 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100615 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100616 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100618 -  ..
100619 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100621 -  ..
100622 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100624 -  ..
100625 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100626 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100628 -  ..
100629 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100631 -  ..
100632 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100633 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100635 -  ..
100636 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100637 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100638 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100639 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100640 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100641 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100642 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100643 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100644 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100645 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100646 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100647 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100648 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100650 -  ..
100651 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100652 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100654 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100655 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100656 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100657 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100658 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100659 -        Trapezius right side neck/shoulder...........   8          1  comes and goes vry brief                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100660 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100661 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100662 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100663 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100664 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100665 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100666 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100667 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100668 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100669 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100670 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100671 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100672 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100673 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100674 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100675 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100676 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100677 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100678 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100679 -        Metatarsalgia left foot...PRP 191009.........   3          2  pain occurred about mile 2 and went away after mile 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100680 -        Metatarsalgia right foot..PRP 191009.........   3          2  pain occurred about mile 2 and went away after mile 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100681 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100682 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100683 -        Callus big toe left foot.....................   2          5  pain occurred about mile 10 and went away after mile 11, likely endorphines                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100684 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100685 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100686 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100687 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100688 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100689 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100690 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100691 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100693 -  ..
100694 - Body feels very tired after hiking  18 miles in 89 degrees, following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100695 - PRP on 191009 1500, ref SDS 78 0001, and hiking 3 big hills.
100697 - -
100698 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100699 - slightly pain level 0, and knee stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100700 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100702 -  ..
100703 - Several hours after hike, feet pain level 1; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100704 - Did not take medication, per above. ref SDS 0 R97F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100706 -  ..
100707 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100708 - pain level 3, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100709 - 3T3L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100711 -  ..
100712 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100713 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100714 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100715 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100716 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100718 -  ..
100719 - Socks wearing 1 pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100720 - 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Felt no pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100721 - blister areas edge both big toes and both Tailors Bunions.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100722 - hike blisters were no worse.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100724 -  ..
100725 - Hydrofera Blue dressing applied to blisters below big toes on both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100726 - feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100728 -  ..
100729 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100730 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100731 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100733 -  ..
100734 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100735 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100736 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100737 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100738 - ref SDS 77 SM4M  After hike today on 200425 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100739 - and Tailor's Bunions, and applied ammonium lactate 12% lotion.  Wore                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100740 - Wrightsock thin double ply and laced shoes less loosely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100742 -  ..
100743 - Concord 18 mile route - not enough energy left to hike extra 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100744 - loop at the end.  Starting energy good wearing Hoka Bondi 6 shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100745 - received on 190927 1110, ref SDS 77 SM4M; and 2-ply Wright socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100746 - received on 191010 1344. ref SDS 79 SM4M  Today, hiking with naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100747 - - 2 pills instead of only 1, and gabapentin.  Applied diclofenac to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100748 - left knee.  Took Glucosamine Chondroitin, per above. ref SDS 0 H36G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100749 - This combination controlled pain well - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100750 - YXYP Took Metoprolol 1 pill 25 mg in morning to manage HR.  Profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100751 - last night shows severe, continual PAF spikes, but no pauses (i.e.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100752 - cardiac arrests). ref SDS 0 YWTU  Used Hydrafera Blue dressing to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100753 - protect blisters on both feet during hike.  Worked well - no pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100754 - during hiking, and seems to be healing blister wounds.  Hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100755 - Campus Road uphill from Pine Hollow had good energy surge in legs from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100756 - vasodilation (2nd wind, reported on 180602 1806. ref SDS 60 O842).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100757 - This lasted on hills for rest of hike.  Did not suffer ARDS difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100758 - breathing last 300 yards to summit, as occurred on 200417, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100759 - ref SDS 0 WYTW  Actually breathed easily hiking uphill for rest of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100760 - hike after 5 miles.  At main college campus hiked 3-loops through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100761 - Faculty and then Student parking lots.  Turning from downhill to head                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100762 - back uphill at the bottom of student parking, felt distinct surge of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100763 - power in the legs, possiibly vasodilation (2nd wind, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100764 - 180602 1806. ref SDS 60 O842).  On reaching main campus visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100765 - parking after 3rd loop, was mile 9 in the hike.  Hiked downhill back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100766 - to Ygnacio Valley Road and then past Crystal Ranch Road, still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100767 - avoiding this long, steep route to avoid over conditioning the heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100768 - that has dilated left ventrical (see ECHO report on 200122 1414.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100769 - ref SDS 86 UO3H), suspected of causing PAF.  Hiked uphill breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100770 - easily 1 mile past Cowell and over summit on Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100771 - Glad ARDS did not recur from taking metoprolol this morning, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100772 - above. ref SDS 0 H36G  Somehow hiking purged toxic liquid from lung                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100773 - sacks.  Vasodilation (2nd wind), adrenaline and endorphin rush avoided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100774 - fatigue.  Past the summit, continued downhill 2 miles to Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100775 - Hiked loop around Safeway complex to Via Monte, Shadelands, Oak Grove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100776 - and back to Ygnacio Valley Road.  Hiked 2nd partial loop, then turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100777 - left hiking North on Oak Grove to Treat.  Hiked North on Treat 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100778 - to San Miguel.  Hiked uphill 1 mile over summit on Treat feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100779 - overall fatigue at mile 17, but breathing easily and legs handled hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100780 - well - adrenaline and endorphin rush from vasodilation drawing blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100781 - from other organs.  At summit continued to Cuneo.  Did not hike extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100782 - mile loop because feet hurting, so 18 mile hike.  Polar HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100783 - indicates sinus all the way, with no PAF spikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100786 -  ..
100787 -       Date     200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100788 -       Miles       18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100790 -       HR AVG      88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100791 -         MAX      117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100792 -         Min       60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100795 -  ..
100796 - Overall HR profile shows significantly less paroxysmal atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100797 - fibrillation activity the past few days, with evident continuous sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100798 - heart beat during the hike today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100801 -              https://flow.polar.com/training/analysis/4571701488                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100805 -   
100806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100808 -  ..
100809 - Post hike HR did not wear Polar Vantage V heart monitor over night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100810 - because seems to be causing rash on lower left arm.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100812 -  ..
100813 - Breakfast - cheerios chia seeds milk with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100814 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100815 - Dinner - brocolli tuna salmon avocado rice, jello                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100817 -  ..
100818 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100824 -         ..
100825 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100826 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100827 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100828 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100829 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100830 -  117.  200426 0720............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100831 -               0720....BP HR..................................................... 124  71  59  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100832 -               0725....BP HR..................................................... 129  70  57  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100833 -               0730....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100834 -               0730... 20 974280 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100835 -               0730... 80 183440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100836 -           **  0730... 25   3575.0 Metoprolol Tartrate switched on 200421 from Succinct RX #7101244 to lower HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100837 -               0730... 05 1010 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100838 -               0730... 75 6700 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100839 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                          
100840 -               0000... Naproxen (Aleve) 2 pills 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100841 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100842 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100843 -               0000... Oxycodone HCL Plain  5  185 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100844 -               1030... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100845 -             . 1100....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100846 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100847 -               1135....miles...........  12.0  93.0  197  1548 minutes  temp  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100848 -               1540....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100849 -               1545....BP HR..................................................... 120  63  58   sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100850 -               1550....BP HR..................................................... 125  75  50   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100851 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100852 -               1700... 40 56580 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
100853 -               1830............ 10 13560  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100854 -               1830............ 10 13150  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100855 -               2040... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100856 -           **  0000... 25   3575 Metoprolol Tartrate RX 7101244 for afib - did not take pill because ARDS in evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100857 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - caused ARDS symptoms so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100858 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100859 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100860 -               2100... 40 36520 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100861 -               2130... 1000  795000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100862 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100863 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100864 -               2200... 05 1015 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100865 -               2200... 80 183520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100866 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100867 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100869 -  ..
100870 - ** Metoprolol Tartrate; - on 200422, continued because good HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100871 - during hike yesterday, per above, ref SDS 0 XYTU  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100872 - metoprolol last night in order to prevent ARDS difficult breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100873 - from increasing.  This morning only slight feelings ARDS.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100874 - taking metoprolol tartrate at 0700, ref SDS 0 R45G, by 1100 there were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100875 - strong feelings of ARDS bending down to dry feet after shower before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100876 - going hiking.  During hike had no ARDS episodes.  Breathed easily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100877 - through nose on all uphills, see below. ref SDS 0 YWQR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100879 -  ..
100880 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100881 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100883 -  ..
100884 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100886 -  ..
100887 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100888 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100889 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100891 -  ..
100892 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100894 -  ..
100895 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100897 -  ..
100898 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100899 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100901 -  ..
100902 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100904 -  ..
100905 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100906 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100908 -  ..
100909 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100910 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100911 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100912 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100913 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100914 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100915 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100916 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100917 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100918 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100919 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100920 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100921 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100923 -  ..
100924 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100925 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100927 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100928 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100929 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100930 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100931 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100932 -        Trapezius right side neck/shoulder...........   8          1  comes and goes vry brief                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100933 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100934 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100935 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100936 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100937 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100938 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100939 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100940 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100941 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100942 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100943 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100944 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100945 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100946 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100947 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100948 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100949 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100950 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100951 -        Electric shocks middle 3 toes right foot.....   1          8  on Clayton concrete sidewalk at mile 2 for about 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100952 -        Metatarsalgia left foot...PRP 191009.........   3         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100953 -        Metatarsalgia right foot..PRP 191009.........   3         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100954 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100955 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100956 -        Callus big toe left foot.....................   3         25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100957 -        Callus big toe right foot....................   1          5  caused new blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100958 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100959 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100960 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100961 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100962 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100963 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100964 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100966 -  ..
100967 - Body feels tired after hiking  12 miles in 80 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100968 - on 191009 1500, ref SDS 78 0001, and hiking 3 big hills.
100970 - -
100971 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100972 - slightly pain level 0, and knee stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100973 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100975 -  ..
100976 - Several hours after hike, feet pain level 1; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100977 - Did not take medication, per above. ref SDS 0 R97F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100979 -  ..
100980 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100981 - pain level 3, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100982 - 3T3L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100984 -  ..
100985 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100986 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100987 - protect against plantarfaciitis, and for rebound energy.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100988 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100989 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100991 -  ..
100992 - Socks - tried wearing 2-pair double layer Wrightsock socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100993 - 191010 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Since took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100994 - no pain medication before hike, per above, ref SDS 0 OV9J, felt pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100995 - from pressure on blister areas edge both big toes and both Tailors                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100996 - Bunions.  After hike blisters were no worse.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100998 -  ..
100999 - Hydrofera Blue dressing applied to blisters below big toes on both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101000 - feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101002 -  ..
101003 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101004 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101005 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101007 -  ..
101008 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101009 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101010 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101011 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101012 - ref SDS 77 SM4M  After hike today on 200426 shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101013 - and Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101014 - Wore Wrightsock thin double ply and laced shoes less loosely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101016 -  ..
101017 - Concord 12 mile route - feet hurt too bad to hike extra 1-mile loop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101018 - the end.  Starting energy good wearing Hoka Bondi 6 shoes received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101019 - 190927 1110, ref SDS 77 SM4M; and 2-ply Wright socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101020 - 191010 1344. ref SDS 79 SM4M  Today, hiking without pain management                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101021 - pills for 1st time in months.  Applied diclofenac to left knee.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101022 - Glucosamine Chondroitin, per above. ref SDS 0 OV9J  This combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101023 - prevented left knee pain during hike.  Took Metoprolol 1 pill 25 mg in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101024 - morning to manage HR during hike - worked well, per profile below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101025 - ref SDS 0 PSPX  Did not apply Hydrafera Blue bandages to protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101026 - blisters on feet during hike.  Experiment - wore 2-pair double ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101027 - socks to prevent blisters.  Had considereable feet pain, but blisters                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101028 - did not increase - see study above. ref SDS 0 PQVS  Carried 2-naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101029 - pills and 1 gabapentin pill in pocket.  After 5 miles stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101030 - Texaco station and bought coca cola.  Considered taking pain pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101031 - with coke and small cherry pie.  Decided not to take the pills,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101032 - because only pain level 1.  Continued hiking short distance on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101033 - Hollow and turned West onto Campus Road.  Hiked uphill .75 mile with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101034 - good energy in legs from vasodilation (2nd wind, reported on 180602                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101035 - 1806. ref SDS 60 O842).  This lasted on hills for rest of hike.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101036 - not suffer ARDS difficult breathing last 300 yards to summit, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101037 - occurred on 200417, per above. ref SDS 0 WYTW  Actually breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101038 - easily hiking uphill for rest of hike after 5 miles.  At main college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101039 - campus hiked 1-loop through Faculty and then Student parking lots.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101040 - reaching main campus visitor parking after 1-loop, was mile 7 in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101041 - hike.  Hiked downhill back to Ygnacio Valley Road and then past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101042 - Crystal Ranch Road, still avoiding this long, steep route to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101043 - over conditioning the heart that has dilated left ventrical (see ECHO                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101044 - report on 200122 1414. ref SDS 86 UO3H), suspected of causing PAF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101045 - Hiked uphill breathing easily 1 mile past Cowell and over summit on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101046 - Ygnacio Valley Road.  Glad ARDS did not recur from taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101047 - this morning, per above. ref SDS 0 H36G  Somehow hiking purged toxic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101048 - liquid from lung sacks.  Vasodilation (2nd wind), adrenaline and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101049 - endorphin rush avoided fatigue.  Past summit, continued downhill .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101050 - mile.  Feet hurting, so turned around and hiked back uphill over the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101051 - summit and down to Cowell.  Hiked downhill 1 mile to Treat.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101052 - left and hiked West .25 mile to Cuneo.  Hiked 1 mile loop around the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101053 - block and back home for 12 miles...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101055 -  ..
101056 -       Date     200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101057 -       Miles       12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101059 -       HR AVG      86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101060 -         MAX      122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101061 -         Min       65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101064 -  ..
101065 - Overall HR profile shows significantly less paroxysmal atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101066 - fibrillation activity the past few days, with evident continuous sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101067 - heart beat.  There were 2 spikes, but not likely AF, since only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101068 - reached 122 during hike today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101071 -              https://flow.polar.com/training/analysis/4576572578                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101075 -   
101076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101078 -  ..
101079 - Note:  These entries above and below apply data from Polar HR and GPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101080 - data for distance, speed and elevation monitoring system, acquired on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101081 - 200227 0954. ref SDS 90 QE4F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101083 -  ..
101084 - "pix:" commands for positioning image (jpg) files in SDS records                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101085 - displayed on Internet use dimensions reported in the record on 190104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101086 - 1640. ref SDS 70 6L5F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101089 -  ..
101090 - Post hike HR profile stable high and normal for extended periods...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101093 -              https://flow.polar.com/training/analysis/4578308113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101097 -   
101098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101100 -  ..
101101 - In the late evening after 2000, noticed HR continuously elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101102 - above 140, so wore Polar Vantage V through the night to test for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101103 - PAF.  HR elevated for nearly 2 hours without any level of effort.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101105 -  ..
101106 - Breakfast - cheerios chia seeds milk with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101107 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101108 - Dinner - pasta hamburger brocolli cheese onion, jello                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101110 -  ..
101111 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101117 -         ..
101118 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101119 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101120 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101121 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101122 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101123 -  118.  200427 0610............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101124 -               0630....BP HR..................................................... 139  81  51  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101125 -               0635....BP HR..................................................... 134  81  50  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101126 -               0640....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101127 -               0640... 20 974300 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101128 -               0640... 80 183600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101129 -           **  0640... 25   3600.0 Metoprolol Tartrate switched on 200421 from Succinct RX #7101244 to lower HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101130 -               0640... 05 1020 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101131 -               0640... 75 6775 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101132 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                          
101133 -               1030... Naproxen (Aleve) 1 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101134 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101135 -               0000... Oxycodone HCL Plain  5  185 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101136 -               1030... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101137 -             . 1100....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101138 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101139 -               1050....miles...........  17.0  17.0  287   287 minutes  temp  83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101140 -               1510....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101141 -               1525....BP HR..................................................... 109  64  62   sinus curve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101142 -               1530....BP HR..................................................... 118  65  55   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101143 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101144 -               1205... Naproxen (Aleve) 1 pill 250 mg - took after hiking 5 miles stopped at Texaco gas station on Ygnacio Valley Road and Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101145 -               1205... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101146 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101147 -               1700... 40 56620 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
101148 -             1 0000............ 10 13560  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101149 -             1 0000............ 10 13150  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101150 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101151 -           **  0000... 25   3600 Metoprolol Tartrate RX 7101244 for afib - did not take pill because ARDS in evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101152 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - caused ARDS symptoms so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101153 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101154 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101155 -               2100... 40 36560 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101156 -               2130... 1000  796000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101157 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101158 -               2150....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101159 -               2200... 05 1025 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101160 -               2200... 80 183680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101161 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101162 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101164 -  ..
101165 - ** Metoprolol Tartrate; - on 200427, continued because good HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101166 - during hike yesterday, per above, ref SDS 0 PRYY, Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101167 - metoprolol last night in order to prevent ARDS difficult breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101168 - from increasing.  This morning no feelings ARDS, but significant PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101169 - HR profile last night, per above. ref SDS 0 JC5H  After taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101170 - metoprolol tartrate at 0700, ref SDS 0 PRYY, by 0930 there were strong                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101171 - feelings of ARDS bending down to dry feet after shower, and tying shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101172 - laces before going hiking.  During hike had no ARDS episodes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101173 - Breathed easily through nose on all uphills, see below. ref SDS 0 PUXU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101175 -  ..
101176 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101177 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101179 -  ..
101180 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101182 -  ..
101183 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101184 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101185 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101187 -  ..
101188 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101190 -  ..
101191 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101193 -  ..
101194 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101195 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101197 -  ..
101198 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101200 -  ..
101201 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101202 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101204 -  ..
101205 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101206 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101207 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101208 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101209 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101210 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101211 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101212 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101213 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101214 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101215 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101216 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101217 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101219 -  ..
101220 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101221 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101223 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101224 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101225 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101226 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101227 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101228 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101229 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101230 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101231 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101232 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101233 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101234 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101235 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101236 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101237 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101238 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101239 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101240 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101241 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101242 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101243 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101244 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101245 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101246 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101247 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101248 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101249 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101250 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101251 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101252 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101253 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101254 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101255 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101256 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101257 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101258 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101259 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101260 -        Restless legs................................   0          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101262 -  ..
101263 - Body feels wasted after hiking  17 miles in 80 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101264 - on 191009 1500, ref SDS 78 0001, and hiking 3 big hills.
101266 - -
101267 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101268 - slightly pain level 0, and knee stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101269 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101271 -  ..
101272 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101273 - Did not take medication, per above. ref SDS 0 R97F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101275 -  ..
101276 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101277 - pain level 2, so took Tramadol - see study above. ref SDS 0 A17K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101279 -  ..
101280 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101281 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101282 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101283 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101284 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101286 -  ..
101287 - Socks - tried wearing 2-pair double layer Wrightsock socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101288 - 191010 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101289 - naproxen 1 pill before starting hike, took 2nd naproxen pill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101290 - gabapentin at mile 5, per above, ref SDS 0 A17K, felt pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101291 - from pressure on blister areas edge both big toes and both Tailors                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101292 - Bunions.  After hike blisters were no worse, indicating successful                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101293 - experiment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101295 -  ..
101296 - Hydrofera Blue dressing did not apply to blisters/calluses below big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101297 - toes on both feet.  Wearing 2-pair double-ply Wright socks protected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101298 - blisters from further injury during 17-mile hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101300 -  ..
101301 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101302 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101303 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101305 -  ..
101306 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101307 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101308 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101309 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101310 - ref SDS 77 SM4M  After hike on 200426 shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101311 - Tailor's Bunions, and applied ammonium lactate lotion to feet.  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101312 - wore 2-pair Wrightsock thin double-ply socks, and laced shoes less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101313 - loosely.  During hike Tailors Bunion both feet pain level 0 for 17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101314 - miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101316 -  ..
101317 - Concord 17 mile route - too tired to hike extra 1-mile loop at the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101318 - end.  Starting energy good wearing Hoka Bondi 6 shoes received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101319 - 190927 1110, ref SDS 77 SM4M; and wore 2-pair double-ply Wright socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101320 - received on 191010 1344. ref SDS 79 SM4M  Today, before hike took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101321 - naproxen 1 pill for feet and knee pain management.  Carried naproxen 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101322 - pill and gabapentin pill in pocket during hike.  Applied diclofenac to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101323 - left knee.  Took Glucosamine Chondroitin, per above. ref SDS 0 A17K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101324 - Took Metoprolol 1 pill 25 mg in morning to manage HR during hike and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101325 - minimize ARDS shortness of breath, and blurred vision side effects.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101326 - Did not apply Hydrafera Blue bandages to protect blisters on feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101327 - during hike.  Experiment - wore 2-pair double ply socks to prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101328 - blisters.  At mile 5 in hike, stopped at Texaco gas station.  Bought                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101329 - soft drink.  Took 2nd naproxen pill and 1 gabapentin pill for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101330 - management rest of hike - see study above. ref SDS 0 A17K  Ate few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101331 - bites small apple pie required for food with pain pills.  This worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101332 - well.  No feet pain entire hike, so experiment wearing 2-pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101333 - double-ply socks was successful, per above. ref SDS 0 PUQR  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101334 - hiking short distance on Pine Hollow and turned West onto Campus Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101335 - Hiked uphill .75 mile with good energy in legs from vasodilation (2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101336 - wind, reported on 180602 1806. ref SDS 60 O842).  This lasted on hills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101337 - for rest of hike.  Did not suffer ARDS difficult breathing last 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101338 - yards to summit, as occurred on 200417, per above. ref SDS 0 WYTW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101339 - Shows benefit of limiting metoprolol tartrate to only 1 pill per day,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101340 - instead of 1 pill in morning and 1 in evening.  Actually breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101341 - easily hiking up hills for rest of hike after 5 miles.  At main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101342 - college campus hiked 3-loops through Faculty and then Student parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101343 - lots.  In Student Parking added hiking 2-times uphill about 150 yards,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101344 - then downhill on each loop.  For 3 loops, this added a mile.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101345 - reaching main campus visitor parking after 3rd loop, was mile 10 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101346 - the hike.  Hiked North downhill .25 mile back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101347 - Turned left and hiked .25 mile West past Crystal Ranch Road, avoiding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101348 - long, steep route to avoid over conditioning the heart that has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101349 - dilated left ventrical (see ECHO report on 200122 1414. ref SDS 86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101350 - UO3H), suspected of causing PAF.  Continued breathing easily through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101351 - nose uphill 1 mile hiking West on Ygnacio Valley Road, past Cowell and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101352 - over summit.  ARDS did not recur from taking metoprolol this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101353 - per above. ref SDS 0 H36G  Somehow hiking purged toxic liquid from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101354 - lung sacks.  Seemed significantly more tired than usual after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101355 - 12 miles.  Despite overall fatigue, legs were not tired.  Vasodilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101356 - (2nd wind), adrenaline and endorphin rush avoided leg fatigue.  Past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101357 - summit, considered turning around and hiking back to Cowell, then home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101358 - for 14 miles.  However, since have hiked the longer route over 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101359 - times, decided to go for it today.  Continued on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101360 - downhill 2 miles to Oak Grove.  Became increasingly tired.  Began to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101361 - wobble, so did not hike loop around Safeway complex to Via Monte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101362 - Shadelands, Oak Grove and back to Ygnacio Valley Road.  Instead, Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101363 - North on Oak Grove 1 mile to Treat.  Crossed at traffic light, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101364 - turned right.  Hiked East on Treat 1 mile to San Miguel.  Legs still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101365 - very strong - hiked uphill 1 mile over summit on Treat to Cuneo.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101366 - not hike extra mile loop due to overall fatigue; ended hike at home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101367 - for 17 miles.  Polar HR profile indicates sinus all the way, with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101368 - PAF spikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101370 -  ..
101371 -       Date     200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101372 -       Miles       17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101374 -       HR AVG      88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101375 -         MAX      120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101376 -         Min       56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101379 -  ..
101380 - Overall HR profile shows significantly less paroxysmal atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101381 - fibrillation activity the past few days, with evident continuous sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101382 - heart beat.  There was 1 spike, but not likely AF, since only reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101383 - 120 during hike today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101386 -              https://flow.polar.com/training/analysis/4580599698                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101390 -   
101391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101393 -  ..
101394 - Did not record HR after the hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101397 -  ..
101398 - Breakfast - cheerios chia seeds milk with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101399 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101400 - Dinner - pasta hamburger brocolli cheese onion, jello                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101402 -  ..
101403 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101409 -         ..
101410 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101411 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101412 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101413 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101414 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101415 -  119.  200428 0550............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101416 -               0710....BP HR..................................................... 137  77  52  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101417 -               0715....BP HR..................................................... 127  69  49  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101418 -               0720....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101419 -               0720... 20 974320 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101420 -               0720... 80 183760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101421 -           **  0720... 25   3625.0 Metoprolol Tartrate switched on 200421 from Succinct RX #7101244 to lower HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101422 -               0720... 05 1030 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101423 -               0720... 75 6850 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101424 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                          
101425 -               1030... Naproxen (Aleve) 2 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101426 -               1030... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101427 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101428 -               0000... Oxycodone HCL Plain  5  185 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101429 -               1030... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101430 -             . 1040....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101431 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101432 -               1050....miles...........  14.0  31.0  237   524 minutes  temp  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101433 -               1510....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101434 -               1520....BP HR.....................................................  80  68 140   PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101435 -               1530....BP HR.....................................................  84  70 140   PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101436 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101437 -               0000... Naproxen (Aleve) 1 pill 250 mg - took after hiking 5 miles stopped at Texaco gas station on Ygnacio Valley Road and Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101438 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101439 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101440 -               1700... 40 56660 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
101441 -               1830............ 10 13570  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101442 -               1830............ 10 13160  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101443 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101444 -           **  0000... 25   3625 Metoprolol Tartrate RX 7101244 for afib - did not take pill because ARDS in evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101445 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - caused ARDS symptoms so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101446 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101447 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101448 -               2100... 40 36600 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101449 -               2130... 1000  797000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101450 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101451 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101452 -               2200... 05 1035 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101453 -               2200... 80 183840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101454 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101455 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101457 -  ..
101458 - ** Metoprolol Tartrate; - on 200427, continued because good HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101459 - during hike yesterday, per above, ref SDS 0 PRYY, Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101460 - metoprolol last night in order to prevent ARDS difficult breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101461 - from increasing.  This morning no feelings ARDS, but significant PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101462 - HR profile last night, per above. ref SDS 0 JC5H  After taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101463 - metoprolol tartrate at 0700, ref SDS 0 PRYY, by 0930 there were strong                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101464 - feelings of ARDS bending down to dry feet after shower, and tying shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101465 - laces before going hiking.  During hike had no ARDS episodes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101466 - Breathed easily through nose on all uphills, see below. ref SDS 0 PUXU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101468 -  ..
101469 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101470 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101472 -  ..
101473 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101475 -  ..
101476 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101477 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101478 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101480 -  ..
101481 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101483 -  ..
101484 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101486 -  ..
101487 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101488 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101490 -  ..
101491 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101493 -  ..
101494 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101495 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101497 -  ..
101498 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101499 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101500 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101501 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101502 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101503 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101504 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101505 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101506 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101507 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101508 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101509 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101510 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101512 -  ..
101513 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101514 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101516 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101517 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101518 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101519 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101520 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101521 -        Trapezius right side neck/shoulder...........   8          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101522 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101523 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101524 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101525 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101526 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101527 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101528 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101529 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101530 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101531 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101532 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101533 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101534 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101535 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101536 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101537 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101538 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101539 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101540 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101541 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101542 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101543 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101544 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101545 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101546 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101547 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101548 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101549 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101550 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101551 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101552 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101553 -        Restless legs................................   0          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101555 -  ..
101556 - Body feels wasted after hiking  14 miles in 90 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101557 - on 191009 1500, ref SDS 78 0001, and hiking 3 big hills.  Actually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101558 - after hiking 1st 8 miles, seemed to hit a wall - staggering/wobbling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101559 - left and right, as though had eaten somethng, or was drunk.
101561 - -
101562 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101563 - slightly pain level 0, and knee stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101564 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101566 -  ..
101567 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101568 - Did not take medication, per above. ref SDS 0 R97F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101570 -  ..
101571 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101572 - pain level 2, but did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101573 - AX5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101575 -  ..
101576 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101577 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101578 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101579 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101580 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101582 -  ..
101583 - Socks - tried again wearing 2-pair double-layer Wrightsock socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101584 - received on 191010 1344. ref SDS 79 SM4M  No blisters over 14 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101585 - Took naproxen 2 pills and 1 gabapentin pill before starting hike, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101586 - above. ref SDS 0 A17K  Pain level 0 entire hike on blister areas edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101587 - both big toes and both Tailors Bunions.  After hike blisters were no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101588 - worse.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101590 -  ..
101591 - Hydrofera Blue dressing did not apply to blisters/calluses below big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101592 - toes on both feet.  Wearing 2-pair double-ply Wright socks protected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101593 - blisters from further injury during 14-mile hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101595 -  ..
101596 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101597 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101598 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101600 -  ..
101601 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101602 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101603 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101604 - lightweith socks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101605 - ref SDS 77 SM4M  After hike on 200426 shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101606 - Tailor's Bunions, and applied ammonium lactate lotion to feet.  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101607 - wore 2-pair Wrightsock thin double-ply socks, and laced shoes loosely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101608 - During hike Tailors Bunion both feet pain level 0 for 14 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101610 -  ..
101611 - Concord 14 mile route - too tired to hike extra 1-mile loop at the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101612 - end.  Starting energy good wearing Hoka Bondi 6 shoes received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101613 - 190927 1110, ref SDS 77 SM4M; and wore 2-pair double-ply Wright socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101614 - received on 191010 1344. ref SDS 79 SM4M  Today, before hike took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101615 - naproxen 2 pills for feet and knee pain management.  Did not carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101616 - naproxen 1 pill and gabapentin pill in pocket during hike, as done                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101617 - yesterday, per above. ref SDS 0 A17K  Applied diclofenac to left knee.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101618 - Took Glucosamine Chondroitin, per above. ref SDS 0 AX5N  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101619 - Metoprolol 1 pill 25 mg in morning to manage HR during hike and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101620 - minimize ARDS shortness of breath, and blurred vision side effects.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101621 - Did not apply Hydrafera Blue bandages to protect blisters on feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101622 - during hike.  Experiment - wore 2-pair double ply socks to prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101623 - blisters.  At mile 5 in hike, did not stop at Texaco gas station.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101624 - Continued hiking short distance on Pine Hollow and turned West onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101625 - Campus Road.  Hiked uphill .75 mile with good energy in legs from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101626 - vasodilation (2nd wind, reported on 180602 1806. ref SDS 60 O842).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101627 - This lasted on hills for rest of hike.  Did not suffer ARDS difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101628 - breathing last 300 yards to summit, as occurred on 200417, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101629 - ref SDS 0 WYTW  Actually breathed easily hiking uphill for rest of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101630 - hike after 5 miles.  At main college campus hiked 3-loops through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101631 - Faculty and then Student parking lots.  In Student Parking added                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101632 - hiking uphill about 150 yards, then downhill on each loop.  For 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101633 - loops, this added a mile.  On reaching main campus visitor parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101634 - after 3rd loop, was mile 11 in the hike.  Planned to hike back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101635 - Texaco gas station on Pine Hollow and Ygnacio Valley Road to buy Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101636 - Cola and eat few bites small apple pie.  This would provide energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101637 - hike over the summit and do 17-19 mile hike.  At this point changed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101638 - mind.  Was so tired and wobbly, decided to hike home for 12 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101639 - Hiked North on Campus Road downhill .25 mile back to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101640 - Road.  Turned left and hiked .25 mile West past Crystal Ranch Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101641 - avoiding long, steep route to avoid over conditioning the heart that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101642 - has dilated left ventrical (see ECHO report on 200122 1414.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101643 - ref SDS 86 UO3H), suspected of causing PAF.  Continued breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101644 - easily through nose uphill 1 mile hiking West on Ygnacio Valley Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101645 - past Cowell and over summit.  ARDS did not recur from taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101646 - metoprolol this morning, per above. ref SDS 0 H36G  Somehow hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101647 - purged toxic liquid from lung sacks.  Additionally, vasodilation (2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101648 - wind), adrenaline and endorphin rush avoided leg fatigue.  Rest of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101649 - body was very tired, so .5 miles past summit turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101650 - East back to Cowell.  Must have looked drunk wobbling left and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101651 - seen by drivers wizzing by at 70+ MPH on Ygnacio Valley Road.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101652 - mile North on Cowell.  Turned left and hiked .25 mile West to Cuneo,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101653 - then home for 14 miles.  Did not hike extra mile loop due to overall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101654 - fatigue.  Polar HR profile indicates atrial fibrillation all the way,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101655 - big change from past 7 days...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101657 -  ..
101658 -       Date     200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101659 -       Miles       14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101661 -       HR AVG     131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101662 -         MAX      165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101663 -         Min       74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101666 -  ..
101667 - HR profile shows PAF entire hike...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101670 -              https://flow.polar.com/training/analysis/4584436933                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101674 -   
101675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101677 -  ..
101678 - Post hike HR profile stable high and normal for extended periods...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101681 -              https://flow.polar.com/training/analysis/4585421263                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101685 -   
101687 -  ..
101688 - In the late evening after 2000, noticed HR continuously elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101689 - above 140, so wore Polar Vantage V through the night to test for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101690 - PAF.  HR elevated for nearly 4 hours without any level of effort.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101692 -  ..
101693 - Breakfast - cheerios chia seeds milk with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101694 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101695 - Dinner - tuna brocolli cottage cheese onion avocado mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101697 -  ..
101698 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101704 -         ..
101705 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101706 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101707 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101708 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101709 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101710 -  120.  200429 0230............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101711 -               0210....BP HR..................................................... 121  72  62  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101712 -               0215....BP HR..................................................... 124  70  53  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101713 -               0220....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101714 -               0240... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101715 -             . 0250....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101716 -               1010... 20 974340 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101717 -               1010... 80 183920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101718 -           **  1010... 25   3650.0 Metoprolol Tartrate switched on 200421 from Succinct RX #7101244 to lower HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101719 -               1010... 05 1040 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101720 -               1010... 75 6925 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101721 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                          
101722 -               0000... Naproxen (Aleve) 2 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101723 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101724 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101725 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101726 -               1320....miles...........  17.0  48.0  285   809 minutes  temp  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101727 -               1650....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101728 -               1520....BP HR..................................................... 108  63  92   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101729 -               1530....BP HR..................................................... 113  67  90   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101730 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101731 -               0000... Naproxen (Aleve) 1 pill 250 mg - took after hiking 5 miles stopped at Texaco gas station on Ygnacio Valley Road and Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101732 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101733 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101734 -               1700... 40 56700 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
101735 -             1 0000............ 10 13570  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101736 -             1 0000............ 10 13160  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101737 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101738 -           **  0000... 25   3650 Metoprolol Tartrate RX 7101244 for afib - did not take pill because ARDS in evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101739 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - caused ARDS symptoms so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101740 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101741 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101742 -               1950... Oxycodone HCL Plain  5  195 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101743 -               2100... 40 36640 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101744 -               2130... 1000  798000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101745 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101746 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101747 -               2200... 05 1045 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101748 -               2200... 80 184000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101749 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101750 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101752 -  ..
101753 - ** Metoprolol Tartrate; - on 200427, continued because good HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101754 - during hike yesterday, per above, ref SDS 0 PRYY, Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101755 - metoprolol last night in order to prevent ARDS difficult breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101756 - from increasing.  This morning no feelings ARDS, but significant PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101757 - HR profile last night, per above. ref SDS 0 JC5H  After taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101758 - metoprolol tartrate at 0700, ref SDS 0 PRYY, by 0930 there were strong                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101759 - feelings of ARDS bending down to dry feet after shower, and tying shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101760 - laces before going hiking.  During hike had no ARDS episodes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101761 - Breathed easily through nose on all uphills, see below. ref SDS 0 PUXU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101763 -  ..
101764 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101765 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101767 -  ..
101768 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101770 -  ..
101771 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101772 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101773 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101775 -  ..
101776 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101778 -  ..
101779 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101781 -  ..
101782 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101783 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101785 -  ..
101786 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101788 -  ..
101789 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101790 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101792 -  ..
101793 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101794 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101795 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101796 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101797 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101798 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101799 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101800 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101801 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101802 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101803 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101804 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101805 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101807 -  ..
101808 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101809 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101811 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101812 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101813 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101814 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101815 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101816 -        Trapezius right side neck/shoulder...........   0        100  didn't notice at all during hike through Golden Gate Park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101817 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101818 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101819 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101820 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101821 -        Knee left meniscus...PRP 191009..............   2          5  stepped wrong a few times, felt like hyperextension                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101822 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101823 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101824 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101825 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101826 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101827 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101828 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101829 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101830 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101831 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101832 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101833 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101834 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101835 -        Electric shocks middle 3 toes right foot.....   1          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101836 -        Metatarsalgia left foot...PRP 191009.........   3         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101837 -        Metatarsalgia right foot..PRP 191009.........   3         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101838 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101839 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101840 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101841 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101842 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101843 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101844 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101845 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101846 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101847 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101848 -        Restless legs................................   0          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101850 -  ..
101851 - Body feels wasted after hiking  17 miles in 54 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101852 - on 191009 1500, ref SDS 78 0001, and hiking 3 big hills.  Was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101853 - surprised how easily hiked up Point Lobos.
101855 - -
101856 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101857 - slightly pain level 3, and knee stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101858 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101860 -  ..
101861 - Several hours after hike, feet pain level 2; left leg pain level 2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101862 - Took oxycodone, per above. ref SDS 0 7Y5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101864 -  ..
101865 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101866 - pain level 2, so took Tramadol - see study above. ref SDS 0 A17K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101868 -  ..
101869 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101870 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101871 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101872 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101873 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101875 -  ..
101876 - Socks - tried wearing 2-pair double layer Wrightsock socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101877 - 191010 1344. ref SDS 79 SM4M  No blisters over 17 miles.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101878 - naproxen 1 pill before starting hike, took 2nd naproxen pill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101879 - gabapentin at mile 5, per above, ref SDS 0 A17K, felt pain from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101880 - pressure on blister areas edge both big toes and both Tailors Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101881 - After hike blisters were no worse.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101883 -  ..
101884 - Hydrofera Blue dressing did not apply to blisters/calluses below big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101885 - toes on both feet.  Wearing 2-pair double-ply Wright socks protected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101886 - blisters from further injury during 17-mile hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101888 -  ..
101889 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101890 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101891 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101893 -  ..
101894 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101895 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101896 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101897 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101898 - ref SDS 77 SM4M  After hike on 200426 shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101899 - Tailor's Bunions, and applied ammonium lactate lotion to feet.  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101900 - wore 2-pair Wrightsock thin double-ply socks, and laced shoes less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101901 - loosely.  During hike Tailors Bunion both feet pain level 0 for 17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101902 - miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101904 -  ..
101905 - San Francisco route #5, reported on 170519, per above. ref SDS 36 WTRS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101906 - Weather cool temperature 54, but warming up, as overcast breaking up.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101907 - Started hike leaving parking lot at VAMCSF at 1317.  Walked slow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101908 - downhill on 42nd Street to warm up.  Tailor's Bunion on both feet pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101909 - level 0 going down hill - good signal.  Turned corner continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101910 - downhill West on Point Lobos to the Cliff House at mile 1.  Vehicle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101911 - traffic on Point Lobos is slight issue, particularly buses, since only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101912 - 1 lane.  Loud roar of ocean.  Beautiful sight waves crashing onto the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101913 - shore amid remnants of Sutro Baths down below at ocean level.  Number                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101914 - of people running and walking paths.  Road bends and changes to "The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101915 - Great Highway" going South along the ocean beach.  Fast pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101916 - ground parallel to ocean.  Seems eerie no cars in parking lot, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101917 - only few people far out at oceans edge, due to restrictions for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101918 - coronavirus pandemic.  At mile 2 turned onto the Lincoln Avenue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101919 - section of John F Kennedy (JFK) Drive entering Golden Gate Park.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101920 - Maintained fast pace going slightly uphill into the park.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101921 - corner and continued East on JFK.  Passed the Buffalo compound.  Past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101922 - Spreckles Lake, then Lindley Meadow.  Nice seeing so many people out                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101923 - enjoying the park.  About mile 3.5 nearng Hellman Hollow lots of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101924 - bikers and runners have sped by.  Hiked under bridge at 19th street,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101925 - then past the waterfall.  Continued hiking past De Young Museum at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101926 - mile 4.25.  Nearing the end of JFK Drive, crossed the street to make                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101927 - left turn onto Stanyon at mile 6.5.  Nice the City has paved this part                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101928 - of walkway.  Hiked uphill on Stanyon several blocks to Fulton.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101929 - few more blocks downhill to Paramont street across from Koret Health                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101930 - and Recreation Center, part of USF.  Touched the wall at Ann's house -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101931 - time 1449.   Hiked back on Stanyon to John F Kennedy drive.  Much less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101932 - vehicle and foot traffic this aftternoon, because of coronavirus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101933 - "shelter-in-place" restrictions.  Hiked on South side against traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101934 - going West.  Passing De Young Museum increased pace - feeling good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101935 - Nice seeing the waterfall.  Hiked under the 19th Street bridge and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101936 - past Helman Hollow.  Knee pain level 0, feeling metatarsalgia both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101937 - feet pain level 1.  Hiked past Lindley Meadow to Spreckles Lake, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101938 - past the Buffalo Compound.  Crossed over to North side of JFK going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101939 - with traffic.  Turned corner from JFK onto Lincoln Avenue and headed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101940 - toward the ocean.  Turned North onto the Great Highway.  Both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101941 - pain level 2; left knee patella pain level 0.  Hiked parallel to ocean                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101942 - toward the Cliff House and the hospital.  Maintained pace hiking up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101943 - steep hill, Metatarsalgia and left knee patella pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101944 - Breathing through nose for 1.5 miles uphill all the way to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101945 - hospital.  Raced another hiker.  He was about 30 yards ahead before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101946 - starting uphill.  Caught up just past Cliff House.  At the Cliff                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101947 - House, turned onto Point Lobos going East; feeling strong handling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101948 - uphill for 1 mile.  Turned onto 42nd street and maintained pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101949 - up final steep hill to the VA campus.  Arrived at 1642.  Very good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101950 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101952 -  ..
101953 -       Date     200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101954 -       Miles       17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101956 -       HR AVG     131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101957 -         MAX      165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101958 -         Min       74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101961 -  ..
101962 - HR profile shows PAF entire hike...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101965 -              https://flow.polar.com/training/analysis/4599954593                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101969 -   
101970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101973 -  ..
101974 - Breakfast - eggs sausage with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101975 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101976 - Dinner - hamburger patty squash fritos in Canteen at VA then NPO for ablation procedure tomorrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101978 -  ..
101979 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101984 -         ..
101985 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101986 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101987 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101988 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101989 -        Thursday - ablation medical procedure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101990 -  121.  200430 0500............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101991 -               0730....BP HR..................................................... 111  65  65  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101992 -               0735....BP HR..................................................... 114  67  67  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101993 -               0740....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101994 -               0000... 20 974340 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101995 -               0740... 80 184080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101996 -           **  0000... 25   3650.0 Metoprolol Tartrate switched on 200421 from Succinct RX #7101244 to lower HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101997 -               0000... 05 1040 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101998 -               0000... 75 6925 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101999 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                          
102000 -               0000... Naproxen (Aleve) 2 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102001 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102002 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102003 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102004 -             . 0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102005 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102006 -               0000... Naproxen (Aleve) 1 pill 250 mg - took after hiking 5 miles stopped at Texaco gas station on Ygnacio Valley Road and Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102007 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102008 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102009 -               1700... 40 56740 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
102010 -               1830............ 10 13580  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102011 -               1830............ 10 13170  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102012 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102013 -           **  0000... 25   3650 Metoprolol Tartrate RX 7101244 for afib - did not take pill because ARDS in evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102014 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - caused ARDS symptoms so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102015 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102016 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102017 -               1950... Oxycodone HCL Plain  5  195 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102018 -               2100... 40 36680 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102019 -               2130... 1000  799000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102020 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102021 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102022 -               2200... 05 1050 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102023 -               2200... 80 184160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102024 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102025 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102027 -  ..
102028 - ** Metoprolol Tartrate; - on 200427, continued because good HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102029 - during hike yesterday, per above, ref SDS 0 PRYY, Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102030 - metoprolol last night in order to prevent ARDS difficult breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102031 - from increasing.  This morning no feelings ARDS, but significant PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102032 - HR profile last night, per above. ref SDS 0 JC5H  After taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102033 - metoprolol tartrate at 0700, ref SDS 0 PRYY, by 0930 there were strong                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102034 - feelings of ARDS bending down to dry feet after shower, and tying shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102035 - laces before going hiking.  During hike had no ARDS episodes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102036 - Breathed easily through nose on all uphills, see below. ref SDS 0 PUXU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102038 -  ..
102039 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102040 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102042 -  ..
102043 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102045 -  ..
102046 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102047 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102048 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102050 -  ..
102051 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102053 -  ..
102054 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102056 -  ..
102057 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102058 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102060 -  ..
102061 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102063 -  ..
102064 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102065 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102067 -  ..
102068 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102069 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102070 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102071 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102072 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102073 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102074 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102075 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102076 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102077 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102078 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102079 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102080 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102082 -  ..
102083 - Breakfast - eggs sausage with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102084 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102085 - Dinner - hamburger patty squash fritos in Canteen at VA then NPO for ablation procedure tomorrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102087 -  ..
102088 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102093 -         ..
102094 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102095 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102096 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102097 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102098 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102099 -  122.  200501 0600............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102100 -               0630....BP HR..................................................... 114  67  72  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102101 -               0635....BP HR..................................................... 116  65  70  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102102 -               0640....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102103 -               0000... 20 974340 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102104 -               0740... 80 184240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102105 -           **  0740... 25   3650.0 Metoprolol Tartrate switched on 200421 from Succinct RX #7101244 to lower HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102106 -               0740... 05 1055 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102107 -               0740... 75 7000 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102108 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                          
102109 -               0000... Naproxen (Aleve) 2 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102110 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102111 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102112 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102113 -             . 0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102114 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102115 -               0000... Naproxen (Aleve) 1 pill 250 mg - took after hiking 5 miles stopped at Texaco gas station on Ygnacio Valley Road and Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102116 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102117 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102118 -               1700... 40 56780 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
102119 -             1 0000............ 10 13570  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102120 -             1 0000............ 10 13160  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102121 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102122 -           **  0000... 25   3650 Metoprolol Tartrate RX 7101244 for afib - did not take pill because ARDS in evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102123 -           *** 0000... 200  1600 Amiodarone - take 2 pills twice a day for week beginning 200328 - caused ARDS symptoms so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102124 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102125 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102126 -               1950... Oxycodone HCL Plain  5  195 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102127 -               2100... 40 36720 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102128 -               2130... 1000  800000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102129 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102130 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102131 -               2200... 05 1060 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102132 -               2200... 80 184320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102133 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102134 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102136 -  ..
102137 - ** Metoprolol Tartrate; - on 200427, continued because good HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102138 - during hike yesterday, per above, ref SDS 0 PRYY, Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102139 - metoprolol last night in order to prevent ARDS difficult breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102140 - from increasing.  This morning no feelings ARDS, but significant PAF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102141 - HR profile last night, per above. ref SDS 0 JC5H  After taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102142 - metoprolol tartrate at 0700, ref SDS 0 PRYY, by 0930 there were strong                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102143 - feelings of ARDS bending down to dry feet after shower, and tying shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102144 - laces before going hiking.  During hike had no ARDS episodes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102145 - Breathed easily through nose on all uphills, see below. ref SDS 0 PUXU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102147 -  ..
102148 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102149 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102151 -  ..
102152 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102154 -  ..
102155 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102156 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102157 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102159 -  ..
102160 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102162 -  ..
102163 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102165 -  ..
102166 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102167 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102169 -  ..
102170 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102172 -  ..
102173 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102174 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102176 -  ..
102177 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102178 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102179 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102180 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102181 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102182 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102183 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102184 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102185 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102186 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102187 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102188 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102189 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102191 -  ..
102192 - Breakfast - cream of wheat rasins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102193 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102194 - Dinner -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102196 -  ..
102197 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102203 -         ..
102204 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102205 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102206 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102207 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102208 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102209 -  123.  200502 0600............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102210 -               0630....BP HR..................................................... 128  70  54  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102211 -               0635....BP HR..................................................... 124  69  52  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102212 -               0640....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102213 -               0640... 20 974360 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102214 -               0640... 80 184400 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102215 -           **  0640... 25   3675.0 Metoprolol Tartrate switched on 200421 from Succinct RX #7101244 to lower HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102216 -               0640... 05 1065 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102217 -               0640... 75 7075 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102218 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                          
102219 -               0000... Naproxen (Aleve) 2 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102220 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102221 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102222 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102223 -             . 0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102224 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102225 -               0000... Naproxen (Aleve) 1 pill 250 mg - took after hiking 5 miles stopped at Texaco gas station on Ygnacio Valley Road and Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102226 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102227 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102228 -               1700... 40 56820 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
102229 -               1830............ 10 13570  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102230 -               1830............ 10 13160  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102231 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102232 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102233 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102234 -               0000... Oxycodone HCL Plain  5  195 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102235 -               2100... 40 36760 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102236 -               2130... 1000  801000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102237 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102238 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102239 -               2200... 05 1070 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102240 -               2200... 80 184480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102241 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102242 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102244 -  ..
102245 - ** Metoprolol Tartrate; - on 200427, continued because good HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102246 - during hike on 200426, per above. ref SDS 0 PRYY, Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102247 - metoprolol last night in order to prevent ARDS difficult breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102248 - from increasing.  This morning not feelings ARDS, before taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102249 - Metoprolol; but an hour after taking metoprolol feelings of ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102250 - bending down to dry feet after shower, and tying shoe laces before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102251 - going hiking.  During hike had no ARDS episodes.  Breathed easily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102252 - through nose on all uphills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102254 -  ..
102255 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102256 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102258 -  ..
102259 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102261 -  ..
102262 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102263 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102264 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102266 -  ..
102267 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102269 -  ..
102270 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102272 -  ..
102273 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102274 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102276 -  ..
102277 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102279 -  ..
102280 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102281 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102283 -  ..
102284 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102285 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102286 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102287 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102288 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102289 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102290 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102291 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102292 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102293 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102294 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102295 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102296 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102298 -  ..
102299 - Breakfast - cheerios chia seeds milk with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102300 - Lunch - cheese crackers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102301 - Dinner - hamburger macaroni cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102303 -  ..
102304 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102310 -         ..
102311 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102312 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102313 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102314 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102315 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102316 -  124.  200503 0550............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102317 -               0550....BP HR..................................................... 130  73  51  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102318 -               0555....BP HR..................................................... 130  73  51  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102319 -               0600....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102320 -               0600... 20 974380 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102321 -               0600... 80 184560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102322 -           **  0600... 25   3700.0 Metoprolol Tartrate switched on 200421 from Succinct RX #7101244 to lower HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102323 -               0000... 05 1070 Apixaban blood thinner RX 7088121 for stroke - pause 48 hours before EGD on 200505                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102324 -               0600... 75 7150 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102325 -           *** 0000... 200  1200 Amiodarone - take 2 pills twice a day for week beginning 200328 - 3 hours later HR 138 - on 200403 take 1 pill twice a day for a week - on 200410 take 1 pill once a day                                                                                                                                                                                                                                                                                                                                                                                                          
102326 -               0000... Naproxen (Aleve) 2 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102327 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102328 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102329 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102330 -             . 0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102331 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102332 -               1120....miles...........   8.0  56.0  137   946 minutes  temp  72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102333 -               1400....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102334 -               1405....BP HR..................................................... 120  68  51   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102335 -               1410....BP HR..................................................... 128  67  48   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102336 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102337 -               0000... Naproxen (Aleve) 1 pill 250 mg - took after hiking 5 miles stopped at Texaco gas station on Ygnacio Valley Road and Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102338 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102339 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102340 -               1700... 40 56860 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
102341 -             1 0000............ 10 13580  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102342 -             1 0000............ 10 13170  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102343 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102344 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102345 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102346 -               0000... Oxycodone HCL Plain  5  195 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102347 -               2100... 40 36800 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102348 -               2130... 1000  802000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102349 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102350 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102351 -               0000... 05 1070 Apixaban blood thinner RX 7088121 for stroke - pause 48 hours before EGD on 200505                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102352 -               2200... 80 184640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102353 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102354 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102356 -  ..
102357 - ** Metoprolol Tartrate; - on 200427, continued because good HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102358 - during hike on 200426, per above. ref SDS 0 PRYY, Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102359 - metoprolol last night in order to prevent ARDS difficult breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102360 - from increasing.  This morning not feelings ARDS, before taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102361 - Metoprolol; but an hour after taking metoprolol feelings of ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102362 - bending down to dry feet after shower, and tying shoe laces before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102363 - going hiking.  During hike had no ARDS episodes.  Breathed easily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102364 - through nose on all uphills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102366 -  ..
102367 - ***200328 begin Amiodarone - pause on 200330 because causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102368 - shortness of breath - ARDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102370 -  ..
102371 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102373 -  ..
102374 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102375 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102376 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102378 -  ..
102379 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102381 -  ..
102382 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102384 -  ..
102385 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102386 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102388 -  ..
102389 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102391 -  ..
102392 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102393 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102395 -  ..
102396 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102397 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102398 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102399 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102400 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102401 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102402 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102403 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102404 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102405 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102406 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102407 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102408 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102410 -  ..
102411 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102412 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102414 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102415 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102416 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102417 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102418 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102419 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102420 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102421 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102422 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102423 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102424 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102425 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102426 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102427 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102428 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102429 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102430 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102431 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102432 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102433 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102434 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102435 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102436 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102437 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102438 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102439 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102440 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102441 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102442 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102443 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102444 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102445 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102446 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102447 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102448 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102449 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102450 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102451 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102453 -  ..
102454 - Body feels okay after hiking  8 miles in 72 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102455 - on 191009 1500, ref SDS 78 0001, and hiking 1 big hill.
102457 - -
102458 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102459 - slightly pain level 1, and knee stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102460 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102462 -  ..
102463 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102465 -  ..
102466 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102467 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102468 - NW5H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102470 -  ..
102471 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102472 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102473 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102474 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102475 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102477 -  ..
102478 - Socks - since only doing 7 miles, wore 1-pair double layer Wrightsock                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102479 - socks received on 191010 1344. ref SDS 79 SM4M  No blisters over 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102480 - miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102482 -  ..
102483 - Hydrofera Blue dressing did not apply to blisters/calluses below big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102484 - toes on both feet.  Wearing 2-pair double-ply Wright socks protected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102485 - blisters from further injury during 17-mile hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102487 -  ..
102488 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102489 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102490 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102492 -  ..
102493 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102494 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102495 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102496 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102497 - ref SDS 77 SM4M  After hike on 200426 shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102498 - Tailor's Bunions, and applied ammonium lactate lotion to feet.  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102499 - wore 2-pair Wrightsock thin double-ply socks, and laced shoes less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102500 - loosely.  During hike Tailors Bunion both feet pain level 0 for 17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102501 - miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102503 -  ..
102504 - Concord 8 mile route - did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102505 - Starting energy poor and balance wobbly after IVUS cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102506 - catheterization ablation procedure at VAMCSF on 200430 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102507 - ref SDS 93 F94J  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102508 - ref SDS 77 SM4M; and wore only 1-pair double-ply Wright socks received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102509 - on 191010 1344, ref SDS 79 SM4M, to prevent blisters.  Took Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102510 - 1 pill 25 mg in morning to manage HR during hike and minimize ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102511 - shortness of breath, and blurred vision side effects.  Hiked from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102512 - Cuneo to Treat.  Then East on Treat 1 mile to Clayton.  Then South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102513 - Clayton to Ygnacio Valley Road.  Then hiked West in East bound traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102514 - lane.  At mile 5 in hike, stopped at Texaco gas station to remove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102515 - pebble from right shoe.  Continued West on Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102516 - on asphalt pavement next to guardrail on edge of right-turn lane for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102517 - West Bound traffic.  Past Right-turn lane, hiked on 20' wide asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102518 - shoulder .25 mile to Crystal Ranch Road.  Continued past this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102519 - intersection hiking uphill .25 mile to Cowell.  Turned North onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102520 - Cowell.  Hiked downhill against South bound traffic 1 mile to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102521 - Turned West and hiked on Treat .25 mile to Cuneo, then home.  Polar HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102522 - profile indicates sinus all the way adjusting to hiking after resting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102523 - past 3 days following heart ablation treatment on 200540...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102525 -  ..
102526 -       Date     200502 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                                                                                                                                                                   
102527 -       Miles        8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                                                                                                                                                                                                                                                                                    
102528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102529 -       HR AVG      93    no     no     no     131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                                                                                                                                                                    
102530 -         MAX      124   hike   hike   hike    165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                                                                                                                                                                    
102531 -         Min       66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                                                                                                                                                                                                    
102532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102534 -  ..
102535 - HR profile shows significant sinus rhythm and no likely AF, since only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102536 - reached 124 during hike today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102539 -              https://flow.polar.com/training/analysis/4604859603                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102543 -   
102544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102547 -  ..
102548 - Post hike HR profile for 14 hours seems to show a few PAF arrhythmia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102549 - spikes over night, with several possible cardiac arrests at HR 0...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102552 -              https://flow.polar.com/training/analysis/4606907513                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102556 -   
102557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102559 -  ..
102560 - Breakfast - cheerios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102561 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102562 - Dinner - macaroni cheese hamburger avocado, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102564 -  ..
102565 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102571 -         ..
102572 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102573 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102574 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102575 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102576 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102577 -  125.  200504 0630............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102578 -               0640....BP HR..................................................... 138  78  52  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102579 -               0645....BP HR..................................................... 141  80  53  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102580 -               0650....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102581 -               0650... 20 974400 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102582 -               0650... 80 184720 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102583 -           **  0650... 25   3725.0 Metoprolol Tartrate switched on 200421 from Succinct RX #7101244 to lower HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102584 -               0000... 05 1070 Apixaban blood thinner RX 7088121 for stroke - pause 48 hours before EGD on 200505                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102585 -               0650... 75 7225 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102586 -               1000... Naproxen (Aleve) 2 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102587 -               1000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102588 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102589 -               1000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102590 -             . 1100....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102591 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102592 -               1030....miles...........  13.0  13.0  218   218 minutes  temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102593 -               1440....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102594 -               1500....BP HR..................................................... 116  64  58   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102595 -               1505....BP HR..................................................... 117  65  57   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102596 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102597 -               0000... Naproxen (Aleve) 1 pill 250 mg - took after hiking 5 miles stopped at Texaco gas station on Ygnacio Valley Road and Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102598 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102599 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102600 -               1700... 40 56900 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
102601 -               1830............ 10 13580  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102602 -               1830............ 10 13170  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102603 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102604 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102605 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102606 -               0000... Oxycodone HCL Plain  5  195 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102607 -               2100... 40 36840 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102608 -               2130... 1000  803000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102609 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102610 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102611 -               0000... 05 1070 Apixaban blood thinner RX 7088121 for stroke - pause 48 hours before EGD on 200505                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102612 -               2200... 80 184800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102613 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102614 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102616 -  ..
102617 - ** Metoprolol Tartrate; - on 200504, continued because HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102618 - shows some PAF after ablation on 200430 0700, ref SDS 93 BL4K, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102619 - recorded during night on 200504, per above. ref SDS 0 IY8O  ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102620 - subsides overnight, but returns after taking metoprolol in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102621 - morning.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102623 -  ..
102624 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102626 -  ..
102627 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102628 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102629 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102631 -  ..
102632 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102634 -  ..
102635 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102637 -  ..
102638 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102639 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102641 -  ..
102642 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102644 -  ..
102645 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102646 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102648 -  ..
102649 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102650 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102651 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102652 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102653 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102654 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102655 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102656 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102657 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102658 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102659 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102660 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102661 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102663 -  ..
102664 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102665 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102667 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102668 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102669 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102670 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102671 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102672 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102673 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102674 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102675 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102676 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102677 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102678 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102679 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102680 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102681 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102682 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102683 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102684 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102685 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102686 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102687 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102688 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102689 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102690 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102691 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102692 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102693 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102694 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102695 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102696 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102697 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102698 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102699 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102700 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102701 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102702 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102703 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102704 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102706 -  ..
102707 - Body feels okay after hiking 13 miles in 82 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102708 - on 191009 1500, ref SDS 78 0001, and hiking 1 big hill.
102710 - -
102711 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102712 - slightly pain level 0, and knee stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102713 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102715 -  ..
102716 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102718 -  ..
102719 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102720 - pain level 2, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102721 - Q75J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102723 -  ..
102724 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102725 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102726 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102727 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102728 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102730 -  ..
102731 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102732 - 1344. ref SDS 79 SM4M  No blisters over 13 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102734 -  ..
102735 - Hydrofera Blue dressing did not apply to blisters/calluses below big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102736 - toes on both feet.  Wearing 2-pair double-ply Wright socks protected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102737 - blisters from further injury during 13-mile hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102739 -  ..
102740 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102741 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102742 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102744 -  ..
102745 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102746 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102747 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102748 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102749 - ref SDS 77 SM4M  After hike on 200426 shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102750 - Tailor's Bunions, and applied ammonium lactate lotion to feet.  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102751 - wore 2-pair Wrightsock thin double-ply socks, and laced shoes less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102752 - loosely.  During hike Tailors Bunion both feet pain level 0 for 17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102753 - miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102755 -  ..
102756 - Concord 13 mile route - hiked extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102757 - energy stronger today, and balance still wobbly after IVUS cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102758 - catheterization ablation procedure at VAMCSF on 200430 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102759 - ref SDS 93 F94J  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102760 - ref SDS 77 SM4M; and wore 2-pair double-ply Wright socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102761 - 191010 1344, ref SDS 79 SM4M, to prevent blisters.  Took Metoprolol 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102762 - pill 25 mg in morning to manage HR during hike and minimize ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102763 - shortness of breath, and blurred vision side effects.  Hiked from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102764 - Cuneo uphill to Treat.  Breath easily through nose entire hike.  Then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102765 - East on Treat 1 mile to Clayton.  Then South on Clayton using mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102766 - concrete sidewalk to Ygnacio Valley Road.  Turned West onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102767 - Valley Road continuing on concrete sidewalk another .5 miles.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102768 - to South sideside Ygnacio Valley Road hiking West on asphault shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102769 - aganist East bound traffic.  At mile 5 in hike, stopped at Texaco gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102770 - station.  Bought Mountain Dew softw drink, potato chips and pack ot 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102771 - small donuts.  Ate few chips and 2 very small donuts.  Drank 50%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102772 - softdrink, threw the rest away.  Hiked to Pine Hollow, then took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102773 - Campus Road .75-mile uphill to California Sate University visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102774 - parking.  Legs did not tire going uphill, indicating vasodilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102775 - activated for rest of hike.  Hiked 2-loops of about 1.25 miles through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102776 - adjoining Faculty and Student Parking lots.  At mile 8.4 took Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102777 - Road North downhill to Ygnacio Valley Road.  Hiked 2 miles uphill past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102778 - Cowell and over summit.  Turned around and hiked back to Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102779 - Turned North onto Cowell.  Hiked 1-mile downhill on asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102780 - against South bound traffic.  Turned West and hiked on Treat .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102781 - to Cuneo.  Was still little wobbly, but not noticably tired, so hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102782 - another 1-mile loop around the block, then home.  Polar HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102783 - indicates sinus all the way tracking elevation changes with steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102784 - pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102786 -  ..
102787 -       Date     200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                                                                                                                                                            
102788 -       Miles       13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                                                                                                                                                                                                                                                                             
102789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102790 -       HR AVG     102     93    no     no     no     131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                                                                                                                                                             
102791 -         MAX      120    124   hike   hike   hike    165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                                                                                                                                                             
102792 -         Min       77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                                                                                                                                                                                             
102793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102795 -  ..
102796 - HR profile for 2nd half of hike shows sinus rhythm tracking elevation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102797 - profile, so no likely AF, since only reached 120 during hike today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102800 -              https://flow.polar.com/training/analysis/4609365338                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102804 -   
102805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102807 -  ..
102808 - Post hike HR profile for 8 hours overnight seems to show significant                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102809 - PAF arrhythmia spikes over night, and shows no evident cardiac arrest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102810 - episodes at HR 0 ..                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102813 -              https://flow.polar.com/training/analysis/4611490418                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102817 -   
102818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102821 -  ..
102822 - Breakfast - cheerios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102823 - Lunch - sandwich balogna cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102824 - Dinner - pasta lettuce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102826 -  ..
102827 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102833 -         ..
102834 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102835 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102836 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102837 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102838 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102839 -  126.  200505 0600............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102840 -               0610....BP HR..................................................... 127  73  57  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102841 -               0615....BP HR..................................................... 129  70  59  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102842 -               0620....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102843 -               0000... 20 974400 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102844 -               0000... 80 184720 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102845 -           **  0000... 25   3725.0 Metoprolol Tartrate - paused for EGD procedure today at VAMC Sacramento GI Clinic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102846 -               0000... 05 1070 Apixaban blood thinner RX 7088121 for stroke - pause 48 hours before EGD on 200505 at VAMC Sacramento GI Clinic                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102847 -               0000... 75 7225 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102848 -               1000... Naproxen (Aleve) 2 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102849 -               1000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102850 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102851 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102852 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102853 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102854 -               1030....miles...........   3.0  16.0   60   278 minutes  temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102855 -               1520....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102856 -               1530....BP HR..................................................... 131  72  58   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102857 -               1535....BP HR..................................................... 129  74  57   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102858 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102859 -               0000... Naproxen (Aleve) 1 pill 250 mg - took after hiking 5 miles stopped at Texaco gas station on Ygnacio Valley Road and Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102860 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102861 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102862 -               1820... 40 56900 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
102863 -             1 0000............ 10 13580  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102864 -             1 0000............ 10 13170  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102865 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102866 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102867 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102868 -               0000... Oxycodone HCL Plain  5  195 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102869 -               2100... 40 36840 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102870 -               2130... 1000  803000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102871 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102872 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102873 -               2200... 05 1075 Apixaban blood thinner RX 7088121 for stroke - resume after EGD on 200505                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102874 -               2200... 80 184800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102875 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102876 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102878 -  ..
102879 - ** Metoprolol Tartrate; - on 200504, continued because HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102880 - shows some PAF after ablation on 200430 0700, ref SDS 93 BL4K, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102881 - recorded during night on 200504, per above. ref SDS 0 IY8O  ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102882 - subsides overnight, but returns after taking metoprolol in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102883 - morning.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102885 -  ..
102886 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102888 -  ..
102889 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102890 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102891 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102893 -  ..
102894 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102896 -  ..
102897 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102899 -  ..
102900 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102901 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102903 -  ..
102904 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102906 -  ..
102907 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102908 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102910 -  ..
102911 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102912 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102913 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102914 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102915 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102916 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102917 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102918 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102919 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102920 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102921 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102922 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102923 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102925 -  ..
102926 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102927 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102929 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102930 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102931 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102932 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102933 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102934 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102935 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102936 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102937 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102938 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102939 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102940 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102941 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102942 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102943 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102944 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102945 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102946 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102947 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102948 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102949 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102950 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102951 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102952 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102953 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102954 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102955 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102956 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102957 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102958 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102959 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102960 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102961 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102962 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102963 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102964 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102965 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102966 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102968 -  ..
102969 - Body feels okay after hiking 13 miles in 82 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102970 - on 191009 1500, ref SDS 78 0001, and hiking 1 big hill.
102972 - -
102973 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102974 - slightly pain level 0, and knee stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102975 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102977 -  ..
102978 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102980 -  ..
102981 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102982 - pain level 2, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102983 - Q75J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102985 -  ..
102986 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102987 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102988 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102989 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102990 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102992 -  ..
102993 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102994 - 1344. ref SDS 79 SM4M  No blisters over 13 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102996 -  ..
102997 - Hydrofera Blue dressing did not apply to blisters/calluses below big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102998 - toes on both feet.  Wearing 2-pair double-ply Wright socks protected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102999 - blisters from further injury during 13-mile hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103001 -  ..
103002 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103003 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103004 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103006 -  ..
103007 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103008 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103009 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103010 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103011 - ref SDS 77 SM4M  After hike on 200426 shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103012 - Tailor's Bunions, and applied ammonium lactate lotion to feet.  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103013 - wore 2-pair Wrightsock thin double-ply socks, and laced shoes less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103014 - loosely.  During hike Tailors Bunion both feet pain level 0 for 17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103015 - miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103017 -  ..
103018 - Concord 3 mile route - hiked across bridge over American River in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103019 - Getty Park, located in Sacramento, and around the grounds.  Hiked a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103020 - mile of kathy's exercise route in Elk Grove.  Polar HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103021 - indicates sinus all the way tracking elevation changes with steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103022 - pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103024 -  ..
103025 -       Date     200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                                                                                                                                                     
103026 -       Miles        3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                                                                                                                                                                                                                                                                      
103027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103028 -       HR AVG      75    102     93    no     no     no     131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                                                                                                                                                      
103029 -         MAX      119    120    124   hike   hike   hike    165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                                                                                                                                                      
103030 -         Min       42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                                                                                                                                                                                      
103031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103033 -  ..
103034 - HR profile follows hiking and non-hiking periods during the entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103035 - day....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103038 -              https://flow.polar.com/training/analysis/4614074998                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103042 -   
103043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103046 -  ..
103047 - HR profile overnight looks very stable...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103050 -              https://flow.polar.com/training/analysis/4615929088                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103054 -   
103055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103057 -  ..
103058 - Breakfast - egg sausage hashbrown potatoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103059 - Lunch - half-Arby's roast beef sandwich, fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103060 - Dinner - pizza beer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103062 -  ..
103063 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103069 -         ..
103070 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103071 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103072 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103073 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103074 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103075 -  127.  200506 0700............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103076 -               0710....BP HR..................................................... 132  78  64  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103077 -               0715....BP HR..................................................... 128  76  59  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103078 -               0720....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103079 -               0700... 20 974420 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103080 -               0700... 80 184880 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103081 -           **  0700... 25   3750.0 Metoprolol Tartrate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103082 -               0700... 05 1080 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103083 -               0700... 75 7300 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103084 -               0000... Naproxen (Aleve) 2 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103085 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103086 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103087 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103088 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103089 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103090 -               0000... Naproxen (Aleve) 1 pill 250 mg - took after hiking 5 miles stopped at Texaco gas station on Ygnacio Valley Road and Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103091 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103092 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103093 -               1700... 40 56940 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
103094 -               1830............ 10 13580  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103095 -               1830............ 10 13170  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103096 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103097 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103098 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103099 -               0000... Oxycodone HCL Plain  5  195 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103100 -               2100... 40 36880 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103101 -               2130... 1000  804000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103102 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103103 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103104 -               2200... 05 1085 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103105 -               2200... 80 184960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103106 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103107 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103109 -  ..
103110 - ** Metoprolol Tartrate; - on 200504, continued because HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103111 - shows some PAF after ablation on 200430 0700, ref SDS 93 BL4K, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103112 - recorded during night on 200504, per above. ref SDS 0 IY8O  ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103113 - subsides overnight, but returns after taking metoprolol in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103114 - morning.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103116 -  ..
103117 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103119 -  ..
103120 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103121 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103122 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103124 -  ..
103125 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103127 -  ..
103128 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103130 -  ..
103131 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103132 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103134 -  ..
103135 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103137 -  ..
103138 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103139 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103141 -  ..
103142 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103143 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103144 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103145 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103146 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103147 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103148 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103149 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103150 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103151 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103152 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103153 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103154 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103156 -  ..
103157 - Hiking - none, a couple miles over the bridge at American River in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103158 - Getty park Sacramento, with Kathy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103160 -  ..
103161 - Breakfast - cheerios milk with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103162 - Lunch - half ham sandwich                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103163 - Dinner - tuna avocado cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103165 -  ..
103166 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103171 -         ..
103172 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103173 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103174 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103175 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103176 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103177 -  128.  200507 0650............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103178 -               0650....BP HR..................................................... 138  83  61  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103179 -               0655....BP HR..................................................... 136  79  60  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103180 -               0700....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103181 -               0700... 20 974440 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103182 -               0700... 80 185040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103183 -           **  0700... 25   3775.0 Metoprolol Tartrate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103184 -               0700... 05 1090 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103185 -               0700... 75 7375 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103186 -               1100... Naproxen (Aleve) 2 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103187 -               1100... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103188 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103189 -               1130... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103190 -               1140....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103191 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103192 -               1245....miles...........  15.0  31.0  251   529 minutes  temp  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103193 -               1805....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103194 -               1810....BP HR.....................................................  91  76  74   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103195 -               1815....BP HR.....................................................  85  64  76   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103196 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103197 -               0000... Naproxen (Aleve) 1 pill 250 mg - took after hiking 5 miles stopped at Texaco gas station on Ygnacio Valley Road and Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103198 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103199 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103200 -               1700... 40 56980 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
103201 -             1 0000............ 10 13590  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103202 -             1 0000............ 10 13180  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103203 -               2050... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103204 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103205 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103206 -               0000... Oxycodone HCL Plain  5  195 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103207 -               2100... 40 36920 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103208 -               2130... 1000  805000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103209 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103210 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103211 -               2200... 05 1095 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103212 -               2200... 80 185120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103213 -           **  2330... 25   3800.0 Metoprolol Tartrate - 2nd pill to reduce HR 145 at 2300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103214 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103215 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103217 -  ..
103218 - ** Metoprolol Tartrate; - on 200504, continued because HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103219 - shows some PAF after ablation on 200430 0700, ref SDS 93 BL4K, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103220 - recorded during night on 200504, per above. ref SDS 0 IY8O  ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103221 - subsides overnight, but returns after taking metoprolol in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103222 - morning.  Took extra Metoprolol at 2300, because HR 145 all day after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103223 - hike, possible side effect ablation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103225 -  ..
103226 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103228 -  ..
103229 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103230 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103231 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103233 -  ..
103234 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103236 -  ..
103237 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103239 -  ..
103240 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103241 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103243 -  ..
103244 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103246 -  ..
103247 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103248 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103250 -  ..
103251 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103252 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103253 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103254 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103255 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103256 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103257 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103258 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103259 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103260 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103261 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103262 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103263 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103265 -  ..
103266 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103267 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103269 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103270 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103271 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103272 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103273 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103274 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103275 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103276 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103277 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103278 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103279 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103280 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103281 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103282 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103283 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103284 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103285 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103286 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103287 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103288 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103289 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103290 -        Tailor's Bunion left foot.. PRP 190612.......   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103291 -        Tailor's Bunion right foot..PRP 190816.......   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103292 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103293 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103294 -        Metatarsalgia left foot...PRP 191009.........   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103295 -        Metatarsalgia right foot..PRP 191009.........   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103296 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103297 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103298 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103299 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103300 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103301 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103302 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103303 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103304 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103305 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103306 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103308 -  ..
103309 - Body feels okay after hiking 15 miles in 91 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103310 - on 191009 1500, ref SDS 78 0001, and hiking 1 big hill.
103312 - -
103313 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103314 - slightly pain level 0, and knee stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103315 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103317 -  ..
103318 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103320 -  ..
103321 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103322 - pain level 2, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103323 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103325 -  ..
103326 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103327 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103328 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103329 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103330 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103332 -  ..
103333 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103334 - 1344. ref SDS 79 SM4M  No blisters over 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103336 -  ..
103337 - Hydrofera Blue dressing did not apply to blisters/calluses below big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103338 - toes on both feet.  Wearing 2-pair double-ply Wright socks protected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103339 - blisters from further injury during 15-mile hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103341 -  ..
103342 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103343 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103344 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103346 -  ..
103347 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103348 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103349 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103350 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103351 - ref SDS 77 SM4M  After hike today on 200507, shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103352 - and Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103353 - Today, wore 2-pair Wrightsock thin double-ply socks, and laced shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103354 - less loosely.  During hike Tailors Bunion both feet pain level 2 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103355 - 5% of 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103357 -  ..
103358 - Concord 15 mile route - did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103359 - Starting energy okay today, and balance better, less wobbly after IVUS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103360 - cardiac catheterization ablation procedure at VAMCSF on 200430 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103361 - ref SDS 93 F94J  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103362 - ref SDS 77 SM4M; and wore 2-pair double-ply Wright socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103363 - 191010 1344, ref SDS 79 SM4M, to prevent blisters.  Took Metoprolol 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103364 - pill 25 mg in morning to manage HR during hike and minimize ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103365 - shortness of breath, and blurred vision side effects.  Hiked from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103366 - Cuneo uphill to Treat.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103367 - Then East on Treat 1 mile to Clayton.  Then South on Clayton using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103368 - mostly concrete sidewalk to Ygnacio Valley Road.  Turned West onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103369 - Ygnacio Valley Road continuing on concrete sidewalk another .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103370 - Crossed to South sideside Ygnacio Valley Road hiking West on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103371 - shoulder aganist East bound traffic.  At mile 5 in hike, stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103372 - Texaco gas station.  Bought Mountain Dew soft drink and pack of 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103373 - small donuts.  Ate 2 very small donuts.  Drank 50% softdrink, threw                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103374 - the rest away.  Hiked to Pine Hollow, then took Campus Road .75-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103375 - uphill to California Sate University visitor parking.  Legs did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103376 - tire going uphill, indicating vasodilation activated for rest of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103377 - Hiked 2-loops of about 1.25 miles through adjoining Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103378 - Student Parking lots.  At mile 8.4 took Campus Road North downhill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103379 - Ygnacio Valley Road.  Hiked West 2 miles uphill past Cowell and over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103380 - summit.  Crossed from South to North side Ygnacio Valley road to use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103381 - wide and flatter shoulder for about .5 mile over the summit.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103382 - back to South side of Ygnacio Valley Road and continued West 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103383 - downhill to Oak Grove.  Hiked 1-mile around Safeway shopping complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103384 - on asphalt path parallel to Ygnacio Valley Road to Via Monte.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103385 - North and hiked .25 mile to Shadelands.  Turned East and hiked .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103386 - mile back to Oak Grove.  Turned North and hiked 1 mile on asphalt path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103387 - and shoulder parallel to Oak Grove.  Crossed at traffic light to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103388 - side of Treat.  Hiked East 1 mile on concrete sidewalk.  At San Miguel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103389 - continued West up steep hill .5 mile on Treat, then .5 mile to Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103390 - and home for 15 mile hike.  Polar HR profile indicates sinus all the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103391 - way tracking elevation changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103393 -  ..
103394 -       Date     200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                                                                                                                                       
103395 -       Miles       15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                                                                                                                                                                                                                                                        
103396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103397 -       HR AVG     107    no      75    102     93    no     no     no     131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                                                                                                                                        
103398 -         MAX      136   hike    119    120    124   hike   hike   hike    165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                                                                                                                                        
103399 -         Min       65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                                                                                                                                                                        
103400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103402 -  ..
103403 - HR profile follows hiking and non-hiking periods during the entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103404 - day....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103407 -              https://flow.polar.com/training/analysis/4622858473                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103411 -   
103412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103414 -  ..
103415 - HR profile post-hike shows sudden climb to 145 within 2 hours after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103416 - completing the hike, and stayed there overnight.  Around 2300 took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103417 - Metoprolol pill. ref SDS 0 QA9L  By morning, HR dropped to 60.  Got up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103418 - and walked around for 20 minutes.  HR increased again to 145, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103419 - remained there, until took morning Metoprolol pill at 0915, shown in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103420 - the next record below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103423 -              https://flow.polar.com/training/analysis/4625790433                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103427 -   
103428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103430 -  ..
103431 - Breakfast - cheerios milk with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103432 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103433 - Dinner - macaroni cheese hamburger onion avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103435 -  ..
103436 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103441 -         ..
103442 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103443 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103444 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103445 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103446 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103447 -  129.  200508 0640............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103448 -               0645....BP HR..................................................... 103  84 151  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103449 -               0655....BP HR.....................................................  95  79 152  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103450 -               0700....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103451 -               0700... 20 974460 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103452 -               0700... 80 185200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103453 -           **  0700... 25   3825.0 Metoprolol Tartrate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103454 -               0700... 05 1100 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103455 -               0700... 75 7450 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103456 -               1100... Naproxen (Aleve) 2 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103457 -               1100... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103458 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103459 -               1130... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103460 -               1140....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103461 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103462 -               1110....miles...........   2.0  33.0   35   529 minutes  temp  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103463 -               1230....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103464 -               1300....BP HR.....................................................  96  65  66   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103465 -               1305....BP HR.....................................................  90  54  54   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103466 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103467 -               0000... Naproxen (Aleve) 1 pill 250 mg - took after hiking 5 miles stopped at Texaco gas station on Ygnacio Valley Road and Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103468 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103469 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103470 -               1700... 40 57020 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
103471 -               1830............ 10 13590  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103472 -               1830............ 10 13180  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103473 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103474 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103475 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103476 -               0000... Oxycodone HCL Plain  5  195 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103477 -               2100... 40 36960 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103478 -               2130... 1000  806000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103479 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103480 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103481 -               2200... 05 1105 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103482 -               2200... 80 185280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103483 -               2300....BP HR.....................................................  85  74 160   sinus - low BP may be stimulating high HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103484 -           **  2300... 25   3850.0 Metoprolol Tartrate - HR 61, so took 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103485 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103486 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103488 -  ..
103489 - ** Metoprolol Tartrate; - on 200504, continued because HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103490 - shows some PAF after ablation on 200430 0700, ref SDS 93 BL4K, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103491 - recorded during night on 200504, per above. ref SDS 0 IY8O  ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103492 - subsides overnight, but returns after taking metoprolol in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103493 - morning.  HR was 160+ at 2300, so took 2nd pill.  BP 85 74 very low                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103494 - so may be driving HR up.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103496 -  ..
103497 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103499 -  ..
103500 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103501 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103502 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103504 -  ..
103505 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103507 -  ..
103508 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103510 -  ..
103511 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103512 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103514 -  ..
103515 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103517 -  ..
103518 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103519 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103521 -  ..
103522 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103523 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103524 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103525 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103526 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103527 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103528 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103529 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103530 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103531 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103532 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103533 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103534 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103536 -  ..
103537 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103538 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103540 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103541 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103542 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103543 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103544 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103545 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103546 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103547 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103548 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103549 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103550 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103551 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103552 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103553 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103554 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103555 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103556 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103557 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103558 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103559 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103560 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103561 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103562 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103563 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103564 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103565 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103566 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103567 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103568 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103569 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103570 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103571 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103572 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103573 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103574 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103575 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103576 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103577 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103579 -  ..
103580 - Body feels weak, disoriented after hiking 2 miles in 95 degrees,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103581 - following PRP on 191009 1500, ref SDS 78 0001, and hiking 1 big hill.
103583 - -
103584 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103585 - slightly pain level 0, and knee stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103586 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103588 -  ..
103589 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103591 -  ..
103592 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103593 - pain level 2, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103594 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103596 -  ..
103597 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103598 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103599 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103600 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103601 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103603 -  ..
103604 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103605 - 1344. ref SDS 79 SM4M  No blisters over 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103607 -  ..
103608 - Hydrofera Blue dressing did not apply to blisters/calluses below big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103609 - toes on both feet.  Wearing 2-pair double-ply Wright socks protected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103610 - blisters from further injury during 15-mile hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103612 -  ..
103613 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103614 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103615 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103617 -  ..
103618 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103619 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103620 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103621 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103622 - ref SDS 77 SM4M  After hike today on 200507, shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103623 - and Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103624 - Today, wore 2-pair Wrightsock thin double-ply socks, and laced shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103625 - less loosely.  During hike Tailors Bunion both feet pain level 2 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103626 - 5% of 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103628 -  ..
103629 - Concord 2 mile route - hiked up Cuneo.  HR incresed from 54 to 150.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103630 - Continued hike across Cowell.  HR increased 160+.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103631 - around the block, then home.  Omron device would not record blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103632 - pressure and HR.  Felt weak and tired, so laid down.  An hour later,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103633 - BP reported way down, and HR has dropped back into normal zone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103634 - between 45-55.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103636 -  ..
103637 -       Date     200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                                                                                                                                
103638 -       Miles        2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                                                                                                                                                                                                                                                 
103639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103640 -       HR AVG     107    107    no      75    102     93    no     no     no     131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                                                                                                                                 
103641 -         MAX      136    136   hike    119    120    124   hike   hike   hike    165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                                                                                                                                 
103642 -         Min       65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                                                                                                                                                                 
103643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103645 -  ..
103646 - HR profile follows hiking and non-hiking periods during the entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103647 - day, and overnight until 0330.  Shows persistently high HR, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103648 - period of sinus then AF for maybe 4 hours, then periods of sinus but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103649 - elevated HR that correlate with very low BP...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103652 -              https://flow.polar.com/training/analysis/4628334968                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103656 -   
103657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103660 -  ..
103661 - Breakfast - cheerios milk with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103662 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103663 - Dinner - tuna salmon avocado sandwich, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103665 -  ..
103666 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103671 -         ..
103672 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103673 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103674 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103675 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103676 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103677 -  130.  200509 0335............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103678 -               0335....BP HR..................................................... 113  68  52  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103679 -               0340....BP HR..................................................... 100  62  53  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103680 -               0750....BP HR.....................................................  93  74 110  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103681 -               0755....BP HR.....................................................  87  72 153  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103682 -               0938....BP HR.....................................................  86  51  53  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103683 -               1246....BP HR..................................................... 101  59  55  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103684 -               1408....BP HR.....................................................  95  78 155  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103685 -               0800....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103686 -               0800... 20 974480 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103687 -               0800... 80 185360 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103688 -           **  0800... 25   3875.0 Metoprolol Tartrate - paused for EGD procedure today at VAMC Sacramento GI Clinic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103689 -               0800... 05 1110 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103690 -               0800... 75 7525 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103691 -               0000... Naproxen (Aleve) 2 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103692 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103693 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103694 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103695 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103696 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103697 -               1700... 40 57060 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
103698 -             1 0000............ 10 13600  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103699 -             1 0000............ 10 13190  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103700 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103701 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103702 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103703 -               0000... Oxycodone HCL Plain  5  195 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103704 -               2100... 40 37000 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103705 -               2130... 1000  807000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103706 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103707 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103708 -               2200... 05 1115 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103709 -               2200... 80 185440 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103710 -               2300....BP HR.....................................................  85  74 160   sinus - low BP may be stimulating high HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103711 -           **  2300... 25   3900.0 Metoprolol Tartrate - HR 61, so took 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103712 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103713 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103715 -  ..
103716 - ** Metoprolol Tartrate; - on 200504, continued because HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103717 - shows some PAF after ablation on 200430 0700, ref SDS 93 BL4K, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103718 - recorded during night on 200504, per above. ref SDS 0 IY8O  ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103719 - subsides overnight, but returns after taking metoprolol in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103720 - morning.  HR was 160+ at 2300, so took 2nd pill.  BP 85 74 very low                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103721 - so may be driving HR up.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103723 -  ..
103724 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103726 -  ..
103727 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103728 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103729 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103731 -  ..
103732 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103734 -  ..
103735 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103737 -  ..
103738 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103739 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103741 -  ..
103742 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103744 -  ..
103745 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103746 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103748 -  ..
103749 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103750 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103751 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103752 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103753 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103754 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103755 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103756 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103757 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103758 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103759 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103760 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103761 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103763 -  ..
103764 - Hiking - none, in ER and admitted at VAMCSF for ablation on Monday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103766 -  ..
103767 - Breakfast - cheerios milk with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103768 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103769 - Dinner - apple sause, cracker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103771 -  ..
103772 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103776 -         ..
103777 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103778 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103779 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103780 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103781 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103782 -  131.  200510 0610............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103783 -               0610....BP HR..................................................... 134  82  87  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103784 -               0615....BP HR..................................................... 129  78  79  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103785 -               0620....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103786 -               0620... 20 974500 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103787 -               0620... 80 185520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103788 -           **  0620... 25   3925.0 Metoprolol Tartrate -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103789 -               0000... 05 1110 Apixaban blood thinner RX 7088121 for stroke - paused for ablation procedure tomorrow on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103790 -               0620... 75 7600 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103791 -               0000... Naproxen (Aleve) 2 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103792 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103793 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103794 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103795 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103796 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103797 -               0000... Naproxen (Aleve) 1 pill 250 mg - took after hiking 5 miles stopped at Texaco gas station on Ygnacio Valley Road and Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103798 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103799 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103800 -               1700... 40 57100 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
103801 -               1830............ 10 13600  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103802 -               1830............ 10 13190  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103803 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103804 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103805 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103806 -               0000... Oxycodone HCL Plain  5  195 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103807 -               2100... 40 37040 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103808 -               2130... 1000  808000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103809 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103810 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103811 -               2200... 05 1115 Apixaban blood thinner RX 7088121 for stroke - paused for ablation procedure on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103812 -               2200... 80 185600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103813 -           **  2300... 25   3950.0 Metoprolol Tartrate - HR 61, so took 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103814 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103815 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103817 -  ..
103818 - ** Metoprolol Tartrate; - on 200504, continued because HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103819 - shows some PAF after ablation on 200430 0700, ref SDS 93 BL4K, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103820 - recorded during night on 200504, per above. ref SDS 0 IY8O  ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103821 - subsides overnight, but returns after taking metoprolol in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103822 - morning.  HR was 160+ at 2300, so took 2nd pill.  BP 85 74 very low                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103823 - so may be driving HR up.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103825 -  ..
103826 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103828 -  ..
103829 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103830 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103831 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103833 -  ..
103834 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103836 -  ..
103837 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103839 -  ..
103840 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103841 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103843 -  ..
103844 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103846 -  ..
103847 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103848 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103850 -  ..
103851 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103852 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103853 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103854 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103855 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103856 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103857 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103858 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103859 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103860 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103861 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103862 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103863 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103865 -  ..
103866 - Hiking - in hospital at VAMCSF for ablation tomorrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103868 -  ..
103869 - Breakfast - cheerios milk and egg with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103870 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103871 - Dinner - hamburger ate few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103873 -  ..
103874 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103879 -         ..
103880 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103881 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103882 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103883 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103884 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103885 -  132.  200511 0550............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103886 -               0550....BP HR..................................................... 120  73  82  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103887 -               0550....BP HR..................................................... 122  72  79  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103888 -               0600....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103889 -               0600... 20 974520 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103890 -               0600... 80 185680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103891 -           **  0600... 25   3975.0 Metoprolol Tartrate -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103892 -               0000... 05 1115 Apixaban blood thinner RX 7088121 for stroke - paused before ablation procedure today on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103893 -               0600... 75 7675 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103894 -               0000... Naproxen (Aleve) 2 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103895 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103896 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103897 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103898 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103899 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103900 -               0900....miles...........   2.0   2.0   35    35 minutes  temp  72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103901 -               1230....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103902 -               1300....BP HR.....................................................  96  65  66   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103903 -               1305....BP HR.....................................................  90  54  54   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103904 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103905 -               0000... Naproxen (Aleve) 1 pill 250 mg - took after hiking 5 miles stopped at Texaco gas station on Ygnacio Valley Road and Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103906 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103907 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103908 -               1930... 40 57140 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
103909 -             1 0000............ 10 13610  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103910 -             1 0000............ 10 13200  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103911 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103912 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103913 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103914 -               2100... 40 37080 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103915 -               2130... 1000  809000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103916 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103917 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103918 -               2200... 05 1120 Apixaban blood thinner RX 7088121 for stroke - paused for ablation procedure on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103919 -               2200... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103920 -               2200... 80 185760 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103921 -           **  0000... 25   3975.0 Metoprolol Tartrate - HR 52, so nurse did not give metoprolol tonight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103922 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103923 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103925 -  ..
103926 - ** Metoprolol Tartrate; - on 200504, continued because HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103927 - shows some PAF after ablation on 200430 0700, ref SDS 93 BL4K, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103928 - recorded during night on 200504, per above. ref SDS 0 IY8O  ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103929 - subsides overnight, but returns after taking metoprolol in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103930 - morning.  HR was 160+ at 2300, so took 2nd pill.  BP 85 74 very low                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103931 - so may be driving HR up.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103933 -  ..
103934 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103936 -  ..
103937 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103938 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103939 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103941 -  ..
103942 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103944 -  ..
103945 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103947 -  ..
103948 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103949 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103951 -  ..
103952 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103954 -  ..
103955 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103956 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103958 -  ..
103959 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103960 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103961 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103962 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103963 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103964 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103965 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103966 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103967 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103968 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103969 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103970 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103971 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103973 -  ..
103974 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103975 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103977 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103978 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103979 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103980 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103981 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103982 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103983 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103984 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103985 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103986 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103987 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103988 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103989 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103990 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103991 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103992 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103993 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103994 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103995 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103996 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103997 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103998 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103999 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104000 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104001 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104002 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104003 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104004 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104005 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104006 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104007 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104008 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104009 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104010 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104011 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104012 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104013 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104014 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104016 -  ..
104017 - Body feels good, hiking 2 miles around hospital ward prior to ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104018 - procedure, and following PRP on 191009 1500, ref SDS 78 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104019 - hiking 1 big hill.
104021 - -
104022 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104023 - slightly pain level 0, and knee stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104024 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104026 -  ..
104027 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104029 -  ..
104030 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104031 - pain level 2, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104032 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104034 -  ..
104035 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104036 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104037 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104038 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104039 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104041 -  ..
104042 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104043 - 1344. ref SDS 79 SM4M  No blisters over 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104045 -  ..
104046 - Hydrofera Blue dressing did not apply to blisters/calluses below big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104047 - toes on both feet.  Wearing 2-pair double-ply Wright socks protected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104048 - blisters from further injury during 15-mile hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104050 -  ..
104051 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104052 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104053 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104055 -  ..
104056 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104057 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104058 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104059 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104060 - ref SDS 77 SM4M  After hike today on 200507, shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104061 - and Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104062 - Today, wore 2-pair Wrightsock thin double-ply socks, and laced shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104063 - less loosely.  During hike Tailors Bunion both feet pain level 2 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104064 - 5% of 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104066 -  ..
104067 - San Francisco VAMCSF 2 mile route - hiked loop around the 2nd floor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104068 - hopsital ward in 2B South Telemetry.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104070 -  ..
104071 - Breakfast - NPO for ablation at VAMCSF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104072 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104073 - Dinner - cherry pie few bites with milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104075 -  ..
104076 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104081 -         ..
104082 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104083 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104084 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104085 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104086 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104087 -  133.  200512 0430............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104088 -               0450....BP HR..................................................... 120  73  82  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104089 -               0450....BP HR..................................................... 122  72  79  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104090 -               0450....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104091 -               0530... 20 974540 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104092 -               0530... 80 185840 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104093 -           **  0530... 25   4000.0 Metoprolol Tartrate -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104094 -               0530... 05 1125 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104095 -               0530... 75 7750 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104096 -               0000... Naproxen (Aleve) 2 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104097 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104098 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104099 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104100 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104101 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104102 -               0600....miles...........   3.0   5.0   51   121 minutes  temp  72  in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104103 -               0930....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104104 -               0940....BP HR..................................................... 117  62  68   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104105 -               0945....BP HR..................................................... 114  64  66   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104106 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104107 -               0000... Naproxen (Aleve) 1 pill 250 mg - took after hiking 5 miles stopped at Texaco gas station on Ygnacio Valley Road and Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104108 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104109 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104110 -               1700... 40 57180 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
104111 -               1830............ 10 13620  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104112 -               1830............ 10 13210  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104113 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104114 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104115 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104116 -               0000... Oxycodone HCL Plain  5  195 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104117 -               2100... 40 37120 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104118 -               2130... 1000  810000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104119 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104120 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104121 -               2200... 05 1130 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104122 -               2200... 80 185920 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104123 -           **  0000... 25   4000.0 Metoprolol Tartrate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104124 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104125 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104127 -  ..
104128 - ** Metoprolol Tartrate; - on 200504, continued because HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104129 - shows some PAF after ablation on 200430 0700, ref SDS 93 BL4K, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104130 - recorded during night on 200504, per above. ref SDS 0 IY8O  ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104131 - subsides overnight, but returns after taking metoprolol in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104132 - morning.  HR was 160+ at 2300, so took 2nd pill.  BP 85 74 very low                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104133 - so may be driving HR up.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104135 -  ..
104136 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104138 -  ..
104139 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104140 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104141 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104143 -  ..
104144 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104146 -  ..
104147 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104149 -  ..
104150 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104151 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104153 -  ..
104154 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104156 -  ..
104157 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104158 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104160 -  ..
104161 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104162 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104163 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104164 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104165 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104166 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104167 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104168 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104169 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104170 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104171 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104172 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104173 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104175 -  ..
104176 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104177 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104179 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104180 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104181 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104182 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104183 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104184 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104185 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104186 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104187 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104188 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104189 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104190 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104191 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104192 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104193 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104194 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104195 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104196 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104197 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104198 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104199 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104200 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104201 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104202 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104203 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104204 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104205 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104206 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104207 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104208 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104209 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104210 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104211 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104212 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104213 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104214 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104215 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104216 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104218 -  ..
104219 - Body feels weak, disoriented after hiking 2 miles in 95 degrees,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104220 - following PRP on 191009 1500, ref SDS 78 0001, and hiking 1 big hill.
104222 - -
104223 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104224 - slightly pain level 0, and knee stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104225 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104227 -  ..
104228 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104230 -  ..
104231 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104232 - pain level 2, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104233 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104235 -  ..
104236 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104237 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104238 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104239 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104240 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104242 -  ..
104243 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104244 - 1344. ref SDS 79 SM4M  No blisters over 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104246 -  ..
104247 - Hydrofera Blue dressing did not apply to blisters/calluses below big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104248 - toes on both feet.  Wearing 2-pair double-ply Wright socks protected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104249 - blisters from further injury during 15-mile hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104251 -  ..
104252 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104253 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104254 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104256 -  ..
104257 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104258 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104259 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104260 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104261 - ref SDS 77 SM4M  After hike today on 200507, shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104262 - and Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104263 - Today, wore 2-pair Wrightsock thin double-ply socks, and laced shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104264 - less loosely.  During hike Tailors Bunion both feet pain level 2 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104265 - 5% of 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104267 -  ..
104268 - San Francisco VAMCSF 3 mile route - hiked loop around the 2nd floor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104269 - hopsital ward in 2B South Telemetry.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104271 -  ..
104272 - Breakfast - egg sausage - ate few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104273 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104274 - Dinner - tuna salmon sandwich avocado chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104276 -  ..
104277 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104283 -         ..
104284 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104285 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104286 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104287 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104288 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104289 -  134.  200513 0640............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104290 -               0650....BP HR..................................................... 109  70  62  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104291 -               0655....BP HR..................................................... 132  74  64  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104292 -               0710....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104293 -               0710... 20 974560 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104294 -               0710... 80 186000 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104295 -           **  0710... 25   4025.0 Metoprolol Tartrate -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104296 -               0710... 05 1135 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104297 -               0710... 75 7825 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104298 -               0000... Naproxen (Aleve) 2 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104299 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104300 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104301 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104302 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104303 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104304 -               0000... Naproxen (Aleve) 1 pill 250 mg - took after hiking 5 miles stopped at Texaco gas station on Ygnacio Valley Road and Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104305 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104306 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104307 -               1700... 40 57220 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
104308 -             1 0000............ 10 13620  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104309 -             1 0000............ 10 13210  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104310 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104311 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104312 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104313 -               0000... Oxycodone HCL Plain  5  195 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104314 -               2100... 40 37160 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104315 -               2130... 1000  811000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104316 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104317 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104318 -               2200... 05 1140 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104319 -               2200... 80 186080 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104320 -           **  0000... 25   4025.0 Metoprolol Tartrate - HR 55 so did not took 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104321 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104322 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104324 -  ..
104325 - ** Metoprolol Tartrate; - on 200504, continued because HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104326 - shows some PAF after ablation on 200430 0700, ref SDS 93 BL4K, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104327 - recorded during night on 200504, per above. ref SDS 0 IY8O  ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104328 - subsides overnight, but returns after taking metoprolol in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104329 - morning.  HR was 160+ at 2300, so took 2nd pill.  BP 85 74 very low                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104330 - so may be driving HR up.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104332 -  ..
104333 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104335 -  ..
104336 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104337 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104338 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104340 -  ..
104341 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104343 -  ..
104344 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104346 -  ..
104347 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104348 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104350 -  ..
104351 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104353 -  ..
104354 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104355 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104357 -  ..
104358 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104359 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104360 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104361 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104362 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104363 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104364 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104365 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104366 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104367 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104368 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104369 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104370 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104372 -  ..
104373 - Hiking - none, rehab ablation procedure resolve atrial flutter at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104374 - VAMCSF on 200511.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104376 -  ..
104377 -       Date     200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                                                                                             
104378 -       Miles        0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                                                                                                                                                                                                              
104379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104380 -       HR AVG     no     no     no     no     no     107    107    no      75    102     93    no     no     no     131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                                                                                              
104381 -         MAX     data   hike   hike   hike   hike    136    136   hike    119    120    124   hike   hike   hike    165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                                                                                              
104382 -         Min                                                 65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                                                                                                                       
104383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104385 -  ..
104386 - HR profile follows variance in activity then stable during sleep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104389 -              https://flow.polar.com/training/analysis/4649636542                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104393 -   
104394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104396 -  ..
104397 - Breakfast - cheerios chia seeds milk with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104398 - Lunch - sandwich balogna cheese tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104399 - Dinner - macaroni cheese hamburger asparagus eggs onion tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104401 -  ..
104402 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104408 -         ..
104409 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104410 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104411 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104412 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104413 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104414 -  135.  200514 0730............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104415 -               0740....BP HR..................................................... 144  82  58  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104416 -               0745....BP HR..................................................... 141  86  56  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104417 -               0750....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104418 -               0750... 20 974580 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104419 -               0750... 80 186160 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104420 -           **  0750... 25   4050.0 Metoprolol Tartrate -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104421 -               0750... 05 1145 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104422 -               0750... 75 7900 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104423 -               0000... Naproxen (Aleve) 2 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104424 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104425 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104426 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104427 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104428 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104429 -               0000... Naproxen (Aleve) 1 pill 250 mg - took after hiking 5 miles stopped at Texaco gas station on Ygnacio Valley Road and Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104430 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104431 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104432 -               1700... 40 57260 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
104433 -               1830............ 10 13630  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104434 -               1830............ 10 13220  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104435 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104436 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104437 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104438 -               0000... Oxycodone HCL Plain  5  195 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104439 -               2100... 40 37200 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104440 -               2130... 1000  812000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104441 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104442 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104443 -               2200... 05 1150 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104444 -               2200... 80 186240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104445 -           **  0000... 25   4050.0 Metoprolol Tartrate - HR 55 so did not took 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104446 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104447 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104449 -  ..
104450 - ** Metoprolol Tartrate; - on 200504, continued because HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104451 - shows some PAF after ablation on 200430 0700, ref SDS 93 BL4K, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104452 - recorded during night on 200504, per above. ref SDS 0 IY8O  ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104453 - subsides overnight, but returns after taking metoprolol in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104454 - morning.  HR was 160+ at 2300, so took 2nd pill.  BP 85 74 very low                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104455 - so may be driving HR up.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104457 -  ..
104458 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104460 -  ..
104461 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104462 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104463 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104465 -  ..
104466 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104468 -  ..
104469 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104471 -  ..
104472 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104473 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104475 -  ..
104476 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104478 -  ..
104479 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104480 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104482 -  ..
104483 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104484 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104485 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104486 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104487 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104488 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104489 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104490 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104491 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104492 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104493 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104494 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104495 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104497 -  ..
104498 - Hiking - none, rehab ablation procedure resolve atrial flutter at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104499 - VAMCSF on 200511.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104501 -  ..
104502 -       Date     200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                                                                                      
104503 -       Miles        0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                                                                                                                                                                                                       
104504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104505 -       HR AVG     no     no     no     no     no     no     107    107    no      75    102     93    no     no     no     131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                                                                                       
104506 -         MAX     hike   hike   data   data   hike   hike    136    136   hike    119    120    124   hike   hike   hike    165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                                                                                       
104507 -         Min                                                 65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                                                                                                                       
104508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104510 -  ..
104511 - HR profile for most of today and overnight seems like recurrent PAF...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104514 -              https://flow.polar.com/training/analysis/4653623422                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104518 -   
104519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104522 -  ..
104523 - Breakfast - cheerios chia seeds milk with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104524 - Lunch - sandwich balogna cheese tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104525 - Dinner - macaroni cheese hamburger asparagus eggs onion tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104527 -  ..
104528 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104534 -         ..
104535 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104536 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104537 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104538 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104539 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104540 -  136.  200515 0730............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104541 -               0740....BP HR..................................................... 139  77  66  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104542 -               0745....BP HR..................................................... 118  78  54  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104543 -               0750....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104544 -               0750... 20 974600 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104545 -               0750... 80 186320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104546 -           **  0750... 25   4075.0 Metoprolol Tartrate -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104547 -               0750... 05 1155 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104548 -               0750... 75 7975 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104549 -               0000... Naproxen (Aleve) 2 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104550 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104551 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104552 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104553 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104554 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104555 -               0000... Naproxen (Aleve) 1 pill 250 mg - took after hiking 5 miles stopped at Texaco gas station on Ygnacio Valley Road and Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104556 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104557 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104558 -               1700... 40 57300 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
104559 -             1 0000............ 10 13630  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104560 -             1 0000............ 10 13220  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104561 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104562 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104563 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104564 -               0000... Oxycodone HCL Plain  5  195 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104565 -               2100... 40 37240 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104566 -               2130... 1000  813000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104567 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104568 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104569 -               2200... 05 1160 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104570 -               2200... 80 186400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104571 -           **  0000... 25   4075.0 Metoprolol Tartrate - HR 55 so did not took 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104572 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104573 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104575 -  ..
104576 - ** Metoprolol Tartrate; - on 200504, continued because HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104577 - shows some PAF after ablation on 200430 0700, ref SDS 93 BL4K, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104578 - recorded during night on 200504, per above. ref SDS 0 IY8O  ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104579 - subsides overnight, but returns after taking metoprolol in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104580 - morning.  HR was 160+ at 2300, so took 2nd pill.  BP 85 74 very low                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104581 - so may be driving HR up.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104583 -  ..
104584 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104586 -  ..
104587 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104588 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104589 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104591 -  ..
104592 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104594 -  ..
104595 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104597 -  ..
104598 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104599 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104601 -  ..
104602 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104604 -  ..
104605 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104606 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104608 -  ..
104609 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104610 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104611 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104612 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104613 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104614 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104615 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104616 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104617 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104618 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104619 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104620 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104621 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104623 -  ..
104624 - Hiking - none, rehab ablation procedure resolve atrial flutter at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104625 - VAMCSF on 200511.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104627 -  ..
104628 -       Date     200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                                                                               
104629 -       Miles        0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                                                                                                                                                                                                
104630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104631 -       HR AVG      62    no     no     no     no     no     no     107    107    no      75    102     93    no     no     no     131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                                                                                
104632 -         MAX      146   hike   hike   data   data   hike   hike    136    136   hike    119    120    124   hike   hike   hike    165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                                                                                
104633 -         Min       44                                               65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                                                                                                                
104634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104636 -  ..
104637 - HR profile for most of today and overnight seems like sinus...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104640 -              https://flow.polar.com/training/analysis/4657632907                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104644 -   
104645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104647 -  ..
104648 - Breakfast - cheerios chia seeds milk with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104649 - Lunch - sandwich tuna salmon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104650 - Dinner - brocolli avocado onion tomato mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104652 -  ..
104653 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104658 -         ..
104659 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104660 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104661 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104662 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104663 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104664 -  137.  200516 0720............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104665 -               0730....BP HR..................................................... 133  81  68  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104666 -               0735....BP HR..................................................... 126  76  71  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104667 -               0740....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104668 -               0740... 20 974620 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104669 -               0740... 80 186480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104670 -           **  0740... 25   4100.0 Metoprolol Tartrate -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104671 -               0740... 05 1165 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104672 -               0740... 75 7850 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104673 -               1000... Naproxen (Aleve) 2 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104674 -               1000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104675 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104676 -               1030... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104677 -               1030....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104678 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104679 -               1100....miles...........  12.0  17.0  198   284 minutes  temp  72  windy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104680 -               1515....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104681 -               1520....BP HR..................................................... 103  64  60   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104682 -               1535....BP HR..................................................... 104  70  70   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104683 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104684 -               0000... Naproxen (Aleve) 1 pill 250 mg - took after hiking 5 miles stopped at Texaco gas station on Ygnacio Valley Road and Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104685 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104686 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104687 -               1700... 40 57340 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
104688 -               1830............ 10 13640  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104689 -               1830............ 10 13230  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104690 -               1930... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104691 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104692 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104693 -               0000... Oxycodone HCL Plain  5  195 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104694 -               2100... 40 37280 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104695 -               2130... 1000  814000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104696 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104697 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104698 -               2200... 05 1170 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104699 -               2200... 80 186560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104700 -           **  0000... 25   4100.0 Metoprolol Tartrate - HR 55 so did not took 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104701 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104702 -               0000... Nitroglycerin  0.3 mg   0.6 - chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104704 -  ..
104705 - ** Metoprolol Tartrate; - on 200504, continued because HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104706 - shows some PAF after ablation on 200430 0700, ref SDS 93 BL4K, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104707 - recorded during night on 200504, per above. ref SDS 0 IY8O  ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104708 - subsides overnight, but returns after taking metoprolol in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104709 - morning.  HR was 160+ at 2300, so took 2nd pill.  BP 85 74 very low                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104710 - so may be driving HR up.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104712 -  ..
104713 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104715 -  ..
104716 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104717 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104718 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104720 -  ..
104721 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104723 -  ..
104724 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104726 -  ..
104727 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104728 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104730 -  ..
104731 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104733 -  ..
104734 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104735 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104737 -  ..
104738 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104739 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104740 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104741 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104742 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104743 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104744 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104745 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104746 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104747 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104748 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104749 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104750 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104752 -  ..
104753 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104754 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104756 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104757 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104758 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104759 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104760 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104761 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104762 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104763 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104764 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104765 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104766 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104767 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104768 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104769 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104770 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104771 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104772 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104773 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104774 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104775 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104776 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104777 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104778 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104779 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104780 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104781 -        Metatarsalgia left foot...PRP 191009.........   2         15  bottom below ring toe while hiking on Clayton concrete sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104782 -        Metatarsalgia right foot..PRP 191009.........   2         15  bottom below ring toe while hiking on Clayton concrete sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104783 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104784 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104785 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104786 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104787 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104788 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104789 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104790 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104791 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104792 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104793 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104795 -  ..
104796 - Body feels okay, after hiking 12 miles in 72 degrees, following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104797 - 191009 1500, ref SDS 78 0001, and hiking 1 big hill.
104799 - -
104800 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104801 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104802 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104804 -  ..
104805 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104807 -  ..
104808 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104809 - pain level 1, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104810 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104812 -  ..
104813 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104814 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104815 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104816 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104817 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104819 -  ..
104820 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104821 - 1344. ref SDS 79 SM4M  No blisters over 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104823 -  ..
104824 - Hydrofera Blue dressing did not apply to blisters/calluses below big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104825 - toes on both feet.  Wearing 2-pair double-ply Wright socks protected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104826 - blisters from further injury during 15-mile hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104828 -  ..
104829 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104830 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104831 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104833 -  ..
104834 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104835 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104836 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104837 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104838 - ref SDS 77 SM4M  After hike today on 200516, shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104839 - and Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104840 - ref SDS 0 ZT8F  Today, wore 2-pair Wrightsock thin double-ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104841 - and laced shoes less loosely.  During hike Tailors Bunion both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104842 - pain level 2 for 15% of 12 miles, mostly hiking on concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104844 -  ..
104845 - Concord 12 mile route - did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104846 - Starting energy okay today, and balance better, less wobbly after IVUS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104847 - cardiac catheterization ablation procedure at VAMCSF on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104848 - ref SDS 94 244I  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104849 - ref SDS 77 SM4M; and wore 2-pair double-ply Wright socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104850 - 191010 1344, ref SDS 79 SM4M, to prevent blisters.  Took Metoprolol 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104851 - pill 25 mg in morning to manage HR during hike and minimize ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104852 - shortness of breath, and blurred vision side effects.  Hiked from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104853 - Cuneo uphill to Treat.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104854 - Then East on Treat 1 mile to Clayton.  Then South on Clayton hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104855 - mostly on concrete sidewalk to Ygnacio Valley Road.  Turned West onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104856 - Ygnacio Valley Road continuing on concrete sidewalk another .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104857 - Crossed to South sideside Ygnacio Valley Road hiking West on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104858 - shoulder aganist East bound traffic.  At mile 5 in hike, stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104859 - Texaco gas station.  Bought Mountain Dew softw drink and pack ot 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104860 - small donuts.  Ate 2 very small donuts.  Drank 50% softdrink, threw                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104861 - the rest away.  Hiked to Pine Hollow, then took Campus Road .75-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104862 - uphill to California Sate University visitor parking.  Legs did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104863 - tire going uphill, indicating vasodilation activated for rest of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104864 - Hiked 1-loop of about 1.25 miles through adjoining Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104865 - Parking lots, incuding hiking uphill .2 mile on the cross street                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104866 - between upper and lower areas.  At mile 7.2 took Campus Road North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104867 - downhill to Ygnacio Valley Road.  Hiked West 2 miles uphill past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104868 - Cowell and over summit.  Crossed from South to North side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104869 - Valley road to use wide and flatter shoulder for about .5 mile over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104870 - the summit.  Saw and waved to the lady who hikes Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104871 - with neck brace hiking East on South side, while I was hiking West.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104872 - Over the summit and past the concrete traffic barriar seperating East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104873 - and West bound traffic, crossed back to South side of Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104874 - Road.  Continued West 2 miles downhill to Oak Grove.  Hiked 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104875 - around Safeway shopping complex on asphalt path parallel to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104876 - Valley Road to Via Monte.  Turned North and hiked .25 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104877 - Shadelands.  Turned East and hiked .25 mile back to Oak Grove.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104878 - North and hiked 1 mile on asphalt path and shoulder parallel to Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104879 - Grove.  Kathy drove us home at corner of Oak Grove and Treat for 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104880 - miles.  Polar HR profile indicates sinus all the way tracking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104881 - elevation changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104883 -  ..
104884 -       Date     200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                                                                        
104885 -       Miles       12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                                                                                                                                                                                         
104886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104887 -       HR AVG     100     62    no     no     no     no     no     no     107    107    no      75    102     93    no     no     no     131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                                                                         
104888 -         MAX      115    146   hike   hike   data   data   hike   hike    136    136   hike    119    120    124   hike   hike   hike    165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                                                                         
104889 -         Min       84     44                                               65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                                                                                                         
104890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104892 -  ..
104893 - Polar monitor was set for indoors for 1st 2.8 mile.  Setting was then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104894 - switched to hiking.  HR profile shows sinus rhythm tracking elevation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104895 - profile, so no likely AF, and max HR 115 indicates no atrial flutter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104896 - following ablation on 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104899 -              https://flow.polar.com/training/analysis/4659320582                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104903 -   
104904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104906 -  ..
104907 - HR profile post-hike beginning OA 2350 until 0830 next morning shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104908 - steady heart beat 70 +/- for 4 hours, then about an hour of AF, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104909 - another hour of HR 70 +/-.  The steady HR could be interpreted as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104910 - slight atrial flutter, since normal HR 45 - 55...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104913 -              https://flow.polar.com/training/analysis/4662608537                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104917 -   
104918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104920 -  ..
104921 - Breakfast - cheerios chia seeds milk banana with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104922 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104923 - Dinner - lasanga - pasta brocolli hamburger avocado onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104925 -  ..
104926 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104932 -         ..
104933 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104934 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104935 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104936 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104937 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104938 -  138.  200517 0820............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104939 -               0830....BP HR..................................................... 124  76  71  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104940 -               0835....BP HR..................................................... 124  78  68  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104941 -               0840....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104942 -               0840... 20 974640 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104943 -               0840... 80 186640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104944 -           **  0840... 25   4125.0 Metoprolol Tartrate -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104945 -               0840... 05 1175 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104946 -               0840... 75 7875 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104947 -               1000... Naproxen (Aleve) 2 pill 250 mg - trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104948 -               1000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104949 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104950 -               1030... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104951 -               1030....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104952 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104953 -               1130....miles...........  14.0  17.0  227   511 minutes  temp  72  windy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104954 -               1525....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104955 -               1530....BP HR..................................................... 113  69  82   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104956 -               1535....BP HR..................................................... 114  69  60   sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104957 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104958 -               1700... 40 57380 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
104959 -             1 0000............ 10 13640  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104960 -             1 0000............ 10 13230  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104961 -               1930... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104962 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104963 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104964 -               0000... Oxycodone HCL Plain  5  195 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104965 -           **  2030... 25   4150.0 Metoprolol Tartrate - HR 75 so took 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104966 -               2100... 40 37320 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104967 -               2130... 1000  815000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104968 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104969 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104970 -               2200... 05 1180 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104971 -               2200... 80 186720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104972 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104973 -               2300... stomach hurting, see vomitting. ref SDS 0 TTQP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104975 -  ..
104976 - ** Metoprolol Tartrate; - on 200504, continued because HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104977 - shows some PAF after ablation on 200430 0700, ref SDS 93 BL4K, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104978 - recorded during night on 200504, per above. ref SDS 0 IY8O  ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104979 - subsides overnight, but returns after taking metoprolol in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104980 - morning.  HR was 75+ at 2030, so took 2nd pill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104982 -  ..
104983 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104985 -  ..
104986 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104987 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104988 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104990 -  ..
104991 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104993 -  ..
104994 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104996 -  ..
104997 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104998 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105000 -  ..
105001 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105003 -  ..
105004 - Frequent urination and Pantoprazole, shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105005 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105007 -  ..
105008 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105009 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105010 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105011 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105012 - Cannot take Naproxen, because it inhibits results of PRP.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105013 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105014 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105015 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105016 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105017 - later with 60 cc normal blood concentration stimulate production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105018 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105019 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105020 - so need for pain medication recurs, then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105022 -  ..
105023 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105024 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105026 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105027 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105028 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105029 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105030 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105031 -        Trapezius right side neck/shoulder...........   8          1  flashes severe pain turning head right, twisting body right only once during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105032 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105033 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105034 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105035 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105036 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105037 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105038 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105039 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105040 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105041 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105042 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105043 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105044 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105045 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105046 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105047 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105048 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105049 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105050 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105051 -        Metatarsalgia left foot...PRP 191009.........   2         60  bottom below ring toe while hiking on Clayton concrete sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105052 -        Metatarsalgia right foot..PRP 191009.........   2         60  bottom below ring toe while hiking on Clayton concrete sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105053 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105054 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105055 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105056 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105057 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105058 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105059 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105060 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105061 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105062 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105063 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105065 -  ..
105066 - Body feels okay, after hiking 14 miles in 72 degrees and against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105067 - strong winds going uphill, following PRP on 191009 1500, ref SDS 78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105068 - 0001, and hiking 1 big hill.
105070 - -
105071 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105072 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105073 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105075 -  ..
105076 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105078 -  ..
105079 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105080 - pain level 1, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105081 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105083 -  ..
105084 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105085 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105086 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105087 - laces loose at forefoot to reduce pressure on Tailor's Bunions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105088 - Worked well during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105090 -  ..
105091 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105092 - 1344. ref SDS 79 SM4M  No blisters over 14 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105094 -  ..
105095 - Hydrofera Blue dressing did not apply to blisters/calluses below big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105096 - toes on both feet.  Wearing 2-pair double-ply Wright socks protected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105097 - blisters from further injury during 14-mile hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105099 -  ..
105100 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105101 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105102 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105104 -  ..
105105 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105106 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105107 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105108 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105109 - ref SDS 77 SM4M  After hike today on 200517, shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105110 - and Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105111 - ref SDS 0 HJ7N  Today, wore 2-pair Wrightsock thin double-ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105112 - and laced shoes loosely.  During hike Tailors Bunion both feet pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105113 - level 0; bottom fat pads both feet pain level 2 for 60% of 14 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105115 -  ..
105116 - Concord 14 mile route - did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105117 - Starting energy okay today, and balance better, less wobbly after IVUS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105118 - cardiac catheterization ablation procedure at VAMCSF on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105119 - ref SDS 94 244I  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105120 - ref SDS 77 SM4M; and wore 2-pair double-ply Wright socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105121 - 191010 1344, ref SDS 79 SM4M, to prevent blisters.  Took Metoprolol 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105122 - pill 25 mg in morning to manage HR during hike and minimize ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105123 - shortness of breath, and blurred vision side effects.  Hiked from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105124 - Cuneo uphill to Treat.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105125 - Continued at good pace on Treat hiking East 1 mile to Clayton.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105126 - mile .5 felt pain level 1 left knee.  Called Kathy to bring Diclofenac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105127 - medication, because forgot to apply before starting hike.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105128 - 1.25 time 19 minutes.  Turned South onto Clayton hiking mostly on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105129 - concrete sidewalk to Ygnacio Valley Road.  About mile 2, Kathy arrived                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105130 - in commercial area parking lot.  Applied Diclofenac to left knee.  She                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105131 - also brought small cherry pie to eat at mile 5, when stopping at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105132 - Texaco gas staion.  Continued on Clayton to mile 3.75, and turned West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105133 - onto Ygnacio Valley Road hiking on concrete sidewalk another .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105134 - Crossed to South side Ygnacio Valley Road hiking West on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105135 - shoulder aganist East bound traffic.  At mile 5, stopped at Texaco gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105136 - station.  Bought softdrink.  Drank half and ate most of small cherry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105137 - pie.  Threw the rest away.  Used Kardia device to do ECG heart report.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105138 - Hiked to Pine Hollow, then took Campus Road .75-mile uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105139 - California Sate University visitor parking.  Legs did not tire going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105140 - uphill, indicating vasodilation active for rest of hike.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105141 - 2-loops of about 1.25 miles through adjoining Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105142 - Parking lots, incuding an uphill .2 mile cross street between upper                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105143 - and lower areas.  At mile 8.4 took Campus Road North downhill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105144 - Ygnacio Valley Road.  Hiked West 2 miles past Crystal Ranch Road, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105145 - uphill past Cowell and over summit.  Crossed from South to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105146 - Ygnacio Valley road to use wide, flat roadway shoulder for about .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105147 - mile over the summit.  Past summit and past concrete traffic barriar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105148 - seperating East and West bound traffic, crossed back to South side of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105149 - Ygnacio Valley Road.  Continued West 2 miles downhill to Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105150 - Strong Westerly wind pushed brim of hat into face, so had to remove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105151 - hat.  On reaching Oak Grove, continued West for .25 mile parallel to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105152 - Ygnacio Valley Road using paved path around Safeway shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105153 - Turned North onto Via Monte, and hiked .25 mile to Shadelands.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105154 - around and hike South on Via Monte back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105155 - Turned East and hiked .25 mile back to Oak Grove, completing a mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105156 - Turned North and hiked 1 mile on asphalt path and shoulder parallel to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105157 - Oak Grove.  On reaching Treat, Kathy drove us home at corner of Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105158 - Grove and Treat for 14 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105160 -  ..
105161 - Kardia recorded HR 51 before hike - reported normal sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105163 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200517-ecg-104325_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105165 -  ..
105166 - Kardia recorded HR 76 at 5 miles - reported normal sinus, but seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105167 - problematic...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105169 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200517-ecg-125702_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105171 -  ..
105172 - Kardia recorded HR 96 at 14 miles - reported normal sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105174 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200517-ecg-154736_mile_14.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105176 -  ..
105177 - Polar HR profile indicates sinus all the way tracking elevation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105178 - changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105180 -       Date     200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                                                                 
105181 -       Miles       14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                                                                                                                                                                                  
105182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105183 -       HR AVG      98    100     62    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                                                                  
105184 -         MAX      122    115    146   hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                                                                  
105185 -         Min       60     84     44                                               65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                                                                                                  
105186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105188 -  ..
105189 - HR profile shows good, steady sinus rhythm following ablation to treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105190 - AF, tracking elevation profile, so no likely AF, and max HR 122                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105191 - indicates no atrial flutter, following ablation right atrial to treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105192 - flutter on 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105195 -              https://flow.polar.com/training/analysis/4664432422                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105199 -   
105200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105202 -  ..
105203 - HR profile post-hike beginning OA 1721 until 0820 next morning shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105204 - heart beat 70 +/- with spikes for an hour, reflecting going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105205 - down stairs.  Then stable 70s for few hours.  Then erratic for several                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105206 - hours when got sick, per below. ref SDS 0 TTQU  Then about 6 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105207 - steady in 50s with coulple isolated spikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105209 -              https://flow.polar.com/training/analysis/4666780462                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105213 -   
105214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105216 -  ..
105217 - Breakfast - cheerios chia seeds milk banana with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105218 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105219 - Dinner - lasanga - pasta brocolli hamburger avocado onion cheese, pie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105220 - ice cream                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105222 -  ..
105223 - Vomiting: 100% dinner began feeling stomach hurt OA 2300; took more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105224 - calcium carbonate.  Vomitted OA 1230 - 0100.  Stomach continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105225 - hurting until 0200, but no repeat vomitting.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105231 -         ..
105232 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105233 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105234 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105235 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105236 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105237 -  139.  200518 0820............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105238 -               0830....BP HR..................................................... 142  80  81  Kardia ECG reports normal, see below. ref SDS 0 TVWT                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105239 -               0835....BP HR..................................................... 145  87  78  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105240 -               0840....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105241 -               0840... 20 974660 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105242 -               0840... 80 186800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105243 -           **  0840... 25   4175.0 Metoprolol Tartrate -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105244 -               0840... 05 1185 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105245 -               0840... 75 7950 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105246 -               1000... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105247 -               1000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105248 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105249 -               1030... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105250 -               1030....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105251 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105252 -               1700... 40 57420 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
105253 -               1830............ 10 13650  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105254 -               1830............ 10 13240  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105255 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105256 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105257 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105258 -               0000... Oxycodone HCL Plain  5  195 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105259 -           **  0000... 25   4175.0 Metoprolol Tartrate - HR 75 so took 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105260 -               2100... 40 37360 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105261 -               2130... 1000  816000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105262 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105263 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105264 -               2200... 05 1190 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105265 -               2200... 80 186880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105266 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105267 -               0000... stomach hurting, see vomitting. ref SDS 0 TTQP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105269 -  ..
105270 - ** Metoprolol Tartrate; - on 200504, continued because HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105271 - shows some PAF after ablation on 200430 0700, ref SDS 93 BL4K, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105272 - recorded during night on 200504, per above. ref SDS 0 IY8O  ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105273 - subsides overnight, but returns after taking metoprolol in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105274 - morning.  HR was 60+ at 2300, so took 2nd pill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105276 -  ..
105277 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105279 -  ..
105280 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105281 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105282 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105284 -  ..
105285 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105287 -  ..
105288 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105290 -  ..
105291 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105292 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105294 -  ..
105295 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105297 -  ..
105298 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105299 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105301 -  ..
105302 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105303 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105304 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105305 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105306 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105307 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105308 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105309 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105310 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105311 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105312 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105313 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105314 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105316 -  ..
105317 - Hiking - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105319 -  ..
105320 - Kardia recorded HR 79 before hike - reported normal sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105323 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200518-ecg-092930_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105325 -  ..
105326 - No Polar HR profile because no hike today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105329 -       Date     200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                                                          
105330 -       Miles        0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                                                                                                                                                                           
105331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105332 -       HR AVG      no     98    100     62    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                                                           
105333 -         MAX      hike   122    115    146   hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                                                           
105334 -         Min              60     84     44                                               65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                                                                                           
105335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105337 -  ..
105338 - HR profile in afternoon beginning OA 1721 until 0700 next morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105339 - shows varried heart rate in evening with few momentary spikes; later                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105340 - shows steady HR in 50s until morning...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105343 -              https://flow.polar.com/training/analysis/4666780462                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105347 -   
105348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105350 -  ..
105351 - Breakfast - cheerios chia seeds milk with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105352 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105353 - Dinner - brocolli tuna salmon avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105355 -  ..
105356 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105361 -         ..
105362 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105363 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105364 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105365 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105366 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105367 -  140.  200519 0650............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105368 -               0650....BP HR..................................................... 137  79  74  Kardia ECG reports normal, see below. ref SDS 0 TVWT                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105369 -               0655....BP HR..................................................... 125  80  82  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105370 -               0700....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105371 -               0700... 20 974680 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105372 -               0700... 80 186960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105373 -           **  0700... 25   4200.0 Metoprolol Tartrate -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105374 -               0700... 05 1195 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105375 -               0700... 75 8025 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105376 -               1030... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105377 -               1030... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105378 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105379 -               1100... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105380 -               1130....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105381 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105382 -               1225....miles...........  12.0  12.0  199   199 minutes  temp  71  very windy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105383 -               1615....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105384 -               1630....BP HR..................................................... 130  75  66   Kardia reports HR tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105385 -               1635....BP HR..................................................... 132  76  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105386 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105387 -               1700... 40 57460 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
105388 -             1 0000............ 10 13650  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105389 -             1 0000............ 10 13240  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105390 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105391 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105392 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105393 -               0000... Oxycodone HCL Plain  5  195 mg RX90533728 took for pain management getting PRP injections left knee at 1530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105394 -               2100... 40 37400 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105395 -               2130... 1000  817000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105396 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105397 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105398 -               2200... 05 1200 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105399 -               2200... 80 187020 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105400 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105401 -           **  2330... 25   4225.0 Metoprolol Tartrate - HR 75 so took 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105402 -               2350... stomach hurting, see vomitting. ref SDS 0 UPSY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105404 -  ..
105405 - ** Metoprolol Tartrate; - on 200504, continued because HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105406 - shows some PAF after ablation on 200430 0700, ref SDS 93 BL4K, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105407 - recorded during night on 200504, per above. ref SDS 0 IY8O  ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105408 - subsides overnight, but returns after taking metoprolol in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105409 - morning.  HR was 60+ at 2300, so took 2nd pill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105411 -  ..
105412 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105414 -  ..
105415 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105416 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105417 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105419 -  ..
105420 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105422 -  ..
105423 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105425 -  ..
105426 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105427 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105429 -  ..
105430 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105432 -  ..
105433 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105434 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105436 -  ..
105437 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105438 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105439 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105440 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105441 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105442 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105443 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105444 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105445 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105446 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105447 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105448 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105449 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105451 -  ..
105452 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105453 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105455 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105456 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105457 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105458 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105459 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105460 -        Trapezius right side neck/shoulder...........   8          1  flashes severe pain turning head right, twisting body right only once during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105461 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105462 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105463 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105464 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105465 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105466 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105467 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105468 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105469 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105470 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105471 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105472 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105473 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105474 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105475 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105476 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105477 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105478 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105479 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105480 -        Metatarsalgia left foot...PRP 191009.........   1         10  bottom below ring toe while hiking on Clayton concrete sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105481 -        Metatarsalgia right foot..PRP 191009.........   1         10  bottom below ring toe while hiking on Clayton concrete sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105482 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105483 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105484 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105485 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105486 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105487 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105488 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105489 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105490 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105491 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105492 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105494 -  ..
105495 - Body feels okay, after hiking 12 miles in 71 degrees and against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105496 - strong winds going uphill, following PRP on 191009 1500, ref SDS 78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105497 - 0001, and hiking 1 big hill.
105499 - -
105500 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105501 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105502 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105504 -  ..
105505 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105507 -  ..
105508 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105509 - pain level 1, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105510 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105512 -  ..
105513 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105514 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105515 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105516 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105517 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105519 -  ..
105520 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105521 - 1344. ref SDS 79 SM4M  No blisters over 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105523 -  ..
105524 - Hydrofera Blue dressing did not apply to blisters/calluses below big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105525 - toes on both feet.  Wearing 2-pair double-ply Wright socks protected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105526 - blisters from further injury during 15-mile hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105528 -  ..
105529 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105530 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105531 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105533 -  ..
105534 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105535 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105536 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105537 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105538 - ref SDS 77 SM4M  After hike today on 200517, shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105539 - and Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105540 - ref SDS 0 HJ7N  Today, wore 2-pair Wrightsock thin double-ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105541 - and laced shoes less loosely.  During hike Tailors Bunion both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105542 - pain level 2 for 15% of 12 miles, mostly hiking on concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105544 -  ..
105545 - Concord 12 mile route - did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105546 - Starting energy okay today, and balance better, less wobbly after IVUS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105547 - cardiac catheterization ablation procedure at VAMCSF on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105548 - ref SDS 94 244I  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105549 - ref SDS 77 SM4M; and wore 2-pair double-ply Wright socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105550 - 191010 1344, ref SDS 79 SM4M, to prevent blisters.  Took Metoprolol 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105551 - pill 25 mg in morning to manage HR during hike and minimize ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105552 - shortness of breath, and blurred vision side effects.  Hiked from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105553 - Cuneo uphill to Treat.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105554 - Continued at good pace on Treat hiking East 1 mile to Clayton.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105555 - mile 1.25 time 19 minutes.  Turned South onto Clayton hiking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105556 - increased pace mostly on concrete sidewalk to mile 3.75, and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105557 - West onto Ygnacio Valley Road hiking on concrete sidewalk another .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105558 - mile.  Crossed to South sideside Ygnacio Valley Road hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105559 - asphalt shoulder aganist East bound traffic.  At mile 5 in hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105560 - stopped at Texaco gas station.  Used Kardia device to do ECG heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105561 - report, that found HR "unreadable" - graph looks irregular.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105562 - ref SDS 0 TYXT  Hiked to Pine Hollow, then took Campus Road .75-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105563 - uphill to California Sate University visitor parking.  Legs did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105564 - tire going uphill, indicating vasodilation activated for rest of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105565 - Hiked 2-loops of about 1.25 miles through adjoining Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105566 - Student Parking lots, incuding hiking uphill .2 mile on the cross                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105567 - street between upper and lower areas.  At mile 8.4 took Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105568 - North downhill to Ygnacio Valley Road.  Hiked West 2 miles uphill past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105569 - Cowell and over summit.  About .25 mile beyond summit turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105570 - and hiked .75 mile back to Cowell.  Turned North onto Cowell and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105571 - 1 mile to Treat.  Hiked home for 12 miles.  EKG looks good reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105572 - "Tachycardia". ref SDS 0 TYYP  40 minutes later EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105573 - "normal." ref SDS 0 L95K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105575 -  ..
105576 - Kardia recorded HR 89 before hike - reported normal sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105578 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200519-ecg-113847_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105580 -  ..
105581 - Kardia could not record HR __ at 5 miles - reported heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105582 - "Unreadable"...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105584 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200519-ecg-133942_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105586 -  ..
105587 - Samsung cellphone reported HR 93 at 5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105589 -  ..
105590 - Kardia recorded HR 103 at 12 miles - reported HR Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105593 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200519-ecg-160358_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105596 -  ..
105597 - Kardia recorded HR 82 at 12 miles and + 40 minutes - reported HR normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105600 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200519-ecg-165521_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105602 -  ..
105603 - Polar HR profile indicates sinus all the way tracking elevation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105604 - changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105607 -       Date     200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                                                   
105608 -       Miles       12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                                                                                                                                                                    
105610 -        ..
105611 -       HR AVG     101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                                                    
105612 -         MAX      122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                                                    
105613 -         Min       75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                                                                                    
105614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105616 -  ..
105617 - HR profile shows sinus rhythm tracking elevation profile, so no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105618 - AF, and max HR 122 indicates no atrial flutter, following ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105619 - 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105622 -              https://flow.polar.com/training/analysis/4672840827                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105626 -   
105627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105629 -  ..
105630 - HR profile post-hike beginning OA 1729 until 0650 next morning shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105631 - steady heart beat 70 +/- for 1 hours, then about 2 hours of elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105632 - HR when I was going up and down stairs for tasks - might be AF.  Then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105633 - 4 hours mostly steady HR 75 - could be interpreted as slight atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105634 - flutter, since normal HR 45 - 55.  Elevated HR 159 might be when sick                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105635 - at night.  At midnight took metoprolol.  Then 6 hours HR mostly 45 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105636 - 50, until getting up in morning, reflecting taking metroprolol...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105639 -              https://flow.polar.com/training/analysis/4674772392                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105643 -   
105644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105648 -  ..
105649 - Breakfast - cheerios chia seeds milk with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105650 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105651 - Dinner - tuna salmon asparagus onion avocado tomato cottage cheese,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105652 - jello                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105654 -  ..
105655 - Vomiting: 0% - but stomach hurt all through the night; better by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105656 - morning.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105661 -         ..
105662 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105663 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105664 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105665 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105666 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105667 -  141.  200520 0650............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105668 -               0700....BP HR..................................................... 131  69  57  Kardia ECG reports HR normal, see below. ref SDS 0 UPYP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105669 -               0705....BP HR..................................................... 133  74  57  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105670 -               0710....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105671 -               0710... 20 974700 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105672 -               0710... 80 187100 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105673 -           **  0710... 25   4250.0 Metoprolol Tartrate -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105674 -               0710... 05 1205 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105675 -               0710... 75 8100 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105676 -               0000... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105677 -               1030... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105678 -               1030... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105679 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105680 -               1100... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105681 -               1130....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105682 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105683 -               1215....miles...........  14.0  26.0  231   430 minutes  temp  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105684 -               1630....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105685 -               1640....BP HR..................................................... 118  72 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105686 -               1645....BP HR..................................................... 119  70  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105687 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105688 -               1700... 40 57500 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
105689 -               1830............ 10 13660  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105690 -               1830............ 10 13250  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105691 -               1950... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105692 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105693 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105694 -           **  2000... 25   4275.0 Metoprolol Tartrate - HR 72 so took 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105695 -               2100... 40 37440 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105696 -               2130... 1000  818000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105697 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105698 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105699 -               2200... 05 1210 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105700 -               2200... 80 187180 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105701 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105702 -               2350... stomach hurting less, see vomitting. ref SDS 0 UQVY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105704 -  ..
105705 - ** Metoprolol Tartrate; - on 200504, continued because HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105706 - shows some PAF after ablation on 200430 0700, ref SDS 93 BL4K, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105707 - recorded during night on 200504, per above. ref SDS 0 IY8O  ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105708 - subsides overnight, but returns after taking metoprolol in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105709 - morning.  HR was 60+ at 2000, so took 2nd pill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105711 -  ..
105712 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105714 -  ..
105715 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105716 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105717 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105719 -  ..
105720 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105722 -  ..
105723 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105725 -  ..
105726 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105727 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105729 -  ..
105730 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105732 -  ..
105733 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105734 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105736 -  ..
105737 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105738 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105739 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105740 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105741 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105742 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105743 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105744 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105745 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105746 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105747 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105748 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105749 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105751 -  ..
105752 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105753 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105755 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105756 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105757 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105758 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105759 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105760 -        Trapezius right side neck/shoulder...........   9          3  flashes severe pain turning head right, twisting body right only once during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105761 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105762 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105763 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105764 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105765 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105766 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105767 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105768 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105769 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105770 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105771 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105772 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105773 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105774 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105775 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105776 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105777 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105778 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105779 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105780 -        Metatarsalgia left foot...PRP 191009.........   1         10  bottom below ring toe while hiking on Clayton concrete sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105781 -        Metatarsalgia right foot..PRP 191009.........   1         10  bottom below ring toe while hiking on Clayton concrete sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105782 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105783 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105784 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105785 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105786 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105787 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105788 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105789 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105790 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105791 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105792 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105794 -  ..
105795 - Body feels okay, after hiking 14 miles in 75 degrees, following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105796 - 191009 1500, ref SDS 78 0001, and hiking 1 big hill.  Also feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105797 - slightly hazy, likely due to oxycodone, per above. ref SDS 0 GU4L
105799 - -
105800 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105801 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105802 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105804 -  ..
105805 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105807 -  ..
105808 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105809 - pain level 1, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105810 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105812 -  ..
105813 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105814 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105815 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105816 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105817 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105819 -  ..
105820 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105821 - 1344. ref SDS 79 SM4M  No blisters over 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105823 -  ..
105824 - Hydrofera Blue dressing did not apply to blisters/calluses below big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105825 - toes on both feet.  Wearing 2-pair double-ply Wright socks protected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105826 - blisters from further injury during 15-mile hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105828 -  ..
105829 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105830 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105831 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105833 -  ..
105834 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105835 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105836 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105837 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105838 - ref SDS 77 SM4M  After hike today at about 1950 on 200520, shaved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105839 - calluses big toes and Tailor's Bunions, and applied ammonium lactate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105840 - lotion to feet. ref SDS 0 GU4L  Today, wore 2-pair Wrightsock thin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105841 - double-ply socks, and laced shoes less loosely.  During hike both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105842 - pain level 1 for 10% of 14 miles, mostly hiking on concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105844 -  ..
105845 - Concord 12 mile route - did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105846 - Starting energy okay today, and balance better, less wobbly after IVUS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105847 - cardiac catheterization ablation procedure at VAMCSF on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105848 - ref SDS 94 244I  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105849 - ref SDS 77 SM4M; and wore 2-pair double-ply Wright socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105850 - 191010 1344, ref SDS 79 SM4M, to prevent blisters.  Took Metoprolol 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105851 - pill 25 mg in morning to manage HR during hike and minimize ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105852 - shortness of breath, and blurred vision side effects.  Hiked from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105853 - Cuneo uphill to Treat.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105854 - Continued at good pace on Treat hiking East 1 mile to Clayton.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105855 - mile 1.25 time 19 minutes.  Turned South onto Clayton hiking 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105856 - at increased pace mostly on flat concrete sidewalk to mile 3.75, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105857 - turned West onto Ygnacio Valley Road hiking on concrete sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105858 - another .5 mile.  Crossed to South sideside Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105859 - West on asphalt shoulder aganist East bound traffic.  At mile 5 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105860 - hike, stopped at Texaco gas station.  Used Kardia device to do ECG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105861 - report, that found HR 97 and "normal" - graph looks good. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105862 - UPYU  Hiked to Pine Hollow, then took Campus Road .75-mile uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105863 - California Sate University visitor parking.  Legs did not tire going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105864 - uphill, indicating vasodilation activated for rest of hike.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105865 - 2-loops of about 1.25 miles through adjoining Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105866 - Parking lots, incuding hiking uphill .2 mile on the cross street                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105867 - between upper and lower areas.  At mile 7 took Campus Road North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105868 - downhill to Ygnacio Valley Road.  Hiked West 2 miles uphill past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105869 - Cowell and over summit.  Crossed from South to North side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105870 - Valley road to use wide, flat roadway shoulder for about .5 mile over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105871 - the summit.  Past summit and past concrete traffic barriar seperating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105872 - East and West bound traffic, crossed back to South side of Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105873 - Valley Road.  Continued West 2 miles downhill to Oak Grove.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105874 - reaching Oak Grove, continued West for .25 mile parallel to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105875 - Valley Road using paved path around Safeway shopping complex.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105876 - North onto Via Monte, and hiked .25 mile to Shadelands.  Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105877 - Shadelands and hiked East .25 mile to Oak Grove.  Turned North and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105878 - hiked 1 mile on asphalt path and shoulder parallel to Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105879 - Turned right and hiked East 1 mile on Treat.  At San Miguel increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105880 - pace hiking uphill .5 mile on Treat continueing West.  At summit,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105881 - continued .5 mile to Cuneo and home for 14 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105883 -  ..
105884 - Kardia recorded HR 57 at 0733 before hike - normal sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105886 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200520-ecg-073309_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105889 -  ..
105890 - Kardia recorded HR 57 before hike - reported normal sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105892 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200520-ecg-112804_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105894 -  ..
105895 - Kardia recorded HR 97 at 5 miles - reported normal sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105897 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200520-ecg-133121_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105899 -  ..
105900 - Significant improvement from yesterday, after 5 miles, when Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105901 - could not even read the EKG results, per above. ref SDS 0 TYXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105904 -  ..
105905 - Kardia recorded HR 116 at 14 miles - reported HR Tachycardia normal after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105908 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200520-ecg-163143_mile_14.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105911 -  ..
105912 - Kardia recorded HR 88 at 14 miles and + 90 minutes - reported HR unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105915 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200520-ecg-180145_mile_14.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105917 -  ..
105918 - Polar HR profile indicates sinus all the way tracking elevation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105919 - changes with steady fast pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105922 -       Date     20052-0 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                                           
105923 -       Miles       14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                                                                                                                                                             
105925 -        ..
105926 -       HR AVG     109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                                             
105927 -         MAX      135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                                             
105928 -         Min       72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                                                                             
105929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105931 -  ..
105932 - HR profile shows sinus rhythm tracking elevation profile, so no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105933 - AF, and max HR 122 indicates no atrial flutter, following ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105934 - 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105937 -              https://flow.polar.com/training/analysis/4676953117                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105941 -   
105942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105944 -  ..
105945 - HR profile post-hike beginning OA 1729 until 0650 next morning shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105946 - steady heart beat 70 +/- for 1 hours, then about 2 hours of elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105947 - HR when I was going up and down stairs for tasks - might be AF.  Then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105948 - 4 hours mostly steady HR 75 - could be interpreted as slight atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105949 - flutter, since normal HR 45 - 55.  Elevated HR 159 might be when sick                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105950 - at night.  At midnight took metoprolol.  Then 6 hours HR mostly 45 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105951 - 50, until getting up in morning, reflecting taking metroprolol...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105954 -              https://flow.polar.com/training/analysis/4674772392                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105958 -   
105959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105961 -  ..
105962 - Breakfast - egg sausage with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105963 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105964 - Dinner - tuna salmon asparagus onion avocado tomato cottage cheese,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105965 - jello                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105967 -  ..
105968 - Vomiting: 0% - stomach much better, but still pain level 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105974 -         ..
105975 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105976 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105977 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105978 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105979 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105980 -  142.  200521 0750............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105981 -               0800....BP HR..................................................... 131  75  79  Kardia ECG reports HR normal, see below. ref SDS 0 UTQV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105982 -               0805....BP HR..................................................... 124  73  65  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105983 -               0810....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105984 -               0810... 20 974720 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105985 -               0810... 80 187260 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105986 -           **  0810... 25   4300.0 Metoprolol Tartrate -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105987 -               0810... 05 1215 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105988 -               0810... 75 8175 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105989 -               1030... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105990 -               1030... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105991 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105992 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105993 -               1100... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105994 -               1100....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105995 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105996 -               1110....miles...........  10.0  26.0  168   430 minutes  temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105997 -               1455....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105998 -               1520....BP HR..................................................... 110  69  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105999 -               1525....BP HR..................................................... 115  72  79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106000 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106001 -               1700... 40 57540 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
106002 -             1 0000............ 10 13660  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106003 -             1 0000............ 10 13250  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106004 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106005 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106006 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106007 -           **  1900... 25   4325.0 Metoprolol Tartrate - HR 75 so took 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106008 -               2100... 40 37480 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106009 -               2130... 1000  819000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106010 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106011 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106012 -               2200... 05 1220 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106013 -               2200... 80 187340 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106014 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106015 -               2350... stomach hurting much less, see vomitting. ref SDS 0 UUPR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106017 -  ..
106018 - ** Metoprolol Tartrate; - on 200504, continued because HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106019 - shows some PAF after ablation on 200430 0700, ref SDS 93 BL4K, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106020 - recorded during night on 200504, per above. ref SDS 0 IY8O  ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106021 - subsides overnight, but returns after taking metoprolol in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106022 - morning.  HR was 60+ at 2300, so took 2nd pill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106024 -  ..
106025 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106027 -  ..
106028 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106029 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106030 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106032 -  ..
106033 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106035 -  ..
106036 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106038 -  ..
106039 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106040 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106042 -  ..
106043 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106045 -  ..
106046 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106047 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106049 -  ..
106050 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106051 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106052 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106053 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106054 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106055 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106056 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106057 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106058 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106059 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106060 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106061 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106062 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106064 -  ..
106065 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106066 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106068 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106069 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106070 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106071 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106072 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106073 -        Trapezius right side neck/shoulder...........   9          3  flashes severe pain turning head right, twisting body right only once during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106074 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106075 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106076 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106077 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106078 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106079 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106080 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106081 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106082 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106083 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106084 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106085 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106086 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106087 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106088 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106089 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106090 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106091 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106092 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106093 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106094 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106095 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106096 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106097 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106098 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106099 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106100 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106101 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106102 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106103 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106104 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106105 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106107 -  ..
106108 - Body feels okay, after hiking 10 miles in 82 degrees, following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106109 - 191009 1500, ref SDS 78 0001, and hiking 1 big hill.  Do not slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106110 - hazy, since took naproxen, rather than oxycodone, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106111 - ref SDS 0 5B6J
106113 - -
106114 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106115 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106116 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106118 -  ..
106119 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106121 -  ..
106122 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106123 - pain level 1, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106124 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106126 -  ..
106127 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106128 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106129 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106130 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106131 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106133 -  ..
106134 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106135 - 1344. ref SDS 79 SM4M  No blisters over 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106137 -  ..
106138 - Hydrofera Blue dressing did not apply to blisters/calluses below big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106139 - toes on both feet.  Wearing 2-pair double-ply Wright socks protected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106140 - blisters from further injury during 15-mile hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106142 -  ..
106143 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106144 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106145 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106147 -  ..
106148 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106149 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106150 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106151 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106152 - ref SDS 77 SM4M  After hike today on 200517, shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106153 - and Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106154 - ref SDS 0 HJ7N  Today, wore 2-pair Wrightsock thin double-ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106155 - and laced shoes less loosely.  During hike both feet pain level 1 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106156 - 10% of 14 miles, mostly hiking on concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106158 -  ..
106159 - Concord 12 mile route - did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106160 - Starting energy okay today, and balance better, less wobbly after IVUS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106161 - cardiac catheterization ablation procedure at VAMCSF on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106162 - ref SDS 94 244I  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106163 - ref SDS 77 SM4M; and wore 2-pair double-ply Wright socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106164 - 191010 1344, ref SDS 79 SM4M, to prevent blisters.  Took Metoprolol 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106165 - pill 25 mg in morning to manage HR during hike and minimize ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106166 - shortness of breath, and blurred vision side effects.  Hiked from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106167 - Cuneo uphill to Treat.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106168 - Continued at slow pace on Treat hiking East 1 mile to Clayton.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106169 - Noticed seemed weak today.  At mile 1.25 time 21 minutes.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106170 - South onto Clayton hiking 2 miles continuing at slower than normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106171 - pace, mostly on flat concrete sidewalk to mile 3.75, and turned West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106172 - onto Ygnacio Valley Road hiking on concrete sidewalk another .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106173 - Crossed to South sideside Ygnacio Valley Road hiking West on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106174 - shoulder aganist East bound traffic.  At mile 5, stopped at Texaco gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106175 - station.  Kardia device ECG HR 97 and possible "atrial fibrillation" -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106176 - looks worse than 2 days ago after 5 miles, may align with not feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106177 - well during initial 5 miles. ref SDS 0 UTRW  Bought Squirt softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106178 - and package of 6 small donutes.  Ate 1 donut and drank 30% of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106179 - softdrink, threw rest away.  Continued hike slow pace to Pine Hollow,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106180 - then took Campus Road .75-mile uphill to California Sate University                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106181 - visitor parking.  Legs did not tire going uphill, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106182 - vasodilation activated for rest of hike.  Did 1-loop of about 1.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106183 - miles through adjoining Faculty and Student Parking lots, incuding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106184 - hiking uphill .2 mile on the cross street between upper and lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106185 - areas.  At mile 7 took Campus Road North downhill to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106186 - Road.  Hiked West 2 miles with faster pace, feeling better going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106187 - uphill past Cowell and over summit.  Crossed from South to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106188 - Ygnacio Valley road to use wide, flat roadway shoulder for about .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106189 - mile over the summit.  Past summit and past concrete traffic barriar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106190 - seperating East and West bound traffic continued to mile 9.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106191 - around and hiked back uphill to summit, then over the summit and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106192 - downhill to Cowell.  Turned North and hiked 1 mile to Treat, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106193 - turned West and hiked .25 mile to Cuneo and then home for 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106195 -  ..
106196 - Kardia recorded HR 70 at 0823 before hike - normal sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106198 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200521-ecg-082318_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106200 -  ..
106201 - Kardia recorded HR 85 at 5 miles - reported normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106203 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200522-ecg-122520_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106205 -  ..
106206 - Instant analysis "normal" seems conflicting with severely disrupted HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106207 - curve worse than 2 days ago, at 5 miles, when Kardia could not read                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106208 - ECG results, per above. ref SDS 0 TYXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106210 -  ..
106211 - Kardia recorded HR 100 at 10 miles - reported HR normal after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106214 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200521-ecg-145354_mile_10.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106217 -  ..
106218 - Polar HR profile indicates sinus all the way tracking elevation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106219 - changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106222 -       Date      200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                                    
106223 -       Miles       10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                                                                                                                                                      
106225 -        ..
106226 -       HR AVG     103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                                      
106227 -         MAX      122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                                      
106228 -         Min       72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                                                                      
106229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106231 -  ..
106232 - HR profile shows sinus rhythm tracking elevation profile, so no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106233 - AF, conflicting with ecg at 5 miles; and, max HR 122 indicates no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106234 - atrial flutter, following ablation on 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106237 -              https://flow.polar.com/training/analysis/4681518812                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106241 -   
106242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106244 -  ..
106245 - HR profile post-hike beginning OA 1537 until OA 0700 next morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106246 - shows mostly steady heart beat 70 +/- with only 2 momentary spikes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106247 - and likely reflects taking metoprolol at 1900, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106248 - 5B6J  This report shows GPS tracking, because forgot to change setting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106249 - to "indoors"...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106252 -              https://flow.polar.com/training/analysis/4683613652                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106256 -   
106257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106259 -  ..
106260 - Breakfast - egg sausage with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106261 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106262 - Dinner - sandwich balogna onion tomato cheese, cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106264 -  ..
106265 - Vomiting: 0% - stomach hurting pain level .5 in morning.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106271 -         ..
106272 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106273 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106274 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106275 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106276 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106277 -  143.  200522 0650............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106278 -               0700....BP HR..................................................... 137  77  71  Kardia ECG reports HR normal, see below. ref SDS 0 UWPX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106279 -               0705....BP HR..................................................... 132  75  62  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106280 -               0710....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106281 -               0710... 20 974740 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106282 -               0710... 80 187420 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106283 -           **  0710... 25   4375.0 Metoprolol Tartrate -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106284 -               0710... 05 1225 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106285 -               0710... 75 8250 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106286 -               1030... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106287 -               1030... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106288 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106289 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106290 -               1100... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106291 -               1100....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106292 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106293 -               1110....miles...........  16.0  52.0  266   864 minutes  temp  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106294 -               1620....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106295 -               1630....BP HR..................................................... 122  78  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106296 -               1635....BP HR..................................................... 115  72  79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106297 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106298 -               1700... 40 57580 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
106299 -               1830............ 10 13670  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106300 -               1830............ 10 13260  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106301 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106302 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106303 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106304 -           **  0000... 25   4375.0 Metoprolol Tartrate - HR 80 did not take pill to experiment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106305 -               2100... 40 37520 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106306 -               2130... 1000  820000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106307 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106308 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106309 -               2200... 05 1230 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106310 -               2200... 80 187500 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106311 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106312 -               2350... stomach hurting much less, see vomitting. ref SDS 0 UUPR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106314 -  ..
106315 - ** Metoprolol Tartrate; - on 200504, continued because HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106316 - shows some PAF after ablation on 200430 0700, ref SDS 93 BL4K, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106317 - recorded during night on 200504, per above. ref SDS 0 IY8O  ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106318 - subsides overnight, but returns after taking metoprolol in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106319 - morning.  HR was 60+ at 2300, so took 2nd pill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106321 -  ..
106322 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106324 -  ..
106325 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106326 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106327 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106329 -  ..
106330 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106332 -  ..
106333 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106335 -  ..
106336 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106337 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106339 -  ..
106340 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106342 -  ..
106343 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106344 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106346 -  ..
106347 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106348 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106349 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106350 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106351 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106352 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106353 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106354 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106355 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106356 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106357 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106358 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106359 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106361 -  ..
106362 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106363 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106365 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106366 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106367 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106368 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106369 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106370 -        Trapezius right side neck/shoulder...........   9          3  flashes severe pain turning head right, twisting body right only once during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106371 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106372 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106373 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106374 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106375 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106376 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106377 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106378 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106379 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106380 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106381 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106382 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106383 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106384 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106385 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106386 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106387 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106388 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106389 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106390 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106391 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106392 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106393 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106394 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106395 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106396 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106397 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106398 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106399 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106400 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106401 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106402 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106404 -  ..
106405 - Body feels wasted, after hiking 16 miles in 80 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106406 - on 191009 1500, ref SDS 78 0001, and hiking 1 big hill.
106408 - -
106409 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106410 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106411 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106413 -  ..
106414 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106416 -  ..
106417 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106418 - pain level 1, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106419 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106421 -  ..
106422 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106423 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106424 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106425 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106426 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106428 -  ..
106429 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106430 - 1344. ref SDS 79 SM4M  No blisters over 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106432 -  ..
106433 - Hydrofera Blue dressing did not apply to blisters/calluses below big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106434 - toes on both feet.  Wearing 2-pair double-ply Wright socks protected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106435 - blisters from further injury during 15-mile hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106437 -  ..
106438 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106439 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106440 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106442 -  ..
106443 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106444 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106445 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106446 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106447 - ref SDS 77 SM4M  After hike today on 200517, shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106448 - and Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106449 - ref SDS 0 HJ7N  Today, wore 2-pair Wrightsock thin double-ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106450 - and laced shoes less loosely.  During hike both feet pain level 1 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106451 - 10% of 14 miles, mostly hiking on concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106453 -  ..
106454 - Concord 16 mile route - did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106455 - Starting energy okay today, and balance better, less wobbly after IVUS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106456 - cardiac catheterization ablation procedure at VAMCSF on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106457 - ref SDS 94 244I  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106458 - ref SDS 77 SM4M; and wore 2-pair double-ply Wright socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106459 - 191010 1344, ref SDS 79 SM4M, to prevent blisters.  Took Metoprolol 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106460 - pill 25 mg in morning to manage HR during hike and minimize ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106461 - shortness of breath, and blurred vision side effects.  Hiked from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106462 - Cuneo uphill to Treat.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106463 - Continued at fast pace on Treat hiking East 1 mile to Clayton.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106464 - Noticed seem stronger today.  At mile 1.25 time 19 minutes.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106465 - South onto Clayton hiking 2 miles continuing at normal pace, mostly on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106466 - flat concrete sidewalk to mile 3.75, and turned West onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106467 - Valley Road hiking on concrete sidewalk another .5 mile.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106468 - South sideside Ygnacio Valley Road hiking West on asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106469 - aganist East bound traffic.  At mile 5, stopped at Texaco gas station.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106470 - Kardia device ECG HR 85 and HR "normal" seems conflicting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106471 - severely disrupted HR curve. ref SDS 0 UWQS  Bought Squirt softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106472 - and package bbq chips.  Ate few chips and drank 30% of softdrink,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106473 - threw rest away.  Continued hike to Pine Hollow, then took Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106474 - .75-mile uphill to California Sate University visitor parking.  Legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106475 - did not tire going uphill, indicating vasodilation activated for rest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106476 - of hike.  Did 2-loops of about 1.25 miles through adjoining Faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106477 - and Student Parking lots, incuding sub-loop hiking uphill .5 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106478 - the cross street between upper and lower areas.  At mile 10 took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106479 - Campus Road North downhill to Ygnacio Valley Road.  Hiked West 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106480 - with faster pace, feeling good going uphill past Cowell and over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106481 - summit.  Crossed from South to North side Ygnacio Valley road to use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106482 - wide, flat roadway shoulder for about .5 mile over the summit.  Past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106483 - summit and past concrete traffic barriar seperating East and West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106484 - bound traffic crossed back to South side Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106485 - Continued West 2 miles downhill to Oak Grove.  About .25 mile before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106486 - Oak Grove crossed back to North side Ygnacio Valley Road and continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106487 - West.  On reaching Oak Grove, continued West for .25 mile parallel to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106488 - Ygnacio Valley Road using paved path around Safeway shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106489 - Turned North onto Via Monte, and hiked .25 mile to Shadelands.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106490 - onto Shadelands and hiked East .25 mile to Oak Grove.  Turned North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106491 - and hiked 1 mile on asphalt path and shoulder parallel to Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106492 - Turned right and hiked East 1 mile on Treat.  At San Miguel increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106493 - pace hiking uphill .5 mile on Treat continueing West.  At summit,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106494 - continued .5 mile to Cuneo and home for 16 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106496 -  ..
106497 - Kardia recorded HR 65 at 0705 before hike - normal sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106499 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200522-ecg-070549_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106501 -  ..
106502 - Kardia recorded HR 85 at 5 miles - reported normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106504 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200522-ecg-122520_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106506 -  ..
106507 - Better than yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106509 -  ..
106510 - Kardia recorded HR 102 at 16 miles - reported HR Tachycardia after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106513 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200522-ecg-162201_mile_16.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106516 -  ..
106517 - Polar HR profile indicates sinus all the way tracking elevation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106518 - changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106521 -       Date      200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                             
106522 -       Miles       16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                                                                                                                                               
106524 -        ..
106525 -       HR AVG     105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                               
106526 -         MAX      134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                               
106527 -         Min       72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                                                               
106528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106530 -  ..
106531 - HR profile shows sinus rhythm tracking elevation profile, so no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106532 - AF, and, max HR 134 ascending steep hill at mile 15, indicates no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106533 - atrial flutter, following ablation on 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106536 -              https://flow.polar.com/training/analysis/4685474782                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106540 -   
106541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106543 -  ..
106544 - HR profile post-hike beginning OA 1732 until OA 0300 next morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106545 - shows mostly steady heart beat 82 +/- with 6 spikes, and likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106546 - reflects not taking metoprolol at night, per above. ref SDS 0 TV5M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106547 - There are a lot of BPM 0, reflecting device too loose on wrist...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106550 -              https://flow.polar.com/training/analysis/4687748712                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106554 -   
106555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106557 -  ..
106558 - Breakfast - cheerios chia seeds milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106559 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106560 - Dinner - hamburger brocolli asparagus cottage cheese, jello                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106562 -  ..
106563 - Vomiting: 0% - stomach hurting pain level .1 entire night                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106569 -         ..
106570 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106571 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106572 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106573 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106574 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106575 -  144.  200523 0700............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106576 -               0710....BP HR..................................................... 131  74  77  Kardia ECG reports HR signs atrial fibrillation, see below. ref SDS 0 UYYX                                                                                                                                                                                                                                                                                                                                                                                                                                          
106577 -               0715....BP HR..................................................... 123  72  79  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106578 -               0720....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106579 -               0720... 20 974760 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106580 -               0720... 80 187580 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106581 -           **  0720... 25   4400.0 Metoprolol Tartrate -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106582 -               0720... 05 1235 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106583 -               0720... 75 8325 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106584 -               1030... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106585 -               1030... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106586 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106587 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106588 -               1100... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106589 -               1100....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106590 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106591 -               1130....miles...........   5.0  57.0   83   947 minutes  temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106592 -               1330....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106593 -               1340....BP HR..................................................... 116  73  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106594 -               1345....BP HR..................................................... 129  70  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106595 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106596 -               1700... 40 57620 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
106597 -             1 0000............ 10 13670  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106598 -             1 0000............ 10 13260  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106599 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106600 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106601 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106602 -           **  0000... 25   4400.0 Metoprolol Tartrate - HR 75 did not take pill to experiment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106603 -               2100... 40 37560 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106604 -               2130... 1000  821000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106605 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106606 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106607 -               2200... 05 1240 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106608 -               2200... 80 187660 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106609 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106610 -               2350... stomach hurting much less, see vomitting. ref SDS 0 UUPR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106612 -  ..
106613 - ** Metoprolol Tartrate; - on 200504, continued because HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106614 - shows some PAF after ablation on 200430 0700, ref SDS 93 BL4K, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106615 - recorded during night on 200504, per above. ref SDS 0 IY8O  ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106616 - subsides overnight, but returns after taking metoprolol in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106617 - morning.  HR was 60+ at 2300, so took 2nd pill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106619 -  ..
106620 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106622 -  ..
106623 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106624 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106625 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106627 -  ..
106628 - Dizzy - this did not recur today, see case study above. ref SDS 83 WK5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106630 -  ..
106631 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106633 -  ..
106634 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106635 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106637 -  ..
106638 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106640 -  ..
106641 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106642 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106644 -  ..
106645 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106646 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106647 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106648 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106649 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106650 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106651 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106652 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106653 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106654 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106655 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106656 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106657 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106659 -  ..
106660 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106661 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106663 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106664 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106665 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106666 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106667 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106668 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106669 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106670 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106671 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106672 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106673 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106674 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106675 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106676 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106677 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106678 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106679 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106680 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106681 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106682 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106683 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106684 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106685 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106686 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106687 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106688 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106689 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106690 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106691 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106692 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106693 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106694 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106695 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106696 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106697 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106698 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106699 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106700 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106702 -  ..
106703 - Body feels weak after hiking 5 miles in 82 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106704 - on 191009 1500, ref SDS 78 0001, and hiking 1 big hill.
106706 - -
106707 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106708 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106709 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106711 -  ..
106712 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106714 -  ..
106715 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106716 - pain level 1, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106717 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106719 -  ..
106720 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106721 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106722 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106723 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106724 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106726 -  ..
106727 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106728 - 1344. ref SDS 79 SM4M  No blisters over 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106730 -  ..
106731 - Hydrofera Blue dressing did not apply to blisters/calluses below big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106732 - toes on both feet.  Wearing 2-pair double-ply Wright socks protected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106733 - blisters from further injury during 15-mile hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106735 -  ..
106736 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106737 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106738 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106740 -  ..
106741 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106742 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106743 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106744 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106745 - ref SDS 77 SM4M  After hike today on 200517, shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106746 - and Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106747 - ref SDS 0 HJ7N  Today, wore 2-pair Wrightsock thin double-ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106748 - and laced shoes less loosely.  During hike both feet pain level 1 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106749 - 10% of 14 miles, mostly hiking on concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106751 -  ..
106752 - Concord 5 mile route - did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106753 - Starting energy okay today, and balance better, less wobbly after IVUS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106754 - cardiac catheterization ablation procedure at VAMCSF on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106755 - ref SDS 94 244I  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106756 - ref SDS 77 SM4M; and wore 2-pair double-ply Wright socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106757 - 191010 1344, ref SDS 79 SM4M, to prevent blisters.  Took Metoprolol 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106758 - pill 25 mg in morning to manage HR during hike and minimize ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106759 - shortness of breath, and blurred vision side effects.  Hiked from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106760 - Cuneo uphill to Treat.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106761 - Continued at fast pace on Treat hiking East 1 mile to Clayton.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106762 - Noticed seem stronger today.  At mile 1.25 time 19 minutes.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106763 - South onto Clayton hiking 2 miles continuing at normal pace, mostly on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106764 - flat concrete sidewalk to mile 3.75, and turned West onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106765 - Valley Road hiking on concrete sidewalk another .5 mile.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106766 - South sideside Ygnacio Valley Road hiking West on asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106767 - aganist East bound traffic.  At mile 5, stopped at Texaco gas station.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106768 - Kardia device ECG HR 97 and possible "atrial fibrillation" - looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106769 - worse than 2 days ago after 5 miles, may align with not feeling well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106770 - during initial 5 miles. ref SDS 0 UTRW  Not feeling well - Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106771 - drove me home for 5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106773 -  ..
106774 - Kardia recorded HR 45 at 0802 before hike - shows signs atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106777 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200523-ecg-080236_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106780 -            [On 200529 1641 letter from Doctor Pellegrini advises EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106781 -            chart on 200523, shows "organized P waves," which she                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106782 -            interprets as not being evidence of atrial fibrillation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106783 -            ref SDS 98 RA5X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106785 -  ..
106786 - Kardia recorded HR 79 at 0812 before hike - reported unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106788 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200523-ecg-081204_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106790 - ...and says:  atrial fibrillation was not detected and your EKG does                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106791 - not fall under the algoirithmic classifications of Normal,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106792 - Bradycardia, or Tachychardia.  This may be caused by otehr                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106793 - arrhythmias, unusually fast or slow heart rates, or poor quality                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106794 - recordings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106796 -  ..
106797 - Kardia recorded HR 55 at 1033 before hike - reported Normal - looks terrible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106799 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200523-ecg-103352_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106802 -  ..
106803 - Kardia recorded HR 94 at 5 miles - reported unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106805 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200523-ecg-124928_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106807 -  ..
106808 - HR profile shows signficiant disruptions.  Kardia reports "atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106809 - fibrillation was not detected and your EKG does not fall under the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106810 - algorithmic classifications of Normal, Bradycardia, or Tachycardia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106811 - This may be caused by other arrthythmias, unusually fast or slow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106812 - heart rates, or poor quality recordings."                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106814 -  ..
106815 - Kardia recorded HR 67 about 2 hours after 5 miles, reported unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106818 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200523-ecg-143326_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106821 -  ..
106822 - Polar HR profile indicates sinus all the way tracking elevation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106823 - changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106826 -       Date      200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                      
106827 -       Miles        5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                                                                                                                                        
106829 -        ..
106830 -       HR AVG      98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                        
106831 -         MAX      106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                        
106832 -         Min       67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                                                        
106833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106835 -  ..
106836 - HR profile shows sinus rhythm tracking elevation profile, so no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106837 - AF, and, max HR 106 indicates no atrial flutter, following ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106838 - 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106841 -              https://flow.polar.com/training/analysis/4689236632                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106845 -   
106846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106848 -  ..
106849 - HR profile post-hike beginning OA 2322 overnight until OA 0830 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106850 - morning shows mostly steady heart beat 76 +/- with 3 spikes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106851 - reflecting not taking metoprolol at night, per above. ref SDS 0 XT4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106852 - Minimum HR 40, may indicated heart recovering from ablation procedures                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106853 - 3 weeks ago.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106856 -              https://flow.polar.com/training/analysis/4692602842                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106860 -   
106861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106863 -  ..
106864 - Breakfast - cheerios chia seeds milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106865 - Lunch - cheese crackers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106866 - Dinner - meatloaf asparagus cottage cheese, cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106868 -  ..
106869 - Vomiting: 0% - stomach hurting pain level .1 entire night                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106875 -         ..
106876 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106877 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106878 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106879 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106880 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106881 -  145.  200524 0730............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106882 -               0740....BP HR..................................................... 122  78  81  Kardia ECG reports HR unclassified, see below. ref SDS 0 VRXY                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106883 -               0745....BP HR..................................................... 115  64  71  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106884 -               0750....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106885 -               0750... 20 974780 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106886 -               0750... 80 187740 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106887 -           **  0750... 25   4425.0 Metoprolol Tartrate -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106888 -               0750... 05 1245 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106889 -               0750... 75 8400 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106890 -               1030... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106891 -               1030... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106892 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106893 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106894 -               1100... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106895 -               1100....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106896 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106897 -               1700... 40 57660 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
106898 -               1830............ 10 13680  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106899 -               1830............ 10 13270  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106900 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106901 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106902 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106903 -           **  0000... 25   4425.0 Metoprolol Tartrate - HR 75 did not take pill to experiment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106904 -               2100... 40 37600 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106905 -               2130... 1000  822000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106906 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106907 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106908 -               2200... 05 1250 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106909 -               2200... 80 187820 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106910 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106911 -               2350... stomach hurting much less, see vomitting. ref SDS 0 UUPR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106913 -  ..
106914 - ** Metoprolol Tartrate; - on 200504, continued because HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106915 - shows some PAF after ablation on 200430 0700, ref SDS 93 BL4K, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106916 - recorded during night on 200504, per above. ref SDS 0 IY8O  ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106917 - subsides overnight, but returns after taking metoprolol in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106918 - morning.  HR was 60+ at 2300, so took 2nd pill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106920 -  ..
106921 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106923 -  ..
106924 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106925 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106926 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106928 -  ..
106929 - Dizzy - this morning OA 0700, turned over in bed and felt dizzy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106930 - Rolled to back and dizziness continued for several minutes with room                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106931 - spinning when eyes open.  Got up went to bathroom.  Held wall to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106932 - maintain balance.  Standing vertical, dizziness finally subsided.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106933 - Sitting at desk writing the record, no dizziness, but feel hazy - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106934 - case study. ref SDS 83 WK5L  Dizziness from BPPV is evidenced by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106935 - nystagmus (rapid horizontal eye movement), reported on 160505 0753.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106936 - ref SDS 41 S97G  Last dizzy episode when Doctor Wiseman found                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106937 - nystagmus during treatment on 190515 0750. ref SDS 73 ZV4N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106939 -             ..
106940 -            [On 200524 1026 letter to Bethany requesting BPPV treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106941 -            with Eply maneuver on 200527 0730. ref SDS 95 A46J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106943 -             ..
106944 -            [...below on 200101 0702 next morning at 0230 had another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106945 -            BPPV epidose with room spinning swiftly; seems to be caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106946 -            by laying flat on back. ref SDS 0 VTUU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106948 -  ..
106949 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106951 -  ..
106952 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106953 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106955 -  ..
106956 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106958 -  ..
106959 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106960 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106962 -  ..
106963 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106964 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106965 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106966 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106967 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106968 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106969 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106970 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106971 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106972 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106973 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106974 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106975 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106977 -  ..
106978 - Hiking - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106980 -  ..
106981 - Kardia recorded HR 85 at 0841 before hike - reported unclassified...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106984 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200524-ecg-084125_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106987 -  ..
106988 - Kardia ecg seems better than yesterday morning, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106989 - UYYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106992 -  ..
106993 - Polar HR profile indicates sinus all the way tracking elevation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106994 - changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106997 -       Date      200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                               
106998 -       Miles        0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                                                                                                                                 
107000 -        ..
107001 -       HR AVG      no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                 
107002 -         MAX      hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                 
107003 -         Min              67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                                                 
107005 -  ..
107006 - HR profile beginning OA 1612 overnight until OA 0640 next morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107007 - shows mostly steady heart beat 70 +/- with few spikes, but nothing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107008 - over 115, reflecting walking around the house, going up and down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107009 - stairs, and also not taking metoprolol at night, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107010 - ref SDS 0 8E5K  Minimum HR 49, may indicate heart recovering from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107011 - ablation procedures 3 weeks ago.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107014 -              https://flow.polar.com/training/analysis/4692602842                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107018 -   
107019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107021 -  ..
107022 - Breakfast - egg sausage toast with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107023 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107024 - Dinner - meatloaf asparagus lettuce avocado tomato cucumber                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107026 -  ..
107027 - Vomiting: 0% - stomach hurting pain level .1 entire night                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107033 -         ..
107034 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107035 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107036 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107037 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107038 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107039 -  146.  200525 0630............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107040 -               0640....BP HR..................................................... 131  74  62  Kardia ECG reports HR normal, see below. ref SDS 0 VVQQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107041 -               0645....BP HR..................................................... 132  78  69  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107042 -               0650....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107043 -               0650... 20 974800 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107044 -               0650... 80 187900 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107045 -           **  0650... 25   4450.0 Metoprolol Tartrate -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107046 -               0650... 05 1255 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107047 -               0650... 75 8475 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107048 -               0000... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107049 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107050 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107051 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107052 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107053 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107054 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107055 -               1700... 40 57700 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
107056 -             1 0000............ 10 13680  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107057 -             1 0000............ 10 13270  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107058 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107059 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107060 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107061 -           **  0000... 25   4450.0 Metoprolol Tartrate - HR 75 did not take pill to experiment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107062 -               2100... 40 37640 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107063 -               2130... 1000  823000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107064 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107065 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107066 -               2200... 05 1260 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107067 -               2200... 80 187980 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107068 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107069 -               2350... stomach hurting much less, see vomitting. ref SDS 0 UUPR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107071 -  ..
107072 - ** Metoprolol Tartrate; - on 200504, continued because HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107073 - shows some PAF after ablation on 200430 0700, ref SDS 93 BL4K, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107074 - recorded during night on 200504, per above. ref SDS 0 IY8O  ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107075 - subsides overnight, but returns after taking metoprolol in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107076 - morning.  HR was 60+ at 2300, so took 2nd pill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107078 -  ..
107079 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107081 -  ..
107082 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107083 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107084 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107086 -  ..
107087 - Dizzy - last night slept in chair.  In afternoon laid on bed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107088 - experiment.  Initially no dizziness.  After 10 minutes, room began                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107089 - spinning severely.  Sat up vertical.  BPPV subsided.  Late at night                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107090 - tried laying on bed again, and was able to sleep until OA 0430.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107091 - dizziness.  Moved to  chair until 0600.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107093 -  ..
107094 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107096 -  ..
107097 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107098 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107100 -  ..
107101 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107103 -  ..
107104 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107105 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107107 -  ..
107108 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107109 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107110 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107111 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107112 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107113 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107114 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107115 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107116 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107117 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107118 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107119 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107120 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107122 -  ..
107123 - Hiking - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107125 -  ..
107126 - Kardia recorded HR 65 at 0658 before hike - reported normal...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107129 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200525-ecg-065833_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107132 - ...and says:  No rhythm abnormalities detected in your EKG.  This is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107133 - 2 days in a row of better HR rhythm.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107136 -  ..
107137 - Breakfast - egg sausage toast with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107138 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107139 - Dinner - roast beef cut into very small pieces asparagus lettuce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107140 - avocado tomato cucumber                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107142 -  ..
107143 - Vomiting: 0% - stomach pain subsided in late morning.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107149 -         ..
107150 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107151 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107152 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107153 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107154 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107155 -  147.  200526 0620............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107156 -               0630....BP HR..................................................... 131  74  64  Kardia ECG reports HR normal, see below. ref SDS 0 VWUV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107157 -               0635....BP HR..................................................... 129  72  64  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107158 -               0640....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107159 -               0640... 20 974820 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107160 -               0640... 80 188060 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107161 -           **  0640... 25   4475.0 Metoprolol Tartrate -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107162 -               0640... 05 1265 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107163 -               0640... 75 8550 Clopidogrel Bisulfate (Plavix) 75 MG tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107164 -               0000... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107165 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107166 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107167 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107168 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107169 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107170 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107171 -               1130....miles...........   5.0  57.0   83   947 minutes  temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107172 -               1330....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107173 -               1340....BP HR..................................................... 116  73  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107174 -               1345....BP HR..................................................... 129  70  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107175 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107176 -               1700... 40 57740 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
107177 -               1830............ 10 13690  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107178 -               1830............ 10 13280  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107179 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107180 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107181 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107182 -           **  0000... 25   4475.0 Metoprolol Tartrate - HR 75 did not take pill to experiment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107183 -               2100... 40 37680 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107184 -               2130... 1000  824000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107185 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107186 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107187 -               2200... 05 1270 Apixaban blood thinner RX 7088121 for stroke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107188 -               2200... 80 188140 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107189 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107190 -               2350... stomach hurting much less, see vomitting. ref SDS 0 UUPR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107192 -  ..
107193 - ** Metoprolol Tartrate; - on 200504, continued because HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107194 - shows some PAF after ablation on 200430 0700, ref SDS 93 BL4K, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107195 - recorded during night on 200504, per above. ref SDS 0 IY8O  ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107196 - subsides overnight, but returns after taking metoprolol in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107197 - morning.  HR was 60+ at 2300, so took 2nd pill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107199 -  ..
107200 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107202 -  ..
107203 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107204 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107205 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107207 -  ..
107208 - Dizzy - last night OA 0230, woke and room was spinning violently.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107209 - Closed eyes and sat up vertical with legs over side of bed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107210 - Continuing experience yesterday morning, per above. ref SDS 0 VQTS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107211 - Room spinning sensation stopped.  Spent rest of night in recliner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107212 - chair so the head was mostly vertical.  This record seems to indicate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107213 - BPPV triggered by laying flat on back.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107215 -  ..
107216 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107218 -  ..
107219 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107220 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107222 -  ..
107223 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107225 -  ..
107226 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107227 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107229 -  ..
107230 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107231 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107232 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107233 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107234 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107235 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107236 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107237 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107238 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107239 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107240 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107241 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107242 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107244 -  ..
107245 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107246 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107248 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107249 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107250 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107251 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107252 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107253 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107254 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107255 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107256 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107257 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107258 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107259 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107260 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107261 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107262 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107263 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107264 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107265 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107266 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107267 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107268 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107269 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107270 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107271 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107272 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107273 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107274 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107275 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107276 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107277 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107278 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107279 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107280 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107281 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107282 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107283 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107284 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107285 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107287 -  ..
107288 - Body feels weak after hiking 5 miles in 82 degrees, following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107289 - on 191009 1500, ref SDS 78 0001, and hiking 1 big hill.
107291 - -
107292 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107293 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107294 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107296 -  ..
107297 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107299 -  ..
107300 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107301 - pain level 1, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107302 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107304 -  ..
107305 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107306 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107307 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107308 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107309 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107311 -  ..
107312 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107313 - 1344. ref SDS 79 SM4M  No blisters over 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107315 -  ..
107316 - Hydrofera Blue dressing did not apply to blisters/calluses below big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107317 - toes on both feet.  Wearing 2-pair double-ply Wright socks protected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107318 - blisters from further injury during 15-mile hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107320 -  ..
107321 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107322 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107323 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107325 -  ..
107326 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107327 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107328 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107329 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107330 - ref SDS 77 SM4M  After hike today on 200517, shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107331 - and Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107332 - ref SDS 0 HJ7N  Today, wore 2-pair Wrightsock thin double-ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107333 - and laced shoes less loosely.  During hike both feet pain level 1 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107334 - 10% of 14 miles, mostly hiking on concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107336 -  ..
107337 - Concord 5 mile route - did not hike extra 1-mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107338 - Starting energy okay today, and balance better, less wobbly after IVUS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107339 - cardiac catheterization ablation procedure at VAMCSF on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107340 - ref SDS 94 244I  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107341 - ref SDS 77 SM4M; and wore 2-pair double-ply Wright socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107342 - 191010 1344, ref SDS 79 SM4M, to prevent blisters.  Took Metoprolol 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107343 - pill 25 mg in morning to manage HR during hike and minimize ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107344 - shortness of breath, and blurred vision side effects.  Hiked from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107345 - Cuneo uphill to Treat.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107346 - Continued at fast pace on Treat hiking East 1 mile to Clayton.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107347 - Noticed seem stronger today.  At mile 1.25 time 19 minutes.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107348 - South onto Clayton hiking 2 miles continuing at normal pace, mostly on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107349 - flat concrete sidewalk to mile 3.75, and turned West onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107350 - Valley Road hiking on concrete sidewalk another .5 mile.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107351 - South sideside Ygnacio Valley Road hiking West on asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107352 - aganist East bound traffic.  At mile 5, stopped at Texaco gas station.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107353 - Kardia device ECG HR 97 and possible "atrial fibrillation" - looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107354 - worse than 2 days ago after 5 miles, may align with not feeling well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107355 - during initial 5 miles. ref SDS 0 UTRW  Not feeling well - Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107356 - drove me home for 5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107358 -  ..
107359 - Kardia recorded HR 76 at 0854 before hike - reported normal...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107362 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200526-ecg-085456_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107365 - ...and says:  No rhythm abnormalities detected in your EKG.  This is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107366 - 3 days in a row of better HR rhythm.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107369 -  ..
107370 - Kardia recorded HR 55 at 1033 before hike - reported Normal - looks terrible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107372 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200523-ecg-103352_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107375 -  ..
107376 - Kardia recorded HR 94 at 5 miles - reported unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107378 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200523-ecg-124928_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107380 -  ..
107381 - HR profile shows signficiant disruptions.  Kardia reports "atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107382 - fibrillation was not detected and your EKG does not fall under the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107383 - algorithmic classifications of Normal, Bradycardia, or Tachycardia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107384 - This may be caused by other arrthythmias, unusually fast or slow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107385 - heart rates, or poor quality recordings."                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107387 -  ..
107388 - Kardia recorded HR 67 about 2 hours after 5 miles, reported unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107391 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200523-ecg-143326_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107394 -  ..
107395 - Polar HR profile indicates sinus all the way tracking elevation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107396 - changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107399 -       Date      200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                                                      
107400 -       Miles        5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                                                                                                                                        
107402 -        ..
107403 -       HR AVG      98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                                                        
107404 -         MAX      106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                                                        
107405 -         Min       67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                                                        
107406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107408 -  ..
107409 - HR profile shows sinus rhythm tracking elevation profile, so no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107410 - AF, and, max HR 106 indicates no atrial flutter, following ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107411 - 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107414 -              https://flow.polar.com/training/analysis/4689236632                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107418 -   
107419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107421 -  ..
107422 - HR profile post-hike beginning OA 2322 overnight until OA 0830 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107423 - morning shows mostly steady heart beat 76 +/- with 3 spikes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107424 - reflecting not taking metoprolol at night, per above. ref SDS 0 XT4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107425 - Minimum HR 40, may indicated heart recovering from ablation procedures                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107426 - 3 weeks ago.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107429 -              https://flow.polar.com/training/analysis/4703467807                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107433 -   
107434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107436 -  ..
107437 - Breakfast - egg sausage toast with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107438 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107439 - Dinner - meatloaf asparagus lettuce avocado tomato cucumber                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107441 -  ..
107442 - Vomiting: 0% - stomach pain subsided in late morning.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107448 -         ..
107449 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107450 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107451 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107452 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107453 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107454 -  148.  200527 0230............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107455 -               0230....BP HR..................................................... 139  80  62  Kardia ECG reports HR normal, see below. ref SDS 0 VXWQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107456 -               0235....BP HR..................................................... 131  73  58  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107457 -               0240....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107458 -               0820... 20 974900 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107459 -               0820... 80 188300 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107460 -           **  0820... 25   4500.0 Metoprolol Tartrate - Doctor Pellegrini switched to Succinct taken once a day                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107461 -               0000... 05 1270 Apixaban blood thinner RX 7088121 for stroke - paused 200527 2 days prior to EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107462 -               0000... 75 8550 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 200527 2 days prior to EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107463 -               0350... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107464 -               0350... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107465 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107466 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107467 -               0345... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107468 -      forgot   0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107469 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107470 -               0350....miles...........  12.0  12.0  194   277 minutes  temp  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107471 -               0720....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107472 -               0725....BP HR..................................................... 113  73  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107473 -               0730....BP HR..................................................... 109  71  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107474 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107475 -               1700... 40 57780 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
107476 -             1 0000............ 10 13690  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107477 -             1 0000............ 10 13280  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107478 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107479 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107480 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107481 -               2100... 40 37720 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107482 -               2130... 1000  825000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107483 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107484 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107485 -               0000... 05 1270 Apixaban blood thinner RX 7088121 for stroke - paused 200527 2 days prior to EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107486 -               2200... 80 188380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107487 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107488 -               2350... stomach hurting much less, see vomitting. ref SDS 0 UUPR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107490 -  ..
107491 - ** Metoprolol Tartrate; - Doctor Pellegrini switched to Succinct taken                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107492 - once a day, reported in another record today on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107493 - ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107495 -  ..
107496 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107498 -  ..
107499 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107500 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107501 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107503 -  ..
107504 - Dizzy - this morning, alarm went off at 0230, woke and room was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107505 - spinning, similar to 3 days ago on 200524, per above. ref SDS 0 VQTS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107506 - Closed eyes and sat up vertical with legs over side of bed.  Room                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107507 - spinning sensation stopped.  At 0730, got treatment for BPPV from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107508 - Bethany, reported in another record today on 200527 0730. ref SDS 96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107509 - FR8I Experienced double vision.  At end of 2nd treatment, Bethany                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107510 - resolved prior feeling of being wobbly; made drive home much better.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107512 -  ..
107513 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107515 -  ..
107516 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107517 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107519 -  ..
107520 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107522 -  ..
107523 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107524 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107526 -  ..
107527 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107528 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107529 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107530 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107531 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107532 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107533 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107534 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107535 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107536 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107537 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107538 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107539 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107541 -  ..
107542 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107543 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107545 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107546 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107547 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107548 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107549 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107550 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107551 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107552 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107553 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107554 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107555 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107556 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107557 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107558 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107559 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107560 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107561 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107562 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107563 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107564 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107565 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107566 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107567 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107568 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107569 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107570 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107571 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107572 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107573 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107574 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107575 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107576 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107577 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107578 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107579 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107580 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107581 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107582 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107584 -  ..
107585 - Body feels good after hiking 12 miles in 62 degrees, following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107586 - 191009 1500, ref SDS 78 0001, and hiking 1 big hill.
107588 - -
107589 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107590 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107591 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107593 -  ..
107594 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107596 -  ..
107597 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107598 - pain level 1, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107599 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107601 -  ..
107602 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107603 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107604 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107605 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107606 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107608 -  ..
107609 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107610 - 1344. ref SDS 79 SM4M  No blisters over 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107612 -  ..
107613 - Hydrofera Blue dressing did not apply to blisters/calluses below big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107614 - toes on both feet.  Wearing 2-pair double-ply Wright socks protected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107615 - blisters from further injury during 15-mile hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107617 -  ..
107618 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107619 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107620 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107622 -  ..
107623 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107624 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107625 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107626 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107627 - ref SDS 77 SM4M  After hike today on 200517, shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107628 - and Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107629 - ref SDS 0 HJ7N  Today, wore 2-pair Wrightsock thin double-ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107630 - and laced shoes less loosely.  During hike both feet pain level 1 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107631 - 10% of 14 miles, mostly hiking on concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107633 -  ..
107634 - San Francisco route #5, reported on 170519, per above. ref SDS 36 WTRS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107635 - Weather cool temperature 54, but warming up.  Started hike leaving                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107636 - parking lot at VAMCSF at 0355.  Walked slow downhill on 42nd Street to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107637 - warm up.  Tailor's Bunion on both feet pain level 0 going down hill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107638 - good signal.  Turned corner continued downhill West on Point Lobos to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107639 - the Cliff House at mile 1.  Loud roar of ocean.  Too dark to see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107640 - anything.  Road bends and changes to "The Great Highway" going South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107641 - along the ocean beach.  Fast pace on flat ground parallel to ocean.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107642 - Seems eerie no cars in parking lot, due to restrictions for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107643 - coronavirus pandemic.  At mile 2 turned onto the Lincoln Avenue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107644 - section of John F Kennedy (JFK) Drive entering Golden Gate Park.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107645 - Maintained fast pace going slightly uphill into the park.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107646 - corner and continued East on JFK.  Passed the Buffalo compound.  Past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107647 - Spreckles Lake - waved to jogger, who is usually out very early.  Past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107648 - Lindley Meadow.  About mile 3.5 nearng Hellman Hollow.  Have seen only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107649 - 2 bikers and maybe two other runners.  Hiked under bridge at 19th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107650 - street, then past the waterfall, which is not running at this hour.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107651 - Continued hiking past De Young Museum at mile 4.25.  Nearing the end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107652 - of JFK Drive, crossed the street to make left turn onto Stanyon at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107653 - mile 6.5.  Nice the City has paved this part of walkway.  Hiked uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107654 - on Stanyon several blocks to Fulton.  Hiked few more blocks downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107655 - to Paramont street across from Koret Health and Recreation Center,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107656 - part of USF.  Touched the wall at Ann's house - time 0533.   Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107657 - back on Stanyon to John F Kennedy drive.  Hiked on South side against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107658 - traffic going West.  Passing De Young Museum increased pace - feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107659 - good.  Nice seeing the waterfall.  Hiked under the 19th Street bridge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107660 - and past Helman Hollow.  Knee pain level 0, feeling metatarsalgia both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107661 - feet pain level 1.  Hiked past Lindley Meadow to Spreckles Lake, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107662 - past the Buffalo Compound.  Crossed over to North side of JFK going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107663 - with traffic.  Turned corner from JFK onto Lincoln Avenue and headed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107664 - toward the ocean.  Turned North onto the Great Highway.  Both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107665 - pain level 2; left knee patella pain level 0.  Hiked parallel to ocean                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107666 - toward the Cliff House and the hospital.  Maintained pace hiking up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107667 - steep hill, Metatarsalgia and left knee patella pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107668 - Breathing through nose for 1.5 miles uphill all the way to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107669 - hospital.  At the Cliff House, turned onto Point Lobos going East;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107670 - feeling strong handling uphill for 1 mile.  Turned onto 42nd street                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107671 - and maintained pace going up final steep hill to the VA campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107672 - Arrived at 0713.  Very good hike - seem ready to do Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107673 - Road again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107675 -  ..
107676 - Kardia recorded HR 56 at 0919 about 2 hours after 12 mile hike -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107677 - reported normal...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107680 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200527-ecg-091957_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107683 - ...and says:  No rhythm abnormalities detected in your EKG.  This is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107684 - 4 days in a row of better HR rhythm.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107688 -  ..
107689 - Polar HR profile indicates sinus all the way tracking elevation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107690 - changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107693 -       Date      200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                                          
107694 -       Miles       12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                                                                                                            
107696 -        ..
107697 -       HR AVG     118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                                            
107698 -         MAX      145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                                            
107699 -         Min       85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                                            
107700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107702 -  ..
107703 - HR profile showing average increased to 118, aligns with not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107704 - metoprolol until after hike, further sinus rhythm tracks elevation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107705 - profile, so no likely AF, and, max HR 145 correlates to significant                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107706 - increase in elevation last mile of hike, indicates no atrial flutter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107707 - following ablation on 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107710 -              https://flow.polar.com/training/analysis/4706448782                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107714 -   
107715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107718 -  ..
107719 - HR profile post-hike beginning OA 1826 overnight until OA 1630 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107720 - morning shows mostly steady heart beat 63 +/- with 1 spikes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107721 - reflecting not taking metoprolol at night, per above. ref SDS 0 N19H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107722 - Minimum HR 46 and max 116, indicates heart recovering from ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107723 - procedures 3 weeks ago.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107726 -              https://flow.polar.com/training/analysis/4708413337                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107730 -   
107731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107734 -  ..
107735 - Breakfast - egg sausage with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107736 - Lunch - sandwich balogna cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107737 - Dinner - salmon lettuce avocado tomato cucumber, cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107739 -  ..
107740 - Vomiting: 0% - stomach pain seems ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107746 -         ..
107747 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107748 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107749 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107750 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107751 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107752 -  149.  200528 0630............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107753 -               0640....BP HR..................................................... 146  80  69  Kardia ECG reports HR normal, see below. ref SDS 0 WQYV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107754 -               0645....BP HR..................................................... 140  83  59  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107755 -               0650....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107756 -               0650... 20 974920 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107757 -               0650... 80 188460 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107758 -           **  0650... 25     25.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107759 -               0000... 05 1270 Apixaban blood thinner RX 7088121 for stroke - paused 200527 2 days prior to EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107760 -               0000... 75 8550 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 200527 2 days prior to EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107761 -               1050... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107762 -               1050... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107763 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107764 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107765 -               1100... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107766 -               1100....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107767 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107768 -               1700... 40 57820 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
107769 -               1830............ 10 13700  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107770 -               1830............ 10 13290  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107771 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107772 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107773 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107774 -               2100... 40 37760 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107775 -               2130... 1000  826000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107776 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107777 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107778 -               0000... 05 1270 Apixaban blood thinner RX 7088121 for stroke - paused 200527 2 days prior to EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107779 -               2200... 80 188540 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107780 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107781 -               2350... stomach hurting much less, see vomitting. ref SDS 0 UUPR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107783 -  ..
107784 - ** Metoprolol Tartrate; - on 200504, continued because HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107785 - shows some PAF after ablation on 200430 0700, ref SDS 93 BL4K, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107786 - recorded during night on 200504, per above. ref SDS 0 IY8O  ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107787 - subsides overnight, but returns after taking metoprolol in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107788 - morning.  HR was 60+ at 2300, so took 2nd pill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107790 -  ..
107791 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107793 -  ..
107794 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107795 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107796 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107798 -  ..
107799 - Dizzy - none today after treatment for BPPV on 200527 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107800 - ref SDS 96 TB5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107802 -  ..
107803 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107805 -  ..
107806 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107807 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107809 -  ..
107810 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107812 -  ..
107813 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107814 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107816 -  ..
107817 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107818 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107819 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107820 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107821 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107822 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107823 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107824 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107825 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107826 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107827 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107828 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107829 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107831 -  ..
107832 - Hiking none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107834 -  ..
107835 - Kardia recorded HR 63 at 0704 - reported normal...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107838 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200528-ecg-070439_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107841 - ...and says:  No rhythm abnormalities detected in your EKG.  This is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107842 - 5 days in a row of better HR rhythm.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107845 -  ..
107846 - HR profile overnight showing average HR 76, and max HR 100 indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107847 - no atrial flutter, following ablation on 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107850 -              https://flow.polar.com/training/analysis/4712225717                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107854 -   
107855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107857 -  ..
107858 - Breakfast - cheerios chia seeds milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107859 - Lunch - cheese crackers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107860 - Dinner - salmon lettuce avocado tomato cucumber                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107862 -  ..
107863 - Vomiting: 0% - stomach pain seems ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107869 -         ..
107870 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107871 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107872 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107873 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107874 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107875 -  150.  200529 0550............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107876 -               0610....BP HR..................................................... 144  79  63  Kardia ECG reports HR normal, see below. ref SDS 0 WTVT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107877 -               0615....BP HR..................................................... 124  65  63  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107878 -               0620....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107879 -               0000... 20 974920 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107880 -               0000... 80 188460 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107881 -           **  0000... 25     25.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107882 -               0000... 05 1270 Apixaban blood thinner RX 7088121 for stroke - paused 200527 2 days prior to EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107883 -               0000... 75 8550 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 200527 2 days prior to EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107884 -               0000... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107885 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107886 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107887 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107888 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107889 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107890 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107891 -               1700... 40 57860 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
107892 -             1 0000............ 10 13700  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107893 -             1 0000............ 10 13290  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107894 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107895 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107896 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107897 -               2100... 40 37800 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107898 -               2130... 1000  827000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107899 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107900 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107901 -               2200... 05 1275 Apixaban blood thinner RX 7088121 for stroke - resumed after EGD this morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107902 -               2200... 80 188540 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107903 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107904 -               2350... stomach hurting much less, see vomitting. ref SDS 0 UUPR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107906 -  ..
107907 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107908 - reported on 200527 0930. ref SDS 97 MU4H  Paused today for EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107909 - procedure at 0930 this morning.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107911 -  ..
107912 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107914 -  ..
107915 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107916 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107917 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107919 -  ..
107920 - Dizzy - none today after treatment for BPPV on 200527 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107921 - ref SDS 96 TB5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107923 -  ..
107924 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107926 -  ..
107927 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107928 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107930 -  ..
107931 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107933 -  ..
107934 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107935 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107937 -  ..
107938 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107939 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107940 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107941 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107942 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107943 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107944 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107945 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107946 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107947 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107948 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107949 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107950 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107952 -  ..
107953 - Kardia recorded HR 64 at 0731 - reported normal...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107956 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200529-ecg-073110_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107959 - ...and says:  No rhythm abnormalities detected in your EKG.  This is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107960 - 6 days in a row of better HR rhythm.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107963 -  ..
107964 - HR profile this morning and during EGD dilation, showing average HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107965 - 74, and max HR 113 indicates no atrial flutter, following ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107966 - 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107969 -              https://flow.polar.com/training/analysis/4714131907                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107973 -   
107974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107977 -  ..
107978 - Breakfast - NPO for EGD at VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107979 - Lunch - sandwich bolgna cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107980 - Dinner - salmon lettuce avocado tomato cucumber cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107982 -  ..
107983 - Vomiting: 0% - stomach pain seems ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107990 -         ..
107991 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107992 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107993 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107994 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107995 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107996 -  151.  200530 0520............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107997 -               0530....BP HR..................................................... 142  86  62  Kardia ECG reports HR normal, see below. ref SDS 0 WUVU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107998 -               0535....BP HR..................................................... 142  78  72  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107999 -               0540....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108000 -               0540... 20 974940 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108001 -               0540... 80 188620 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108002 -           **  0540... 25     50.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108003 -               0540... 05 1280 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108004 -               0540... 75 8625 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108005 -               0930... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108006 -               0930... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108007 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108008 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108009 -               1020... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108010 -               1030....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108011 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108012 -               1040....miles...........   9.0  26.0  147   424 minutes  temp  59  heavy rain and wind cut hike short                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108013 -               1320....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108014 -               1325....BP HR..................................................... 113  76  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108015 -               1330....BP HR.....................................................  97  60  79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108016 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108017 -               1700... 40 57900 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
108018 -               1830............ 10 13710  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108019 -               1830............ 10 13300  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108020 -               1920... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108021 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108022 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108023 -               2100... 40 37840 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108024 -               2130... 1000  828000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108025 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108026 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108027 -               2205... 05 1285 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108028 -               2200... 80 188700 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108029 -               0000...  Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108030 -               0000... stomach hurting much less, see vomitting. ref SDS 0 UUPR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108032 -  ..
108033 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108034 - reported on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108036 -  ..
108037 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108039 -  ..
108040 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108041 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108042 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108044 -  ..
108045 - Dizzy - none today after treatment for BPPV on 200527 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108046 - ref SDS 96 TB5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108048 -  ..
108049 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108051 -  ..
108052 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108053 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108055 -  ..
108056 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108058 -  ..
108059 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108060 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108062 -  ..
108063 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108064 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108065 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108066 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108067 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108068 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108069 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108070 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108071 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108072 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108073 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108074 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108075 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108077 -  ..
108078 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108079 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108081 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108082 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108083 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108084 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108085 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108086 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108087 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108088 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108089 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108090 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108091 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108092 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108093 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108094 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108095 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108096 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108097 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108098 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108099 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108100 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108101 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108102 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108103 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108104 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108105 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108106 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108107 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108108 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108109 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108110 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108111 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108112 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108113 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108114 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108115 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108116 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108117 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108118 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108120 -  ..
108121 - Body feels good after hiking 9 miles in 62 degrees with heavy rain,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108122 - following PRP on 191009 1500, ref SDS 78 0001, and hiking 1 big hill.
108124 - -
108125 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108126 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108127 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108129 -  ..
108130 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108132 -  ..
108133 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108134 - pain level 1, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108135 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108137 -  ..
108138 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108139 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108140 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108141 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108142 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108144 -  ..
108145 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108146 - 1344. ref SDS 79 SM4M  No blisters over 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108148 -  ..
108149 - Hydrofera Blue dressing did not apply to blisters/calluses below big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108150 - toes on both feet.  Wearing 2-pair double-ply Wright socks protected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108151 - blisters from further injury during 15-mile hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108153 -  ..
108154 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108155 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108156 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108158 -  ..
108159 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108160 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108161 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108162 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108163 - ref SDS 77 SM4M  Before hike today on 200530, shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108164 - and Tailor's Bunions.  After hike applied ammonium lactate lotion to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108165 - feet. ref SDS 0 1U7J  Today, wore 2-pair Wrightsock thin double-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108166 - socks, and laced shoes less loosely.  During hike both feet pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108167 - 1 for 10% of 14 miles, mostly hiking on concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108169 -  ..
108170 - Concord 9 mile route - starting hiked with Kathy 1-mile loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108171 - the block.  Starting energy okay today, and balance better, less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108172 - wobbly after BPPV treatment at VAMCSF on 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108173 - Wearing Hoka Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108174 - and wore 2-pair double-ply Wright socks received on 191010 1344,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108175 - ref SDS 79 SM4M, to prevent blisters.  Took Metoprolol 1 pill 25 mg in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108176 - morning to manage HR during hike and minimize ARDS shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108177 - breath, and blurred vision side effects.  Hiked from Cuneo uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108178 - Treat.  Breathed easily through nose entire hike.  Continued at fast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108179 - pace on Treat hiking East 1 mile to Clayton.  Noticed seem stronger                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108180 - today.  At mile 2.25 turned South onto Clayton hiking 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108181 - continuing at normal pace, mostly on flat concrete sidewalk.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108182 - 4.75, turned West onto Ygnacio Valley Road hiking on concrete sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108183 - another .5 mile.  About mile 5, crossed to South sideside Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108184 - Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108185 - traffic.  Wind increased with light rain.  Used Samson cellphone to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108186 - check weather forecast, indicated big rainstorm was coming.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108187 - 6, did not stop at Texaco gas station.  Continued hike to Pine Hollow,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108188 - then took Campus Road .75-mile uphill to California Sate University                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108189 - visitor parking.  Legs did not tire going uphill, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108190 - vasodilation activated for rest of hike.  Did 1-loop of about 1.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108191 - miles through adjoining Faculty and Student Parking lots, but did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108192 - hike sub-loop uphill .5 mile on the cross street between upper and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108193 - lower areas - saving energy for Crystal Ranch Road.  Heavy rain began,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108194 - so called Kathy to meet on Ygnacio Valley Road and Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108195 - in 15 minutes.  At mile 8 took Campus Road North downhill to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108196 - Valley Road.  Hiked West .4 miles in very heavy rain.  Met Kathy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108197 - drove home for 9 mile hike...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108199 -  ..
108200 - Kardia recorded HR 61 at 0538 - reported normal...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108203 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200530-ecg-053852_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108206 - ...and says:  No rhythm abnormalities detected in your EKG.  This is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108207 - 7 days in a row of better HR rhythm.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108210 -  ..
108211 - Polar HR profile indicates sinus all the way tracking elevation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108212 - changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108215 -       Date      200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                                     
108216 -       Miles        9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                                                                                       
108218 -        ..
108219 -       HR AVG     110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                       
108220 -         MAX      127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                       
108221 -         Min       81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                       
108222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108224 -  ..
108225 - HR profile showing average increased to 110, aligns with prior hikes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108226 - and sinus rhythm tracks elevation profile, so no likely AF, and, max                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108227 - HR 127 correlates to increase in elevation, indicates no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108228 - flutter, following ablation on 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108231 -              https://flow.polar.com/training/analysis/4717924522                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108235 -   
108236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108238 -  ..
108239 - After hike, Kardia recorded HR 84 at 15oo - reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108242 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200530-ecg-150033_mile_9.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108245 - ...and says:  no rhythm abnormalities were not detected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108246 - in your EKG.  This is 7 days in a row of better HR rhythm.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108248 -  ..
108249 - HR profile post-hike beginning 1510 overnight until OA 0630 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108250 - morning shows mostly steady heart beat 71 +/- with 1 spikes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108251 - reflecting taking metoprolol succinct this morning, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108252 - ref SDS 0 1U7J  Minimum HR 34 aligns with conditioning prior to onset                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108253 - of AF...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108256 -              https://flow.polar.com/training/analysis/4720493467                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108260 -   
108261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108263 -  ..
108264 - Breakfast - Cheerios chia seeds milk with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108265 - Lunch - cheese triscuts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108266 - Dinner - steak lettuce avocado brocolli tomato cucumber cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108268 -  ..
108269 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108275 -         ..
108276 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108277 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108278 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108279 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108280 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108281 -  152.  200531 0650............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108282 -               0640....BP HR..................................................... 137  83  70  Kardia ECG reports HR normal, see below. ref SDS 0 WWPX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108283 -               0645....BP HR..................................................... 134  82  61  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108284 -               0630....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108285 -               0630... 20 974960 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108286 -               0630... 80 188780 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108287 -           **  0630... 25     75.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108288 -               0630... 05 1290 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108289 -               0630... 75 8700 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108290 -               0930... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108291 -               0930... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108292 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108293 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108294 -               1020... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108295 -               1030....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108296 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108297 -         * cr  1115....miles...........  20.0  46.0  332   756 minutes  temp  72  strong wind at times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108298 -               1750....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108299 -               1815....BP HR.....................................................  98  68  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108300 -               1820....BP HR..................................................... 109  69  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108301 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108302 -               1700... 40 57940 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
108303 -             1 0000............ 10 13710  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108304 -             1 0000............ 10 13300  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108305 -               1940... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108306 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108307 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108308 -               2100... 40 37880 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108309 -               2130... 1000  829000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108310 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108311 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108312 -               2205... 05 1295 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108313 -               2200... 80 188860 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108314 -               0000...  Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108315 -               0000... stomach hurting much less, see vomitting. ref SDS 0 UUPR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108318 -  ..
108319 - * cr - hiked Crystal Ranch Road 8-mile loop with 6 major hills, 1st                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108320 - time since 191226, reported in case study on 190101 0730. ref SDS 69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108321 - KV9H On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108322 - loops, as part of daily hike. ref SDS 55 E55K   On 191004 changed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108323 - route going up and coming down .5 miles very steep end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108324 - Ranch Road where it deadends at top of mountain. ref SDS 69 2T9L  Also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108325 - added route using access road to Cal State College and back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108326 - Valley Road - makes 8 mile loop with 5 major hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108328 -  ..
108329 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108330 - reported on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108332 -  ..
108333 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108335 -  ..
108336 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108337 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108338 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108340 -  ..
108341 - Dizzy - none today after treatment for BPPV on 200527 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108342 - ref SDS 96 TB5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108344 -  ..
108345 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108347 -  ..
108348 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108349 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108351 -  ..
108352 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108354 -  ..
108355 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108356 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108358 -  ..
108359 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108360 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108361 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108362 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108363 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108364 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108365 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108366 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108367 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108368 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108369 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108370 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108371 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108373 -  ..
108374 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108375 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108377 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108378 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108379 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108380 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108381 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108382 -        Trapezius right side neck/shoulder...........   4          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108383 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108384 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108385 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108386 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108387 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108388 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108389 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108390 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108391 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108392 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108393 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108394 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108395 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108396 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108397 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108398 -        Tailor's Bunion left foot.. PRP 190612.......   2          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108399 -        Tailor's Bunion right foot..PRP 190816.......   2          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108400 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108401 -        Electric shocks middle 3 toes right foot.....   2          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108402 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108403 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108404 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108405 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108406 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108407 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108408 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108409 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108410 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108411 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108412 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108413 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108414 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108416 -  ..
108417 - Body feels tired after hiking 20 miles in 72 degrees following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108418 - 191009 1500, ref SDS 78 0001, and hiking 1 big hill.
108420 - -
108421 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108422 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108423 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108425 -  ..
108426 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108428 -  ..
108429 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108430 - pain level 1, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108431 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108433 -  ..
108434 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108435 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108436 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108437 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108438 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108440 -  ..
108441 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108442 - 1344. ref SDS 79 SM4M  No blisters over 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108444 -  ..
108445 - Hydrofera Blue dressing did not apply to blisters/calluses below big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108446 - toes on both feet.  Wearing 2-pair double-ply Wright socks protected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108447 - blisters from further injury during 15-mile hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108449 -  ..
108450 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108451 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108452 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108454 -  ..
108455 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108456 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108457 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108458 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108459 - ref SDS 77 SM4M  Before hike today on 200531, shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108460 - and Tailor's Bunions.  After hike applied ammonium lactate lotion to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108461 - feet. ref SDS 0 X46N  Today, wore 2-pair Wrightsock thin double-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108462 - socks, and laced shoes less loosely.  During hike both feet pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108463 - 1 for 10% of 14 miles, mostly hiking on concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108465 -  ..
108466 - Concord 20 mile route - starting hiked with Kathy 1-mile loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108467 - the block.  Starting energy okay today, and balance better, less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108468 - wobbly after BPPV treatment at VAMCSF on 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108469 - Wearing Hoka Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108470 - and wore 2-pair double-ply Wright socks received on 191010 1344,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108471 - ref SDS 79 SM4M, to prevent blisters.  Took Metoprolol 1 pill 25 mg in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108472 - morning to manage HR during hike and minimize ARDS shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108473 - breath, and blurred vision side effects.  Hiked from Cuneo uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108474 - Treat.  Breathed easily through nose entire hike, except last 150                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108475 - yards to top of Crystal Ranch Road.  Continued at fast pace on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108476 - hiking East 1 mile to Clayton.  Seem strong today.  At mile 2.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108477 - turned South onto Clayton hiking 2 miles continuing at normal pace,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108478 - mostly on flat concrete sidewalk.  At mile 4.75, turned West onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108479 - Ygnacio Valley Road hiking on concrete sidewalk another .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108480 - About mile 5, crossed to South side Ygnacio Valley Road hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108481 - asphalt shoulder aganist East bound traffic.  At mile 6, stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108482 - Texaco gas station - HR 107 EKG reported Tachycardia.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108483 - to Pine Hollow, then took Campus Road .75-mile uphill to California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108484 - Sate University visitor parking.  Legs did not tire going uphill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108485 - indicating vasodilation activated for rest of hike.  Did 1-loop of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108486 - about 1.25 miles through adjoining Faculty and Student Parking lots,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108487 - but did not hike sub-loop uphill .5 mile on the cross street between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108488 - upper and lower areas - saving energy for Crystal Ranch Road.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108489 - 8 took Campus Road North .25 mile downhill to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108490 - Hiked West .5 miles and turned left hiking South on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108491 - Road, for first time since 191226, shown in case study on 190101 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108492 - ref SDS 69 KV9H  Hiked 1 mile up steep hill against strong wind -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108493 - handled this well, breathing easily through nose all the way.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108494 - summit hiked another mile on flat ground.  Hiked .25 mile downhill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108495 - mile 10 in the hike.  Hiked up very steep hill .5 miles to summit of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108496 - Crystal Ranch Road.  Breathed through mouth last 200 yards, showing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108497 - lack of conditioning not doing this hike for past 6 months.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108498 - North back downhill .5 mile.  Turned right heading East on Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108499 - Woods Way hiking up very steep hill .33 mile, and breathig through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108500 - nose all the way.  At summit, hiked .66 mile downhill and turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108501 - hiking North on Pine Hollow.  Hiked 1 mile to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108502 - Stopped at Texaco gas station - mile 12 in the hike.  EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108503 - 122 and possible atrial fibrillation (expect Doctor Pellegrini will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108504 - find well organized P wave indicating HR in sinus).  Bought Squirt and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108505 - drank 30% for energy.  Threw rest away.  Hiked West on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108506 - Road .25 mile to Pine Holow.  Hiked 100 yards and turned West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108507 - Campus Road.  Hiked Campus Road again .75-mile uphill to California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108508 - Sate University visitor parking.  Did 1-loop about 1.25 miles through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108509 - adjoining Faculty and Student Parking lots, but did not hike sub-loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108510 - uphill .5 mile on the cross street between upper and lower areas.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108511 - Back at Visitor Parking in front of college, and at mile 14 in hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108512 - took Campus Road North downhill .25 mile to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108513 - Turned left and hiked 1 mile past Crystal Ranch Road and up hill past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108514 - Cowell on to summit of Ygnacio Valley Road.  At mile 16 crossed from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108515 - South side of Ygnacio Valley Road to the North side in order to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108516 - severely sloped shoulder on South Side.  On North side continued West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108517 - over the summit and past concrete traffic seperation bariars.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108518 - 16.5 crossed back to South side of Ygnacio Valley Road because the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108519 - shoulder is better for hiking.  Hiked 2 miles down hill to Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108520 - Crossed Oak Grove at electric traffic light.  Continued West on paved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108521 - path parallel to Ygnacio Valley Road around Safeway shopping center.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108522 - Turned North onto Via Monte hiking on flat ground .25 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108523 - Shadelands Drive.  Turned around and hiked back on Via Monte to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108524 - Ygnacio Valley Road.  Hiked East .25 miles on paved path back to Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108525 - Grove.  Turned North and hiked on paved path .25 mile parallel to Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108526 - Grove.  At Shadelands Road hiked on shoulder Oak Grove .75 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108527 - Treat.  Kathy drove us home for 20 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108529 -  ..
108530 - Kardia recorded HR 59 at 0831 - reported normal...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108533 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200531-ecg-083116_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108536 - ...and says:  No rhythm abnormalities detected in your EKG.  This is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108537 - 8 days in a row of better HR rhythm.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108540 -  ..
108541 - Polar HR profile indicates sinus all the way tracking elevation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108542 - changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108545 -       Date      200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                              
108546 -       Miles       20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                                                                                
108547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108549 -        ..
108550 -       HR AVG     122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                                
108551 -         MAX      150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                                
108552 -         Min       81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                                
108553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108555 -  ..
108556 - HR profile showing average increased to 122, aligns hiking 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108557 - additional and significant hills and sinus rhythm tracks elevation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108558 - profile, so no likely AF, and, max HR 150 correlates to increase in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108559 - elevation, indicates no atrial flutter, following ablation on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108560 - 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108563 -              https://flow.polar.com/training/analysis/4722809852                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108568 -   
108569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108571 -  ..
108572 - EKG Kardia recorded HR 107 at 5 miles - reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108575 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200531-ecg-125207_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108578 -  ..
108579 - EKG Kardia recorded HR 122 at 12 miles - reported possible atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108582 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200531-ecg-145859_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108585 -  ..
108586 - EKG 30 minutes after hiking 20 miles HR 98 - Kardia reported Normal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108589 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200531-ecg-180603_mile_20.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108592 - ...and says:  No Rhythm abnormalties detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108595 -  ..
108596 - HR profile post-hike beginning 0056 overnight until OA 0630 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108597 - morning shows mostly steady heart beat 75 +/- until OA 0245, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108598 - erratic changes up and down that could signal recurrent atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108599 - fibrillation...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108602 -              https://flow.polar.com/training/analysis/4725272282                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108606 -   
108607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108609 -  ..
108610 - Breakfast - Cheerios chia seeds milk with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108611 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108612 - Dinner - tuna lettuce avocado brocolli tomato cucumber cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108614 -  ..
108615 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108621 -         ..
108622 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108623 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108624 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108625 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108626 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108627 -  153.  200601 0640............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108628 -               0645....BP HR..................................................... 142  81  71  Kardia ECG reports HR normal, see below. ref SDS 0 XPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108629 -               0650....BP HR..................................................... 135  84  63  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108630 -               0700....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108631 -               0710... 20 974980 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108632 -               0710... 80 188940 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108633 -           **  0710... 25    100.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108634 -               0710... 05 1300 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108635 -               0710... 75 8775 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108636 -               1030... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108637 -               1030... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108638 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108639 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108640 -               1040... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108641 -               1045....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108642 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108643 -               1050....miles...........  13.0  13.0  198   198 minutes  temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108644 -               1450....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108645 -               1500....BP HR..................................................... 116  70  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108646 -               1505....BP HR..................................................... 109  68  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108647 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108648 -               1700... 40 57980 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
108649 -               1830............ 10 13720  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108650 -               1830............ 10 13310  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108651 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108652 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108653 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108654 -               2100... 40 37920 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108655 -               2130... 1000  830000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108656 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108657 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108658 -               2205... 05 1305 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108659 -               2200... 80 189020 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108660 -               0000...  Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108661 -               0000... stomach hurting much less, see vomitting. ref SDS 0 UUPR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108664 -  ..
108665 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108666 - reported on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108668 -  ..
108669 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108671 -  ..
108672 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108673 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108674 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108676 -  ..
108677 - Dizzy - none today after treatment for BPPV on 200527 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108678 - ref SDS 96 TB5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108680 -  ..
108681 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108683 -  ..
108684 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108685 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108687 -  ..
108688 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108690 -  ..
108691 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108692 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108694 -  ..
108695 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108696 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108697 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108698 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108699 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108700 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108701 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108702 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108703 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108704 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108705 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108706 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108707 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108709 -  ..
108710 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108711 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108713 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108714 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108715 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108716 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108717 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108718 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108719 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108720 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108721 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108722 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108723 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108724 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108725 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108726 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108727 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108728 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108729 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108730 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108731 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108732 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108733 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108734 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108735 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108736 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108737 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108738 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108739 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108740 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108741 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108742 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108743 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108744 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108745 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108746 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108747 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108748 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108749 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108750 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108752 -  ..
108753 - Body feels okay after hiking 13 miles in 82 degrees following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108754 - 191009 1500, ref SDS 78 0001, and hiking 1 big hill.
108756 - -
108757 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108758 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108759 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108761 -  ..
108762 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108764 -  ..
108765 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108766 - pain level 1, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108767 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108769 -  ..
108770 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108771 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108772 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108773 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108774 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108776 -  ..
108777 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108778 - 1344. ref SDS 79 SM4M  No blisters over 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108780 -  ..
108781 - Hydrofera Blue dressing did not apply to blisters/calluses below big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108782 - toes on both feet.  Wearing 2-pair double-ply Wright socks protected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108783 - blisters from further injury during 15-mile hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108785 -  ..
108786 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108787 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108788 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108790 -  ..
108791 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108792 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108793 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108794 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108795 - ref SDS 77 SM4M  Before hike today on 200530, shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108796 - and Tailor's Bunions.  After hike applied ammonium lactate lotion to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108797 - feet. ref SDS 0 1U7J  Today, wore 2-pair Wrightsock thin double-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108798 - socks, and laced shoes less loosely.  During hike both feet pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108799 - 1 for 10% of 14 miles, mostly hiking on concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108801 -  ..
108802 - Concord 13 mile route - starting hiked with Kathy 1-mile loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108803 - the block.  Starting energy okay today, and balance better, less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108804 - wobbly after BPPV treatment at VAMCSF on 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108805 - Wearing Hoka Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108806 - and wore 2-pair double-ply Wright socks received on 191010 1344,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108807 - ref SDS 79 SM4M, to prevent blisters.  Took Metoprolol 1 pill 25 mg in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108808 - morning to manage HR during hike and minimize ARDS shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108809 - breath, and blurred vision side effects.  Hiked from Cuneo uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108810 - Treat.  Breathed easily through nose entire hike.  Continued at fast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108811 - pace on Treat hiking East 1 mile to Clayton.  Seem strong today.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108812 - mile 2.25 turned South onto Clayton hiking 2 miles continuing at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108813 - normal pace, mostly on flat concrete sidewalk.  At mile 4.75, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108814 - West onto Ygnacio Valley Road hiking on concrete sidewalk another .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108815 - mile.  About mile 5, crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108816 - West on asphalt shoulder aganist East bound traffic.  At mile 6,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108817 - stopped at Texaco gas station - HR 112 EKG reported Tachycardia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108818 - Continued hike to Pine Hollow, then took Campus Road .75-mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108819 - to California Sate University visitor parking.  Legs did not tire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108820 - going uphill, indicating vasodilation activated for rest of hike.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108821 - 1-loop of about 1.25 miles through adjoining Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108822 - Parking lots, and hiked sub-loop uphill .5 mile on the cross street                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108823 - between upper and lower areas.  At mile 9 took Campus Road North .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108824 - mile downhill to Ygnacio Valley Road.  Hiked West .5 miles past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108825 - Crystal Ranch Road, after hiking it yesterday.  Continued uphill past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108826 - Cowell.  Crossed from South side Ygnacio Valley Road to North side for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108827 - better shoulder; it is wider and sloped much less.  On North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108828 - Ygvancio Valley Road hiked over the summit.  At mile 10 hiked another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108829 - half mile, then turned around and hiked back to Cowell.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108830 - and hiked North 1 mile on Cowell to Treat.  Hiked home for 13 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108832 -  ..
108833 - Kardia recorded HR 65 at 0730 - reported normal...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108836 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200601-ecg-072832_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108839 - ...and says:  No rhythm abnormalities detected in your EKG.  This is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108840 - 9 days in a row of good HR rhythm.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108843 -  ..
108844 - Polar HR profile indicates sinus all the way tracking elevation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108845 - changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108848 -       Date      200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                       
108849 -       Miles       13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                                                                         
108850 -       HR AVG     115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                         
108851 -         MAX      130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                         
108852 -         Min       74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                         
108853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108855 -  ..
108856 - HR profile showing average dropped to 115, aligns with not hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108857 - Crystal Ranch Road loop today; and sinus rhythm tracks elevation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108858 - profile, so no likely AF, and, max HR 130 correlates to hiking 13                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108859 - miles today, rather than 20 miles yesterday; indicates no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108860 - flutter, following ablation on 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108863 -              https://flow.polar.com/training/analysis/4727264607                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108867 -   
108868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108870 -  ..
108871 - EKG Kardia recorded HR 112 at 6 miles - reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108874 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200601-ecg-123553_mile_06.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108877 -  ..
108878 - EKG 30 minutes after hiking 13 miles HR 82 - Kardia reported Normal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108881 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200601-ecg-153121_mile_13.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108884 - ...and says:  No Rhythm abnormalties detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108887 -  ..
108888 - HR profile post-hike beginning 1740 overnight until OA 0640 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108889 - morning shows activity for 4 hour going up and down stairs, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108890 - mostly steady HR with average 84, indicating possible mild flutter.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108891 - Minimum HR 20 seems worisome...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108894 -              https://flow.polar.com/training/analysis/4729471697                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108898 -   
108899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108901 -  ..
108902 - Breakfast - Cheerios chia seeds banana milk with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108903 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108904 - Dinner - tuna lettuce avocado brocolli tomato cucumber cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108906 -  ..
108907 - Vomiting: 0% - stomach hurting again in morning pain level 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108913 -         ..
108914 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108915 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108916 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108917 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108918 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108919 -  154.  200602 0640............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108920 -               0645....BP HR..................................................... 137  83  64  Kardia ECG reports HR normal, see below. ref SDS 0 XSTW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108921 -               0650....BP HR..................................................... 125  80  64  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108922 -               0700....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108923 -               0710... 20 975000 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108924 -               0710... 80 189100 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108925 -           **  0710... 25    125.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108926 -               0710... 05 1310 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108927 -               0710... 75 8850 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108928 -               8000... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108929 -               8000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108930 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108931 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108932 -               0830... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108933 -               0900....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108934 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108935 -               1020....miles...........  11.0  24.0  183   398 minutes  temp  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108936 -               1350....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108937 -               1355....BP HR..................................................... 108  66  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108938 -               1400....BP HR..................................................... 104  61  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108939 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108940 -               1700... 40 58020 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
108941 -             1 0000............ 10 13720  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108942 -             1 0000............ 10 13310  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108943 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108944 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108945 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108946 -               2100... 40 37960 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108947 -               2130... 1000  831000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108948 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108949 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108950 -               2205... 05 1315 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108951 -               2200... 80 189180 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108952 -               0000...  Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108953 -               0000... stomach hurting much less, see vomitting. ref SDS 0 UUPR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108956 -  ..
108957 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108958 - reported on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108960 -  ..
108961 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108963 -  ..
108964 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108965 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108966 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108968 -  ..
108969 - Dizzy - none today after treatment for BPPV on 200527 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108970 - ref SDS 96 TB5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108972 -  ..
108973 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108975 -  ..
108976 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108977 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108979 -  ..
108980 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108982 -  ..
108983 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108984 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108986 -  ..
108987 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108988 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108989 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108990 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108991 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108992 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108993 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108994 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108995 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108996 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108997 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108998 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108999 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109001 -  ..
109002 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109003 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109005 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109006 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109007 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109008 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109009 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109010 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109011 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109012 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109013 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109014 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109015 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109016 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109017 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109018 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109019 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109020 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109021 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109022 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109023 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109024 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109025 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109026 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109027 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109028 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109029 -        Electric shocks middle 3 toes right foot.....   1          5  on Clayton sidewalk mile 3 for .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109030 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109031 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109032 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109033 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109034 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109035 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109036 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109037 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109038 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109039 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109040 -        Burning sensation right foot..PRP 190816.....   1          5  on Clayton sidewalk mile 2 at Baily Road for .1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109041 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109042 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109044 -  ..
109045 - Body feels little weak after hiking 11 miles in 95 degrees following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109046 - PRP on 191009 1500, ref SDS 78 0001, and hiking 1 big hill.
109048 - -
109049 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109050 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109051 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109053 -  ..
109054 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109056 -  ..
109057 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109058 - pain level 1, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109059 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109061 -  ..
109062 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109063 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109064 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109065 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109066 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109068 -  ..
109069 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109070 - 1344. ref SDS 79 SM4M  No blisters over 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109072 -  ..
109073 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109074 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109075 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109077 -  ..
109078 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109079 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109080 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109081 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109082 - ref SDS 77 SM4M  Before hike today on 200530, shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109083 - and Tailor's Bunions.  After hike applied ammonium lactate lotion to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109084 - feet. ref SDS 0 1U7J  Today, wore 2-pair Wrightsock thin double-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109085 - socks, and laced shoes less loosely.  During hike both feet pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109086 - 1 for 10% of 14 miles, mostly hiking on concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109088 -  ..
109089 - Concord 11 mile route - Starting energy okay today, and balance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109090 - better, less wobbly after BPPV treatment at VAMCSF on 200527 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109091 - ref SDS 96 FR8I  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109092 - ref SDS 77 SM4M; and wore 2-pair double-ply Wright socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109093 - 191010 1344, ref SDS 79 SM4M, to prevent blisters.  Took Metoprolol 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109094 - pill 25 mg in morning to manage HR during hike and minimize ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109095 - shortness of breath, and blurred vision side effects.  Hiked from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109096 - Cuneo uphill to Treat - HR seems elevated for so little gain in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109097 - elevation, but already nearing 85 degrees.  Breathed easily through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109098 - nose entire hike.  Continued at normal pace on Treat hiking East 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109099 - mile to Clayton.  Time to mile 1.25 20 minutes.  Turned South onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109100 - Clayton hiking 2 miles continuing at normal pace, mostly on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109101 - concrete sidewalk.  At mile 3.75, turned West onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109102 - hiking on concrete sidewalk another .5 mile.  About mile 4, crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109103 - South side Ygnacio Valley Road hiking West on asphalt shoulder aganist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109104 - East bound traffic.  At mile 5, stopped at Texaco gas station - HR 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109105 - EKG reported Tachycardia. ref SDS 0 XSXU  Continued hike to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109106 - Hollow, then took Campus Road .75-mile uphill to California Sate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109107 - University visitor parking.  Legs did not tire going uphill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109108 - indicating vasodilation activated for rest of hike.  Did 1-loop of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109109 - about 1.25 miles through adjoining Faculty and Student Parking lots,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109110 - and hiked sub-loop uphill .5 mile on the cross street between upper                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109111 - and lower areas.  At mile 7, started 2nd loop in parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109112 - Received call from Nick at Custom Computer - needed help configuring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109113 - Widows 10 on c24, reported in another record today on 200602 1219.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109114 - ref SDS 99 IZ5O  Turned around and headed back to Visitor Parking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109115 - Hiked Campus Road North .25 mile downhill to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109116 - Turned West .5 miles past Crystal Ranch Road.  Continued uphill past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109117 - Cowell.  Crossed from South side Ygnacio Valley Road to North side for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109118 - better footing on shoulder; it is wider and sloped much less.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109119 - over the summit.  At mile 9, turned around and hiked back to Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109120 - Turned left and hiked North 1 mile on Cowell to Treat.  Hiked home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109121 - 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109123 -  ..
109124 - Kardia recorded HR 67 at 0746 - reported unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109127 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200602-ecg-074613_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109130 - ...and says:  atrial fibrillation was not detected and your EKG does                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109131 - not fall under th algorithmic classificatons of Normal, Bradycardia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109132 - or Tachycardia.  This may be caused by otehr arrhythmias, unusually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109133 - fast or slow heart rates or poor quality recordings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109136 -  ..
109137 - Polar HR profile indicates sinus all the way tracking elevation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109138 - changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109141 -       Date      200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                                                                
109142 -       Miles       11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                                                                  
109143 -       HR AVG     114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                                                                  
109144 -         MAX      134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                                                                  
109145 -         Min       91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                                                                  
109146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109148 -  ..
109149 - HR profile showing average dropped to 114, aligns hiking less mileage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109150 - because called to work on c24; appears sinus rhythm tracks elevation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109151 - profile, so no likely AF, and, max HR 134 correlates temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109152 - increased to 95 today.  HR profile indicates no atrial flutter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109153 - following ablation on 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109156 -              https://flow.polar.com/training/analysis/4731796902                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109160 -   
109161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109163 -  ..
109164 - EKG Kardia recorded HR 109 at 5 miles - reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109167 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200602-ecg-114016_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109169 -  ..
109170 -  ..
109171 - Looks disruptive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109175 -  ..
109176 - EKG 3 hours after hiking 11 miles HR 67 - Kardia reported Normal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109180 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200602-ecg-181548_mile_11.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109183 - ...and says:  No Rhythm abnormalties detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109186 -  ..
109187 - HR profile post-hike beginning 2239 overnight until OA 0630 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109188 - morning shows mostly steady heart beat 70 +/- with no major spikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109189 - Minimum HR 54 disappointing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109192 -              https://flow.polar.com/training/analysis/4733865312                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109196 -   
109197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109199 -  ..
109200 - Breakfast - Cheerios chia seeds banana milk with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109201 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109202 - Dinner - tuna lettuce avocado brocolli tomato cucumber cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109204 -  ..
109205 - Vomiting: 0% - stomach hurting again in morning pain level 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109211 -         ..
109212 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109213 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109214 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109215 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109216 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109217 -  155.  200603 0620............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109218 -               0635....BP HR..................................................... 129  77  68  Kardia ECG reports HR normal, see below. ref SDS 0 XVTV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109219 -               0630....BP HR..................................................... 129  84  70  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109220 -               0600....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109221 -               0610... 20 975020 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109222 -               0610... 80 189260 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109223 -           **  0610... 25    150.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109224 -               0610... 05 1320 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109225 -               0610... 75 8925 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109226 -               0000... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109227 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109228 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109229 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109230 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109231 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109232 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109233 -               1700... 40 58040 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
109234 -               1830............ 10 13730  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109235 -               1830............ 10 13320  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109236 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109237 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109238 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109239 -               2100... 40 38020 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109240 -               2130... 1000  832000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109241 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109242 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109243 -               2205... 05 1325 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109244 -               2200... 80 189340 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109245 -               0000...  Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109246 -               0000... stomach hurting much less, see vomitting. ref SDS 0 UUPR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109249 -  ..
109250 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109251 - reported on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109253 -  ..
109254 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109256 -  ..
109257 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109258 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109259 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109261 -  ..
109262 - Dizzy - none today after treatment for BPPV on 200527 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109263 - ref SDS 96 TB5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109265 -  ..
109266 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109268 -  ..
109269 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109270 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109272 -  ..
109273 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109275 -  ..
109276 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109277 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109279 -  ..
109280 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109281 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109282 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109283 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109284 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109285 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109286 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109287 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109288 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109289 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109290 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109291 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109292 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109294 -  ..
109295 - Hiking - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109297 -  ..
109298 - Kardia recorded HR 64 at 0833 - reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109301 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200603-ecg-083330_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109304 - ...and says:  No Rhythm abnormalties detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109307 -  ..
109308 - Breakfast - Cheerios chia seeds banana milk with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109309 - Lunch - sandwich balogna onion avocado cheese, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109310 - Dinner - tuna lettuce avocado brocolli tomato cucumber cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109312 -  ..
109313 - Vomiting: 0% - stomach pain seems resolved today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109318 -         ..
109319 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109320 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109321 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109322 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109323 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109324 -  156.  200604 0650............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109325 -               0650....BP HR..................................................... 147  77  76  Kardia ECG reports HR Normal, see below. ref SDS 0 XYTP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109326 -               0655....BP HR..................................................... 135  80  63  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109327 -               0700....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109328 -               0710... 20 975040 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109329 -               0710... 80 189420 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109330 -           **  0710... 25    175.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109331 -               0710... 05 1330 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109332 -               0710... 75 9000 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109333 -               0000... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109334 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109335 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109336 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109337 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109338 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109339 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109340 -               1700... 40 58080 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
109341 -             1 0000............ 10 13730  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109342 -             1 0000............ 10 13320  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109343 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109344 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109345 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109346 -               2100... 40 38060 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109347 -               2130... 1000  833000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109348 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109349 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109350 -               2205... 05 1335 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109351 -               2200... 80 189500 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109352 -               0000...  Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109353 -               0000... stomach hurting much less, see vomitting. ref SDS 0 UUPR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109356 -  ..
109357 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109358 - reported on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109360 -  ..
109361 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109363 -  ..
109364 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109365 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109366 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109368 -  ..
109369 - Dizzy - none today after treatment for BPPV on 200527 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109370 - ref SDS 96 TB5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109372 -  ..
109373 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109375 -  ..
109376 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109377 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109379 -  ..
109380 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109382 -  ..
109383 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109384 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109386 -  ..
109387 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109388 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109389 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109390 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109391 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109392 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109393 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109394 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109395 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109396 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109397 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109398 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109399 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109401 -  ..
109402 - Hiking - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109404 -  ..
109405 - Breakfast - Ensure with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109406 - Lunch - hamburger tomato avocado cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109407 - Dinner - macaroni cheese tuna brocolli onion, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109409 -  ..
109410 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109416 -         ..
109417 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109418 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109419 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109420 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109421 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109422 -  157.  200605 0630............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109423 -               0640....BP HR..................................................... 140  84  69  Kardia ECG reports HR Normal, see below. ref SDS 0 YPTY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109424 -               0645....BP HR..................................................... 134  77  59  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109425 -               0650....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109426 -               0650... 20 975060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109427 -               0650... 80 189580 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109428 -           **  0650... 25    200.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109429 -               0650... 05 1340 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109430 -               0650... 75 9075 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109431 -               0000... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109432 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109433 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109434 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109435 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109436 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109437 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109438 -               1700... 40 58120 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
109439 -               1830............ 10 13740  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109440 -               1830............ 10 13330  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109441 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109442 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109443 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109444 -               2100... 40 38100 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109445 -               2130... 1000  834000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109446 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109447 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109448 -               2205... 05 1345 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109449 -               2200... 80 189660 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109450 -               0000...  Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109451 -               0000... stomach hurting much less, see vomitting. ref SDS 0 UUPR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109453 -  ..
109454 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109455 - reported on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109457 -  ..
109458 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109460 -  ..
109461 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109462 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109463 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109465 -  ..
109466 - Dizzy - none today after treatment for BPPV on 200527 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109467 - ref SDS 96 TB5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109469 -  ..
109470 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109472 -  ..
109473 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109474 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109476 -  ..
109477 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109479 -  ..
109480 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109481 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109483 -  ..
109484 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109485 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109486 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109487 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109488 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109489 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109490 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109491 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109492 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109493 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109494 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109495 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109496 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109498 -  ..
109499 - Kardia recorded HR 69 at 0730 - reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109502 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200605-ecg-073014_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109505 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109507 -  ..
109508 - Hiking - none, very high wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109511 -  ..
109512 - Breakfast - Ensure with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109513 - Lunch - hamburger tomato avocado cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109514 - Dinner - macaroni cheese tuna brocolli onion, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109516 -  ..
109517 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109523 -         ..
109524 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109525 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109526 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109527 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109528 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109529 -  158.  200606 0820............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109530 -               0830....BP HR..................................................... 143  84  76  Kardia ECG reports HR Normal, see below. ref SDS 0 XYUV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109531 -               0835....BP HR..................................................... 134  81  62  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109532 -               0840....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109533 -               0840... 20 975080 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109534 -               0840... 80 189740 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109535 -           **  0840... 25    225.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109536 -               0840... 05 1350 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109537 -               0840... 75 9150 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109538 -               0000... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109539 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109540 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109541 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109542 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109543 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109544 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109545 -               1700... 40 58160 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
109546 -             1 0000............ 10 13740  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109547 -             1 0000............ 10 13330  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109548 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109549 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109550 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109551 -               2100... 40 38140 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109552 -               2130... 1000  835000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109553 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109554 -               0000....Tramadol 50 1800 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109555 -               2205... 05 1355 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109556 -               2200... 80 189820 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109557 -               0000...  Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109558 -               0000... stomach hurting much less, see vomitting. ref SDS 0 UUPR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109561 -  ..
109562 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109563 - reported on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109565 -  ..
109566 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109568 -  ..
109569 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109570 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109571 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109573 -  ..
109574 - Dizzy - none today after treatment for BPPV on 200527 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109575 - ref SDS 96 TB5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109577 -  ..
109578 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109580 -  ..
109581 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109582 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109584 -  ..
109585 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109587 -  ..
109588 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109589 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109591 -  ..
109592 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109593 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109594 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109595 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109596 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109597 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109598 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109599 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109600 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109601 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109602 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109603 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109604 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109606 -  ..
109607 - Hiking - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109609 -  ..
109610 - Kardia recorded HR 74 at 0853 - reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109613 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200606-ecg-085340_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109616 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109619 -  ..
109620 - Breakfast - Ensure with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109621 - Lunch - sandwich balogna onion tomato cheese, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109622 - Dinner - macaroni cheese tuna brocolli onion, ice cream                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109624 -  ..
109625 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109630 -         ..
109631 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109632 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109633 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109634 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109635 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109636 -  159.  200607 0730............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109637 -               0740....BP HR..................................................... 136  74  75  Kardia ECG reports HR Normal, see below. ref SDS 0 YRUS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109638 -               0745....BP HR..................................................... 132  80  61  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109639 -               0750....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109640 -               0750... 20 975100 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109641 -               0750... 80 190000 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109642 -           **  0750... 25    250.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109643 -               0750... 05 1360 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109644 -               0750... 75 9225 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109645 -               1010... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109646 -               1010... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109647 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109648 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109649 -               1150... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109650 -               1155....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109651 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109652 -               1210....miles...........  14.0  38.0  635   398 minutes  temp  72 windy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109653 -               1700....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109654 -               1710....BP HR..................................................... 107  68  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109655 -               1715....BP HR..................................................... 111  70  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109656 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109657 -               1700... 40 58200 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
109658 -               1830............ 10 13750  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109659 -               1830............ 10 13340  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109660 -               1920... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109661 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109662 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109663 -               2100... 40 38180 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109664 -               2130... 1000  836000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109665 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109666 -               2200....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109667 -               2205... 05 1365 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109668 -               2200... 80 190080 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109669 -               0000...  Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109670 -               0000... stomach hurting much less, see vomitting. ref SDS 0 UUPR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109673 -  ..
109674 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109675 - reported on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109677 -  ..
109678 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109680 -  ..
109681 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109682 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109683 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109685 -  ..
109686 - Dizzy - none today after treatment for BPPV on 200527 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109687 - ref SDS 96 TB5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109689 -  ..
109690 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109692 -  ..
109693 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109694 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109696 -  ..
109697 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109699 -  ..
109700 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109701 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109703 -  ..
109704 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109705 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109706 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109707 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109708 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109709 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109710 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109711 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109712 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109713 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109714 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109715 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109716 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109718 -  ..
109719 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109720 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109722 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109723 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109724 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109725 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109726 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109727 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109728 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109729 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109730 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109731 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109732 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109733 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109734 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109735 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109736 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109737 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109738 -        Hamstring tendon left leg.PRP 191009.........   2          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109739 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109740 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109741 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109742 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109743 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109744 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109745 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109746 -        Electric shocks middle 3 toes right foot.....   1         10  on Clayton sidewalk mile 3 for .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109747 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109748 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109749 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109750 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109751 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109752 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109753 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109754 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109755 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109756 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109757 -        Burning sensation right foot..PRP 190816.....   1          5  on Clayton sidewalk mile 2 at Baily Road for .1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109758 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109759 -        Restless legs................................   1          2  late at night took Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109761 -  ..
109762 - Body feels little okay after hiking 14 miles in 72 degrees following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109763 - PRP on 191009 1500, ref SDS 78 0001, and hiking 1 big hill.
109765 - -
109766 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109767 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109768 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109770 -  ..
109771 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109773 -  ..
109774 - Legs 6 hours after hike late at night - body does not ache.  Both legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109775 - suffering restless legs, so took Tramadol - see study above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109776 - ref SDS 0 ZB7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109778 -  ..
109779 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109780 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109781 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109782 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109783 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109785 -  ..
109786 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109787 - 1344. ref SDS 79 SM4M  No blisters over 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109789 -  ..
109790 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109791 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109792 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109794 -  ..
109795 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109796 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109797 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109798 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109799 - ref SDS 77 SM4M  After hike today on 200607, shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109800 - and Tailor's Bunions.  After hike applied ammonium lactate lotion to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109801 - feet. ref SDS 0 ZB7I  Today, wore 2-pair Wrightsock thin double-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109802 - socks, and laced shoes less loosely.  During hike both feet pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109803 - 1 for 10% of 14 miles, mostly hiking on concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109805 -  ..
109806 - Concord 14 mile route - Starting energy okay today, and balance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109807 - better, less wobbly after BPPV treatment at VAMCSF on 200527 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109808 - ref SDS 96 FR8I  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109809 - ref SDS 77 SM4M; and wore 2-pair double-ply Wright socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109810 - 191010 1344, ref SDS 79 SM4M, to prevent blisters.  Took Metoprolol 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109811 - pill 25 mg in morning to manage HR during hike and minimize ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109812 - shortness of breath, and blurred vision side effects.  Hiked from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109813 - Cuneo uphill to Treat - HR 107, seems elevated for so little gain in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109814 - elevation.  Breathed easily through nose entire hike.  Continued at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109815 - slow pace on Treat hiking East 1 mile to Clayton.  Little wobbly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109816 - today, so careful not to weave into traffic.  Time to mile 1.25 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109817 - minutes.  Turned South onto Clayton hiking 2 miles continuing at slow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109818 - pace, mostly on flat concrete sidewalk.  About mile 2, feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109819 - metatarsalgia bottom right foot - lasted only .5 mile.  At mile 3.75,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109820 - turned West onto Ygnacio Valley Road hiking on concrete sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109821 - another .5 mile.  About mile 4, crossed to South side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109822 - Road hiking West on asphalt shoulder aganist East bound traffic.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109823 - mile 5, stopped at Texaco gas station - HR 110 EKG reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109824 - Tachycardia. ref SDS 0 YRYQ  Continued hike to Pine Hollow, then took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109825 - Campus Road .75-mile uphill to California Sate University visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109826 - parking.  Legs did not tire going uphill, indicating vasodilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109827 - activated for rest of hike.  Did 2-loops of about 1.25 miles through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109828 - adjoining Faculty and Student Parking lots, plus hiked sub-loop uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109829 - .5 mile on the cross street between upper and lower areas.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109830 - 8.5, hiked Campus Road North .25 mile downhill to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109831 - Turned West .5 miles past Crystal Ranch Road.  Continued uphill past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109832 - Cowell.  Crossed from South side Ygnacio Valley Road to North side for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109833 - better footing on shoulder; it is wider and sloped much less.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109834 - over the summit and past concrete traffic seperation bariars.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109835 - 10.5 crossed back to South side of Ygnacio Valley Road because the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109836 - shoulder is better for hiking.  Hiked 2 miles down hill to Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109837 - Crossed Oak Grove at electric traffic light.  Continued West on paved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109838 - path parallel to Ygnacio Valley Road around Safeway shopping center.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109839 - Turned North onto Via Monte hiking on flat ground .25 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109840 - Shadelands Drive.  Turned right and hiked East .25 mile to Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109841 - Turned left and hiked North .75 mile to Treat.  Kathy drove us home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109842 - for 14 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109844 -  ..
109845 - Kardia recorded HR 74 at 0933 - reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109848 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200607-ecg-093335_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109851 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109855 -  ..
109856 - Polar HR profile indicates sinus all the way tracking elevation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109857 - changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109860 -       Date      200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                             
109861 -       Miles       14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                               
109862 -       HR AVG     117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                               
109863 -         MAX      135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                               
109864 -         Min       93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                               
109865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109867 -  ..
109868 - HR profile showing average dropped to 114, aligns hiking less mileage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109869 - because called to work on c24; appears sinus rhythm tracks elevation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109870 - profile, so no likely AF, and, max HR 134 correlates temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109871 - increased to 95 today.  HR profile indicates no atrial flutter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109872 - following ablation on 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109875 -              https://flow.polar.com/training/analysis/4751212887                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109879 -   
109880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109882 -  ..
109883 - EKG Kardia recorded HR 110 at 5 miles - reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109886 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200607-ecg-132952_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109888 -  ..
109889 - Looks okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109892 -  ..
109893 - EKG 1 hour after hiking 14 miles HR 67 - Kardia reported Normal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109896 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200607-ecg-172828_mile_14.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109899 - ...and says:  No Rhythm abnormalties detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109902 -  ..
109903 - HR profile post-hike beginning 1510 overnight until OA 0630 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109904 - morning shows mostly steady heart beat 71 +/- with 1 spikes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109905 - reflecting taking metoprolol succinct this morning, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109906 - ref SDS 0 1U7J  Minimum HR 34 aligns with conditioning prior to onset                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109907 - of AF...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109910 -              https://flow.polar.com/training/analysis/4720493467                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109914 -   
109915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109917 -  ..
109918 - Breakfast - Ensure with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109919 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109920 - Dinner - lettuce tuna cumcumber brocolli tomato avocado asparagus,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109921 - cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109923 -  ..
109924 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109930 -         ..
109931 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109932 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109933 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109934 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109935 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109936 -  160.  200608 0655............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109937 -               0700....BP HR..................................................... 130  73  59  Kardia ECG reports HR Normal, see below. ref SDS 0 YSWS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109938 -               0705....BP HR..................................................... 129  74  58  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109939 -               0710....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109940 -               0710... 20 975120 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109941 -               0710... 80 190160 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109942 -           **  0710... 25    275.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109943 -               0710... 05 1370 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109944 -               0710... 75 9300 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109945 -               1010... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109946 -               1010... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109947 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109948 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109949 -               1015... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109950 -               1015....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109951 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109952 -               1020....miles...........  15.0  15.0  251   251 minutes  temp  82 windy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109953 -               1605....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109954 -               1610....BP HR.....................................................  87  61  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109955 -               1615....BP HR.....................................................  96  65  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109956 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109957 -               1700... 40 58240 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
109958 -             1 0000............ 10 13750  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109959 -             1 0000............ 10 13340  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109960 -               2010... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109961 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109962 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109963 -               2100... 40 38220 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109964 -               2130... 1000  837000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109965 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109966 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109967 -               2205... 05 1375 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109968 -               2200... 80 190240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109969 -               0000...  Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109970 -               0000... stomach hurting much less, see vomitting. ref SDS 0 UUPR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109973 -  ..
109974 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109975 - reported on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109977 -  ..
109978 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109980 -  ..
109981 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109982 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109983 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109985 -  ..
109986 - Dizzy - noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109987 - 200527 0730. ref SDS 96 FR8I  Polar HR report shows pace significantly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109988 - unsteady, see below. ref SDS 0 YSYV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109990 -  ..
109991 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109993 -  ..
109994 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109995 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109997 -  ..
109998 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110000 -  ..
110001 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110002 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110004 -  ..
110005 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110006 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110007 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110008 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110009 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110010 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110011 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110012 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110013 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110014 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110015 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110016 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110017 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110019 -  ..
110020 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110021 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110023 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110024 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110025 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110026 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110027 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110028 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110029 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110030 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110031 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110032 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110033 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110034 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110035 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110036 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110037 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110038 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110039 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110040 -        Hamstring left leg...........................   2          3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110041 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110042 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110043 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110044 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110045 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110046 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110047 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110048 -        Electric shocks middle 3 toes right foot.....   1          2  noticed feet on Oak Grove hiking last mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110049 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110050 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110051 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110052 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110053 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110054 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110055 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110056 -        Blister ring toe right foot..................   3          3  after hike discovered blister bubble popped and bled during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110057 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110058 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110059 -        Burning sensation right foot..PRP 190816.....   1          5  on Clayton sidewalk mile 2 at Baily Road for .1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110060 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110061 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110062 -        Wobbly disoriented staggering dizzy..........   2        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110064 -  ..
110065 - Body feels very tired after hiking 15 miles in 82 degrees following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110066 - PRP on 191009 1500, ref SDS 78 0001, and hiking 1 big hill.
110068 - -
110069 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110070 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110071 - sitting position; cruciate ligaments pain level 0.  Actually, legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110072 - feel pretty good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110074 -  ..
110075 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110077 -  ..
110078 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110079 - pain level 0, and no restless legs, so did not take Tramadol - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110080 - study above, ref SDS 0 868O, and study in another record on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110081 - 0701. ref SDS 83 QVWS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110083 -  ..
110084 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110085 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110086 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110087 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110088 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110090 -  ..
110091 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110092 - 1344. ref SDS 79 SM4M  No blisters over 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110094 -  ..
110095 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110096 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110097 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110099 -  ..
110100 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110101 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110102 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110103 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110104 - ref SDS 77 SM4M  After hike today on 200608, shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110105 - and Tailor's Bunions.  After hike applied ammonium lactate lotion to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110106 - feet. ref SDS 0 868O  Today, wore 2-pair Wrightsock thin double-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110107 - socks, and laced shoes less loosely.  During hike both feet pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110108 - 1 for 2% of 15 miles, evident last mile of hike, when right foot ring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110109 - toe blister burst and bled.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110111 -  ..
110112 - Concord 15 mile route - starting hiked with Kathy 1-mile loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110113 - the block.  Starting energy okay today, and balance worse, noticably                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110114 - wobbly after BPPV treatment at VAMCSF on 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110115 - Polar HR report shows pace significantly unsteady, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110116 - ref SDS 0 YSYV  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110117 - ref SDS 77 SM4M; and wore 2-pair double-ply Wright socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110118 - 191010 1344, ref SDS 79 SM4M, to prevent blisters.  Took Metoprolol 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110119 - pill 25 mg in morning to manage HR during hike and minimize ARDS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110120 - shortness of breath, and blurred vision side effects.  Hiked from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110121 - Cuneo uphill to Treat - HR 107, seems elevated for so little gain in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110122 - altitude.  Breathed easily through nose entire hike.  Continued at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110123 - slow pace on narrow, paved shoulder of Treat hiking East 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110124 - Clayton.  Little wobbly today, so careful to avoid weaving and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110125 - stubmling into traffic.  HR remained about 107, considrably lower than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110126 - yesterday.  Time to mile 2.25 20 minutes.  Turned South onto Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110127 - hiking 2 miles continuing at slow pace, mostly on flat concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110128 - sidewalk.  About mile 2, feeling metatarsalgia bottom right foot -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110129 - lasted only .5 mile.  At mile 3.75, turned West onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110130 - Road hiking on concrete sidewalk another .5 mile.  About mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110131 - crossed to South side Ygnacio Valley Road hiking West on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110132 - shoulder aganist East bound traffic.  At mile 5, stopped at Texaco gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110133 - station - HR 101 EKG reported Tachycardia, ref SDS 0 YTQQ - better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110134 - than HR 110, yesterday, per above. ref SDS 0 YRYQ  Continued hike to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110135 - Pine Hollow, then took Campus Road .75-mile uphill to California Sate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110136 - University visitor parking.  Legs did not tire going uphill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110137 - indicating vasodilation activated for rest of hike.  Did 2-loops of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110138 - about 1.25 miles through adjoining Faculty and Student Parking lots,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110139 - plus hiked sub-loop uphill .5 mile on the cross street between upper                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110140 - and lower areas.  At mile 8.5, hiked Campus Road North .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110141 - downhill to Ygnacio Valley Road.  Turned West .5 miles past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110142 - Ranch Road.  Seemed more wobbly, so did not hike 6+ mile loop up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110143 - hills of Crystal Ranch Road.  Continued up shallower hill past Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110144 - Crossed from South side Ygnacio Valley Road to North side for better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110145 - footing on paved shoulder; it is wider and sloped much less.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110146 - over the summit and past concrete traffic seperation bariars.  Max HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110147 - 122, lower than yesterday.  At mile 11.5 crossed back to South side of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110148 - Ygnacio Valley Road because the shoulder is better for hiking.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110149 - 2 miles down hill to Oak Grove - mile 13 in hike.  Crossed Oak Grove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110150 - at electric traffic light.  Continued West on paved path parallel to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110151 - Ygnacio Valley Road around Safeway shopping center.  Turned North onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110152 - Via Monte hiking on flat ground .25 mile to Shadelands Drive.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110153 - right and hiked East .25 mile to Oak Grove.  Seemed suddenly tired, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110154 - instead of turning right to do another 1 mile loop, turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110155 - hiked North .75 mile to Treat.  Kathy drove us home for 15 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110157 -  ..
110158 - Kardia recorded HR 58 at 0716 - reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110161 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200608-ecg-071610_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110164 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110168 -  ..
110169 - Polar HR profile indicates sinus all the way tracking elevation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110170 - changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110173 -       Date      200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                                      
110174 -       Miles       15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                        
110175 -       HR AVG     110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                        
110176 -         MAX      125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                        
110177 -         Min       73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                        
110178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110180 -  ..
110181 - HR profile showing average dropped to 110, reflects increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110182 - conditioning hiking 2 days in a row; appears sinus rhythm tracks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110183 - elevation profile, so no likely AF, and, single max HR 125 indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110184 - no atrial flutter, following ablation on 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110185 - Unsteady pace with noticable errtic HR changes indicates wobbly,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110186 - disoriented again per above. ref SDS 0 YRQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110189 -              https://flow.polar.com/training/analysis/4754995797                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110193 -   
110194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110196 -  ..
110197 - EKG Kardia recorded HR 101 at 5 miles - reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110200 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200608-ecg-124333_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110202 -  ..
110203 - Looks okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110206 -  ..
110207 - EKG 1 hour after hiking 15 miles HR 83 - Kardia reported Normal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110210 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200608-ecg-164157_mile_15.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110213 - ...and says:  No Rhythm abnormalties detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110216 -  ..
110217 - HR profile post-hike beginning 1510 overnight until OA 0630 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110218 - morning shows mostly steady heart beat 71 +/- with 1 spikes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110219 - reflecting taking metoprolol succinct this morning, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110220 - ref SDS 0 1U7J  Minimum HR 34 aligns with conditioning prior to onset                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110221 - of AF...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110224 -              https://flow.polar.com/training/analysis/4720493467                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110228 -   
110229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110231 -  ..
110232 - Breakfast - Ensure and half banana with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110233 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110234 - Dinner - hamburger pasta cheese brocolli avocado onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110236 -  ..
110237 - Vomiting: 0%  still little sick, stomach pain, wobbly hiking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110238 - suddenly very tired - had to cut hike off.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110243 -         ..
110244 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110245 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110246 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110247 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110248 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110249 -  161.  200609 0830............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110250 -               0830....BP HR..................................................... 126  74  74  Kardia ECG reports HR Normal, see below. ref SDS 0 YVYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110251 -               0835....BP HR..................................................... 126  72  62  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110252 -               0840....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110253 -               0840... 20 975140 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110254 -               0840... 80 190320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110255 -           **  0840... 25    300.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110256 -               0840... 05 1380 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110257 -               0840... 75 9375 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110258 -               1030... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110259 -               1030... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110260 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110261 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110262 -               1030... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110263 -               1040....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110264 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110265 -               1050....miles...........   7.0  22.0  122   371 minutes  temp  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110266 -               1355....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110267 -               1400....BP HR..................................................... 108  64  83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110268 -               1405....BP HR..................................................... 106  66  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110269 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110270 -               1700... 40 58240 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
110271 -               1830............ 10 13760  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110272 -               1830............ 10 13350  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110273 -               2010... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110274 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110275 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110276 -               2100... 40 38220 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110277 -               2130... 1000  837000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110278 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110279 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110280 -               2205... 05 1375 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110281 -               2200... 80 190400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110282 -               0000...  Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110283 -               0000... stomach hurting again this morning - see vomiting. ref SDS 0 YWWP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110286 -  ..
110287 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110288 - reported on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110290 -  ..
110291 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110293 -  ..
110294 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110295 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110296 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110298 -  ..
110299 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110300 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110302 -  ..
110303 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110305 -  ..
110306 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110307 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110309 -  ..
110310 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110312 -  ..
110313 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110314 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110316 -  ..
110317 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110318 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110319 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110320 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110321 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110322 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110323 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110324 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110325 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110326 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110327 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110328 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110329 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110331 -  ..
110332 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110333 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110335 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110336 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110337 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110338 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110339 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110340 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110341 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110342 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110343 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110344 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110345 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110346 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110347 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110348 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110349 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110350 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110351 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110352 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110353 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110354 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110355 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110356 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110357 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110358 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110359 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110360 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110361 -        Metatarsalgia left foot...PRP 191009.........   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110362 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110363 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110364 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110365 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110366 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110367 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110368 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110369 -        Blister ring toe left foot...................   3         80  blister broke and bled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110370 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110371 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110372 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110373 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110374 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110375 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110377 -  ..
110378 - Body feels very tired after hiking 7 miles in 92 degrees following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110379 - on 191009 1500, ref SDS 78 0001, and hiking 1 big hill.  Did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110380 - well, so ended hike at 7 miles.
110382 - -
110383 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110384 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110385 - sitting position; cruciate ligaments pain level 0.  Actually, legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110386 - feel pretty good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110388 -  ..
110389 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110391 -  ..
110392 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110393 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110394 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110396 -  ..
110397 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110398 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110399 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110400 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110401 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110403 -  ..
110404 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110405 - 1344. ref SDS 79 SM4M  No blisters over 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110407 -  ..
110408 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110409 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110410 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110412 -  ..
110413 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110414 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110415 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110416 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110417 - ref SDS 77 SM4M  After hike today on 200609, shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110418 - and Tailor's Bunions.  After hike applied ammonium lactate lotion to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110419 - feet. ref SDS 0 999K  Today, wore 2-pair Wrightsock thin double-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110420 - socks, and laced shoes less loosely.  During hike both feet pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110421 - 1 for 2% of 7 miles, evident last mile of hike, when left foot ring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110422 - toe blister burst and bled.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110424 -  ..
110425 - Concord 7 mile route - starting hiked with Kathy 1-mile loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110426 - the block.  Starting energy okay today, and balance seems improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110427 - from yesterday, per above. ref SDS 0 YRQT  Not noticably wobbly after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110428 - BPPV treatment at VAMCSF on 200527 0730. ref SDS 96 FR8I  Polar HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110429 - report shows pace steadyier, see below. ref SDS 0 YWPR  Wearing Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110430 - Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M; and wore                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110431 - 2-pair double-ply Wright socks received on 191010 1344, ref SDS 79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110432 - SM4M, to prevent blisters.  Took Metoprolol 1 pill 25 mg in morning to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110433 - manage HR during hike and minimize ARDS shortness of breath, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110434 - blurred vision side effects.  Hiked from Cuneo uphill to Treat - HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110435 - 107, seems elevated for so little gain in elevation.  Breathed easily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110436 - through nose entire hike.  Continued at slow pace on narrow, paved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110437 - shoulder of Treat hiking East 1 mile to Clayton.  Little wobbly today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110438 - so careful to avoid weaving and stubmling into traffic.  HR remained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110439 - about 108, similar to yesterday.  Time to mile 2.25 42 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110440 - Turned South onto Clayton hiking 2 miles continuing at slow pace,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110441 - mostly on flat concrete sidewalk.  About mile 2, feeling metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110442 - bottom left foot today - lasted only .5 mile.  At mile 3.75, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110443 - West onto Ygnacio Valley Road hiking on concrete sidewalk another .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110444 - mile.  About mile 4.5, crossed to South side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110445 - hiking West on asphalt shoulder aganist East bound traffic.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110446 - 5, stopped at Texaco gas station - HR 101 EKG reported Tachycardia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110447 - ref SDS 0 YWSP, - indicating no AF nor flutter.  Continued hike to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110448 - Pine Hollow, then took Campus Road .75-mile uphill to California Sate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110449 - University visitor parking.  Legs did not tire going uphill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110450 - indicating vasodilation activated for rest of hike.  Not feeling well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110451 - (could be 20 degree increase in temperature, from yesterday).  Called                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110452 - Kathy.  She drove up the college campus and drove me home for 7 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110453 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110455 -  ..
110456 - Kardia recorded HR 72 at 0831 - reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110459 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200609-ecg-083108_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110462 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110466 -  ..
110467 - Polar HR profile indicates sinus all the way tracking elevation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110468 - changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110471 -       Date      200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                               
110472 -       Miles        7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                                 
110473 -       HR AVG     106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                                 
110474 -         MAX      128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                                 
110475 -         Min       72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                                 
110476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110478 -  ..
110479 - HR profile showing average dropped to 106, reflects increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110480 - conditioning hiking 2 days in a row; appears sinus rhythm tracks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110481 - elevation profile, so no likely AF, and, single max HR 128 indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110482 - no atrial flutter, following ablation on 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110483 - Pace seems steadier without errtic HR changes indicates no longer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110484 - wobbly, disoriented as occurred yesterday, per above. ref SDS 0 YRQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110487 -              https://flow.polar.com/training/analysis/4758798098                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110491 -   
110492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110494 -  ..
110495 - EKG Kardia recorded HR 101 at 5 miles - reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110498 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200609-ecg-123451_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110500 -  ..
110501 - Looks okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110504 -  ..
110505 - EKG 1 hour after hiking 7 miles HR 73 - Kardia reported Normal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110508 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200609-ecg-142009_mile_07.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110511 - ...and says:  No Rhythm abnormalties detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110514 -  ..
110515 - HR profile post-hike beginning 2055 overnight until OA 0830 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110516 - morning shows mostly steady heart beat 69 +/- with 1 spikes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110517 - reflecting taking metoprolol succinct this morning, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110518 - ref SDS 0 999K  Minimum HR 51 aligns with conditioning prior to onset                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110519 - of AF...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110522 -              https://flow.polar.com/training/analysis/4761361588                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110526 -   
110527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110529 -  ..
110530 - Breakfast - Ensure and half banana with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110531 - Lunch - half sandwich balogna tomato onion cheese, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110532 - Dinner - hamburger pasta cheese asparagus avocado onion mushroom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110533 - cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110535 -  ..
110536 - Vomiting: 0% - sick again today after pasta hamburger spaghetti sause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110537 - yesterday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110542 -         ..
110543 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110544 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110545 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110546 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110547 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110548 -  162.  200610 0830............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110549 -               0830....BP HR..................................................... 131  82  72  Kardia ECG reports HR Normal, see below. ref SDS 0 YVYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110550 -               0835....BP HR..................................................... 126  71  64  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110551 -               0840....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110552 -               0840... 20 975160 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110553 -               0840... 80 190480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110554 -           **  0840... 25    325.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110555 -               0840... 05 1390 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110556 -               0840... 75 9450 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110557 -               1030... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110558 -               1030... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110559 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110560 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110561 -               1030... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110562 -               1040....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110563 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110564 -               1050....miles...........  13.0  35.0  219   590 minutes  temp  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110565 -               1540....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110566 -               1550....BP HR..................................................... 108  70 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110567 -               1555....BP HR..................................................... 107  70  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110568 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110569 -               1700... 40 58280 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
110570 -             1 0000............ 10 13760  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110571 -             1 0000............ 10 13350  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110572 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110573 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110574 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110575 -               2100... 40 38260 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110576 -               2130... 1000  838000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110577 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110578 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110579 -               2205... 05 1385 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110580 -               2200... 80 190560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110581 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110582 -               2230... stomach hurting much worse, see vomitting. ref SDS 0 PPUW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110585 -  ..
110586 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110587 - reported on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110589 -  ..
110590 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110592 -  ..
110593 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110594 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110595 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110597 -  ..
110598 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110599 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110601 -  ..
110602 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110604 -  ..
110605 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110606 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110608 -  ..
110609 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110611 -  ..
110612 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110613 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110615 -  ..
110616 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110617 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110618 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110619 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110620 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110621 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110622 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110623 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110624 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110625 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110626 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110627 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110628 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110630 -  ..
110631 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110632 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110634 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110635 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110636 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110637 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110638 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110639 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110640 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110641 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110642 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110643 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110644 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110645 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110646 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110647 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110648 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110649 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110650 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110651 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110652 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110653 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110654 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110655 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110656 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110657 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110658 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110659 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110660 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110661 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110662 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110663 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110664 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110665 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110666 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110667 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110668 -        Blister ring toe left foot...................   0        100  blister broke and bled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110669 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110670 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110671 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110672 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110673 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110674 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110676 -  ..
110677 - Body feels very tired after hiking 13 miles in 95 degrees following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110678 - PRP on 191009 1500, ref SDS 78 0001, and hiking 4 major hills.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110679 - not feel well, so ended hike at 13 miles.
110681 - -
110682 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110683 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110684 - sitting position; cruciate ligaments pain level 0.  Actually, legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110685 - feel pretty good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110687 -  ..
110688 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110690 -  ..
110691 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110692 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110693 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110695 -  ..
110696 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110697 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110698 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110699 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110700 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110702 -  ..
110703 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110704 - 1344. ref SDS 79 SM4M  No blisters over 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110706 -  ..
110707 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110708 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110709 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110711 -  ..
110712 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110713 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110714 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110715 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110716 - ref SDS 77 SM4M  After hike today on 200608, shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110717 - and Tailor's Bunions.  After hike applied ammonium lactate lotion to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110718 - feet. ref SDS 0 868O  Today, wore 2-pair Wrightsock thin double-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110719 - socks, and laced shoes less loosely.  During hike both feet pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110720 - 1 for 2% of 15 miles, evident last mile of hike, when right foot ring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110721 - toe blister burst and bled.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110723 -  ..
110724 - Concord 13 mile route - starting hiked with Kathy 1-mile loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110725 - the block.  Starting energy okay today, and balance seems improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110726 - from 2 days ago on 200608, per above. ref SDS 0 YRQT  Not noticably                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110727 - wobbly after BPPV treatment at VAMCSF on 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110728 - Polar HR report shows pace steadyier, see below. ref SDS 0 PPPP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110729 - Wearing Hoka Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110730 - and wore 2-pair double-ply Wright socks received on 191010 1344,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110731 - ref SDS 79 SM4M, to prevent blisters.  Took Metoprolol 1 pill 25 mg in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110732 - morning to manage HR during hike and minimize ARDS shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110733 - breath, and blurred vision side effects.  Hiked from Cuneo uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110734 - Treat - HR 115, reflects higher temperature.  Breathed easily through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110735 - nose entire hike, except last 200 yards at top of Crystal Ranch Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110736 - and at summit of Rolling Woods Way.  Continued at faster pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110737 - narrow, paved shoulder of Treat hiking East 1 mile to Clayton.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110738 - Careful to avoid weaving into traffic.  HR remained about 116, higher                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110739 - than yesterday.  Time to mile 2.25 38 minutes.  Turned South onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110740 - Clayton hiking 2 miles continuing at normal pace, mostly on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110741 - concrete sidewalk.  At mile 3.75, turned West onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110742 - hiking on concrete sidewalk another .5 mile.  About mile 4.5, crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110743 - to South side Ygnacio Valley Road hiking West on asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110744 - aganist East bound traffic.  At mile 5, stopped at Texaco gas station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110745 - - HR 109 EKG reported Tachycardia, ref SDS 0 PPQV - indicating no AF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110746 - nor flutter.  Continued hike to Pine Hollow, then took Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110747 - .75-mile uphill to California Sate University visitor parking.  Legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110748 - did not tire going uphill, indicating vasodilation activated for rest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110749 - of hike.  Did 1-loop of about 1.25 miles through adjoining Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110750 - Student Parking lots, and hiked sub-loop uphill .5 mile on the cross                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110751 - street between upper and lower areas.  At mile 8.5 took Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110752 - North .25 mile downhill to Ygnacio Valley Road.  Hiked West .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110753 - and turned left hiking South on Crystal Ranch Road, for 2nd time since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110754 - 191226, shown in case study on 190101 0730. ref SDS 69 KV9H  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110755 - mile up steep hill - handled this well, breathing easily through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110756 - 75% of way, and heavily through nose the rest of the way up.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110757 - summit hiked another mile on flat ground.  Hiked .25 mile downhill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110758 - mile 10 in the hike.  Hiked up very steep hill .5 miles to summit of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110759 - Crystal Ranch Road.  Breathed through mouth last 200 yards, showing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110760 - lack of conditioning not doing this hike for past 6 months.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110761 - North back downhill .5 mile.  Turned right heading East on Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110762 - Woods Way hiking up very steep hill .33 mile, and breathing through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110763 - nose most of way up.  Breathed through mouth last 200 yards.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110764 - summit, hiked .66 mile downhill and turned left hiking North on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110765 - Hollow.  Hiked 1 mile to Ygnacio Valley Road.  Stopped at Texaco gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110766 - station - mile 13 in the hike.  Did not feel well.  Kathy drove us                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110767 - home for 13 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110769 -  ..
110770 - Kardia recorded HR 65 at 0945 - reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110773 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200610-ecg-094525_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110776 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110780 -  ..
110781 - Polar HR profile indicates sinus all the way tracking elevation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110782 - changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110785 -       Date      200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                        
110786 -       Miles       13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                          
110787 -       HR AVG     120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                          
110788 -         MAX      152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                          
110789 -         Min       62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                          
110790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110792 -  ..
110793 - HR profile showing average increased to 120, reflects hiking longer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110794 - and higher hills, and temperature increased to 94.  Appears sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110795 - rhythm tracks elevation profile, so likely no AF and no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110796 - flutter, following ablation on 200511 0546. ref SDS 94 244I  Pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110797 - seems steadier without errtic HR changes indicates no longer wobbly,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110798 - disoriented as occurred on 200608, per above. ref SDS 0 YRQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110801 -              https://flow.polar.com/training/analysis/4762956393                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110805 -   
110806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110808 -  ..
110809 - EKG Kardia recorded HR 109 at 5 miles - reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110812 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200610-ecg-124623_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110814 -  ..
110815 - Looks okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110818 -  ..
110819 - EKG 1 hour after hiking 13 miles HR 86 - Kardia reported Normal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110822 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200610-ecg-162248_mile_13.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110825 - ...and says:  No Rhythm abnormalties detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110828 -  ..
110829 - HR profile post-hike beginning 2055 overnight until OA 0830 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110830 - morning shows mostly steady heart beat 69 +/- with 1 spikes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110831 - reflecting taking metoprolol succinct this morning, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110832 - ref SDS 0 999K  Minimum HR 51 aligns with conditioning prior to onset                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110833 - of AF...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110836 -              https://flow.polar.com/training/analysis/4761361588                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110840 -   
110841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110843 -  ..
110844 - Breakfast - cheerios chia seeds milk with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110845 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110846 - Dinner - lettuce brocolli salmon onion avocado tomato cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110847 - - ate few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110849 -  ..
110850 - Vomiting: 0% - very sick upset stomach hurt all night                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110856 -         ..
110857 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110858 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110859 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110860 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110861 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110862 -  163.  200611 0600............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110863 -               0610....BP HR..................................................... 122  78  86  Kardia ECG reports HR Normal, see below. ref SDS 0 PSPU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110864 -               0615....BP HR..................................................... 132  82  85  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110865 -               0620....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110866 -               0620... 20 975180 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110867 -               0620... 80 190640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110868 -           **  0000... 25    325.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110869 -           **  0000... 05 1390 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110870 -           **  0000... 75 9450 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110871 -               0000... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110872 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110873 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110874 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110875 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110876 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110877 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110878 -               1700... 40 58280 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
110879 -               1830............ 10 13770  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110880 -               1830............ 10 13360  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110881 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110882 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110883 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110884 -               2100... 40 38300 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110885 -               2130... 1000  839000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110886 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110887 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110888 -               0000... 05 1385 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110889 -               2200... 80 190720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110890 -               0000...  Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110891 -               2230... stomach hurting much worse, see vomitting. ref SDS 0 PPUW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110894 -  ..
110895 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110896 - reported on 200527 0930. ref SDS 97 MU4H  On 200611 paused Metoprolol,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110897 - clopidogrel and Apixaban due to adverse side effects severe stomach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110898 - pain, bloating, tiredness, blurred vision, fainting (falling asleep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110899 - while working), dry mouth - see research...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110901 -        Medical News Today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110903 -         ..
110904 -        Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110906 -              https://www.medicalnewstoday.com/articles/metoprolol-oral-tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110909 -        Drugs.com                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110911 -         ..
110912 -        Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110914 -              https://www.drugs.com/sfx/apixaban-side-effects.html                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110917 -         ..
110918 -        NHS Inform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110920 -         ..
110921 -        Clopidogrel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110923 -              https://www.nhsinform.scot/tests-and-treatments/medicines-and-medical-aids/types-of-medicine/antiplatelets-clopidogrel#side-effects                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110927 -  ..
110928 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110930 -  ..
110931 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110932 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110933 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110935 -  ..
110936 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110937 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110939 -  ..
110940 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110942 -  ..
110943 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110944 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110946 -  ..
110947 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110949 -  ..
110950 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110951 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110953 -  ..
110954 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110955 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110956 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110957 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110958 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110959 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110960 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110961 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110962 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110963 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110964 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110965 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110966 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110968 -  ..
110969 - Kardia recorded HR 65 at 0945 - reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110972 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200610-ecg-094525_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110975 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110978 -  ..
110979 - Breakfast - cheerios chia seeds milk with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110980 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110981 - Dinner -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110983 -  ..
110984 - Vomiting: 0% - very sick upset stomach hurt all night, seen in ER at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110985 - VAMCSF, reported in another record today on 200611 0730. ref SDS A0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110986 - NE9N and, 200611 1400, ref SDS A1 QM73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110992 -         ..
110993 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110994 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110995 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110996 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110997 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110998 -  164.  200612 0530............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110999 -               0550....BP HR..................................................... 116  78  85  Kardia ECG reports HR Normal, see below. ref SDS 0 YVYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111000 -               0000....BP HR..................................................... ___  __  __  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111001 -               0000....weight.................................... ___                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111002 -               0620... 20 975180 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111003 -               0620... 80 190640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111004 -           **  0945... 25    350.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111005 -           **  0945... 05 1400 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111006 -           **  0945... 75 9525 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111007 -               0000... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111008 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111009 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111010 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111011 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111012 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111013 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111014 -               0630....miles...........   3.0  38.0   51   641 minutes  temp  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111015 -               1510....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111016 -               1520....BP HR..................................................... 111  69  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111017 -               1525....BP HR..................................................... 115  70  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111018 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111019 -               1700... 40 58280 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
111020 -             1 0000............ 10 13770  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111021 -             1 0000............ 10 13360  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111022 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111023 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111024 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111025 -               2100... 40 38300 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111026 -               2130... 1000  839000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111027 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111028 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111029 -               2200... 05 1405 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111030 -               2200... 80 190720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111031 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111032 -               2230... stomach hurting much worse, see vomitting. ref SDS 0 PWUW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111035 -  ..
111036 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111037 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111038 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111039 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111040 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111041 - in colon. 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111043 -  ..
111044 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111046 -  ..
111047 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111048 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111049 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111051 -  ..
111052 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111053 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111055 -  ..
111056 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111058 -  ..
111059 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111060 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111062 -  ..
111063 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111065 -  ..
111066 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111067 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111069 -  ..
111070 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111071 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111072 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111073 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111074 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111075 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111076 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111077 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111078 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111079 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111080 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111081 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111082 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111084 -  ..
111085 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111086 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111088 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111089 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111090 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111091 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111092 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111093 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111094 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111095 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111096 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111097 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111098 -        Knee left meniscus...PRP 191009..............   0        100  pain level 1 without medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111099 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111100 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111101 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111102 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111103 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111104 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111105 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111106 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111107 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111108 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111109 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111110 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111111 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111112 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111113 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111114 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111115 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111116 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111117 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111118 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111119 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111120 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111121 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111122 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111123 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111124 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111125 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111126 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111127 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111128 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111130 -  ..
111131 - Body feels very tired after hiking 13 miles in 95 degrees following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111132 - PRP on 191009 1500, ref SDS 78 0001, and hiking 4 major hills.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111133 - not feel well, so ended hike at 13 miles.
111135 - -
111136 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111137 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111138 - sitting position; cruciate ligaments pain level 0.  Actually, legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111139 - feel pretty good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111141 -  ..
111142 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111144 -  ..
111145 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111146 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111147 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111149 -  ..
111150 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111151 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111152 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111153 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111154 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111156 -  ..
111157 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111158 - 1344. ref SDS 79 SM4M  No blisters over 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111160 -  ..
111161 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111162 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111163 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111165 -  ..
111166 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111167 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111168 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111169 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111170 - ref SDS 77 SM4M  After hike today on 200608, shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111171 - and Tailor's Bunions.  After hike applied ammonium lactate lotion to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111172 - feet. ref SDS 0 868O  Today, wore 2-pair Wrightsock thin double-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111173 - socks, and laced shoes less loosely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111175 -  ..
111176 - VA Hospital route - hiking laps around the ward; went out 4 times for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111177 - total 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111179 -  ..
111180 - Kardia recorded HR 65 at 0945 - reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111183 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200610-ecg-094525_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111186 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111190 -  ..
111191 - Polar HR profile indicates sinus all the way tracking elevation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111192 - changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111195 -       Date      200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                        
111196 -       Miles       13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                          
111197 -       HR AVG     120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                          
111198 -         MAX      152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                          
111199 -         Min       62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                          
111200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111202 -  ..
111203 - HR profile showing average increased to 120, reflects hiking longer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111204 - and higher hills, and temperature increased to 94.  Appears sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111205 - rhythm tracks elevation profile, so likely no AF and no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111206 - flutter, following ablation on 200511 0546. ref SDS 94 244I  Pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111207 - seems steadier without errtic HR changes indicates no longer wobbly,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111208 - disoriented as occurred on 200608, per above. ref SDS 0 YRQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111211 -              https://flow.polar.com/training/analysis/4762956393                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111215 -   
111216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111218 -  ..
111219 - EKG Kardia recorded HR 109 at 5 miles - reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111222 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200610-ecg-124623_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111224 -  ..
111225 - Looks okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111228 -  ..
111229 - EKG 1 hour after hiking 13 miles HR 86 - Kardia reported Normal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111232 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200610-ecg-162248_mile_13.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111235 - ...and says:  No Rhythm abnormalties detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111238 -  ..
111239 - HR profile post-hike beginning 2055 overnight until OA 0830 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111240 - morning shows mostly steady heart beat 69 +/- with 1 spikes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111241 - reflecting taking metoprolol succinct this morning, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111242 - ref SDS 0 999K  Minimum HR 51 aligns with conditioning prior to onset                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111243 - of AF...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111246 -              https://flow.polar.com/training/analysis/4761361588                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111250 -   
111251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111253 -  ..
111254 - Breakfast - eggs - omelette very good ate most of it; toast few bites orange in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111255 - Lunch - clam chowder in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111256 - Dinner - rice pork in hospital - ate most of it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111258 -  ..
111259 - Vomiting: 0% - very sick stomach hurt all day, in waves.  Diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111260 - ischemic colitis.  At night seemed to hurt less.  Slept well for 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111261 - hours.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111268 -         ..
111269 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111270 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111271 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111272 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111273 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111274 -  165.  200613 0520............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111275 -               0520....BP HR..................................................... 130  80  75  Kardia ECG reports HR Normal, see below. ref SDS 0 YVYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111276 -               0000....BP HR..................................................... ___  __  __  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111277 -               0000....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111278 -               0610... 20 975200 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111279 -               0610... 80 190800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111280 -           **  0945... 25    350.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111281 -               0945... 05 1410 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111282 -               0945... 75 9600 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111283 -               0000... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111284 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111285 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111286 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111287 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111288 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111289 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111290 -               0630....miles...........   2.0  40.0   39   680 minutes  temp  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111291 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111292 -               1700... 40 58320 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
111293 -               1830............ 10 13780  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111294 -               1830............ 10 13370  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111295 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111296 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111297 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111298 -               2100... 40 38340 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111299 -               2130... 1000  840000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111300 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111301 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111302 -               2200... 05 1395 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111303 -               2200... 80 190880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111304 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111305 -               2230... stomach hurting much less see vomitting. ref SDS 0 PWVW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111308 -  ..
111309 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111310 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111311 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111312 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111313 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111314 - in colon. 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111316 -  ..
111317 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111319 -  ..
111320 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111321 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111322 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111324 -  ..
111325 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111326 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111328 -  ..
111329 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111331 -  ..
111332 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111333 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111335 -  ..
111336 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111338 -  ..
111339 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111340 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111342 -  ..
111343 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111344 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111345 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111346 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111347 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111348 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111349 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111350 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111351 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111352 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111353 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111354 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111355 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111357 -  ..
111358 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111359 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111361 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111362 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111363 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111364 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111365 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111366 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111367 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111368 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111369 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111370 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111371 -        Knee left meniscus...PRP 191009..............   0        100  pain level 1 without medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111372 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111373 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111374 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111375 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111376 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111377 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111378 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111379 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111380 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111381 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111382 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111383 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111384 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111385 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111386 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111387 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111388 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111389 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111390 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111391 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111392 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111393 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111394 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111395 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111396 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111397 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111398 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111399 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111400 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111401 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111403 -  ..
111404 - Body feels very tired after hiking 13 miles in 95 degrees following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111405 - PRP on 191009 1500, ref SDS 78 0001, and hiking 4 major hills.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111406 - not feel well, so ended hike at 13 miles.
111408 - -
111409 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111410 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111411 - sitting position; cruciate ligaments pain level 0.  Actually, legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111412 - feel pretty good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111414 -  ..
111415 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111417 -  ..
111418 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111419 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111420 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111422 -  ..
111423 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111424 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111425 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111426 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111427 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111429 -  ..
111430 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111431 - 1344. ref SDS 79 SM4M  No blisters over 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111433 -  ..
111434 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111435 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111436 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111438 -  ..
111439 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111440 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111441 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111442 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111443 - ref SDS 77 SM4M  After hike today on 200608, shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111444 - and Tailor's Bunions.  After hike applied ammonium lactate lotion to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111445 - feet. ref SDS 0 868O  Today, wore 2-pair Wrightsock thin double-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111446 - socks, and laced shoes less loosely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111448 -  ..
111449 - VA Hospital route - hiking laps around the ward; went out 4 times for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111450 - total 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111452 -  ..
111453 - Kardia recorded HR 65 at 0945 - reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111456 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200610-ecg-094525_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111459 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111463 -  ..
111464 - Polar HR profile indicates sinus all the way tracking elevation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111465 - changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111468 -       Date      200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                                                        
111469 -       Miles       13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                                                          
111470 -       HR AVG     120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                                                          
111471 -         MAX      152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                                                          
111472 -         Min       62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                                                          
111473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111475 -  ..
111476 - HR profile showing average increased to 120, reflects hiking longer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111477 - and higher hills, and temperature increased to 94.  Appears sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111478 - rhythm tracks elevation profile, so likely no AF and no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111479 - flutter, following ablation on 200511 0546. ref SDS 94 244I  Pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111480 - seems steadier without errtic HR changes indicates no longer wobbly,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111481 - disoriented as occurred on 200608, per above. ref SDS 0 YRQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111484 -              https://flow.polar.com/training/analysis/4762956393                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111488 -   
111489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111491 -  ..
111492 - EKG Kardia recorded HR 109 at 5 miles - reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111495 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200610-ecg-124623_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111497 -  ..
111498 - Looks okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111501 -  ..
111502 - EKG 1 hour after hiking 13 miles HR 86 - Kardia reported Normal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111505 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200610-ecg-162248_mile_13.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111508 - ...and says:  No Rhythm abnormalties detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111511 -  ..
111512 - HR profile post-hike beginning 2055 overnight until OA 0830 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111513 - morning shows mostly steady heart beat 69 +/- with 1 spikes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111514 - reflecting taking metoprolol succinct this morning, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111515 - ref SDS 0 999K  Minimum HR 51 aligns with conditioning prior to onset                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111516 - of AF...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111519 -              https://flow.polar.com/training/analysis/4761361588                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111523 -   
111524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111526 -  ..
111527 - Breakfast - egg english muffin in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111528 - Lunch - half hamburger fries on way home from hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111529 - Dinner - brocolli avocado toast at home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111531 -  ..
111532 - Vomiting: 0% - stomach hurt occasionally pain level 1; slept well for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111533 - 6 hours.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111539 -         ..
111540 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111541 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111542 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111543 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111544 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111545 -  166.  200614 0740............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111546 -               0810....BP HR..................................................... 134  77  71  Kardia ECG reports HR Unclassfied, see below. ref SDS 0 PYVU                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111547 -               0815....BP HR..................................................... 131  78  69  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111548 -               0820....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111549 -               0820... 20 975220 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111550 -               0820... 80 190960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111551 -           **  0820... 25    375.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111552 -               0820... 05 1420 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111553 -               0820... 75 9675 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111554 -               0000... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111555 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111556 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111557 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111558 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111559 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111560 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111561 -               1130....miles...........   8.0  38.0  133   813 minutes  temp  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111562 -               1410....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111563 -               1415....BP HR..................................................... 103  65  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111564 -               1420....BP HR..................................................... 115  77  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111565 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111566 -               1700... 40 58360 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
111567 -             1 0000............ 10 13780  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111568 -             1 0000............ 10 13370  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111569 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111570 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111571 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111572 -               2100... 40 38380 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111573 -               2130... 1000  841000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111574 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111575 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111576 -               2200... 05 1405 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111577 -               2200... 80 191040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111578 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111579 -               0000... stomach hurting much less, see vomitting. ref SDS 0 QPTT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111582 -  ..
111583 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111584 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111585 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111586 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111587 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111588 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111589 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111590 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111592 -  ..
111593 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111595 -  ..
111596 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111597 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111598 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111600 -  ..
111601 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111602 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111604 -  ..
111605 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111607 -  ..
111608 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111609 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111611 -  ..
111612 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111614 -  ..
111615 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111616 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111618 -  ..
111619 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111620 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111621 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111622 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111623 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111624 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111625 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111626 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111627 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111628 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111629 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111630 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111631 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111633 -  ..
111634 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111635 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111637 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111638 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111639 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111640 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111641 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111642 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111643 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111644 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111645 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111646 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111647 -        Knee left meniscus...PRP 191009..............   0        100  very good taking no pain meds today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111648 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111649 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111650 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111651 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111652 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111653 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111654 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111655 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111656 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111657 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111658 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111659 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111660 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111661 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111662 -        Electric shocks middle 3 toes right foot.....   2          3  on Treat about mile 1.4, and lasted only .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111663 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111664 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111665 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111666 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111667 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111668 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111669 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111670 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111671 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111672 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111673 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111674 -        Burning sensation right foot..PRP 190816.....   1          5  after .5 miles for about .25 miles on Treat and taking no pain meds today                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111675 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111676 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111677 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111679 -  ..
111680 - Body feels very okay after hiking 8 miles in 80 degrees following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111681 - PRP on 191009 1500, ref SDS 78 0001, and hiking 1 minor hill.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111682 - not feel starting hike - stomach pain level 2, bloated feeling.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111683 - Stayed that way most of hike.  An hour after hike stomach pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111684 - 0 and no bloated feeling.
111686 - -
111687 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111688 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111689 - sitting position; cruciate ligaments pain level 0.  Actually, legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111690 - feel pretty good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111692 -  ..
111693 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111695 -  ..
111696 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111697 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111698 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111700 -  ..
111701 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111702 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111703 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111704 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111705 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111707 -  ..
111708 - Socks - Smartwool socks for short mileage hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111710 -  ..
111711 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111712 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111713 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111715 -  ..
111716 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111717 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111718 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111719 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111720 - ref SDS 77 SM4M  After hike today on 200608, shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111721 - and Tailor's Bunions.  After hike applied ammonium lactate lotion to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111722 - feet. ref SDS 0 868O  Today, wore 2-pair Wrightsock thin double-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111723 - socks, and laced shoes less loosely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111725 -  ..
111726 - Concord 8 mile route - starting hiked with Kathy 1-mile very slow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111727 - rehab loop around the block.  Starting energy okay today.  Not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111728 - noticably wobbly after BPPV treatment at VAMCSF on 200527 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111729 - ref SDS 96 FR8I  Polar HR report shows pace steadyier, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111730 - ref SDS 0 PPPP  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111731 - ref SDS 77 SM4M; and wore Smartwool socks for short hike.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111732 - Metoprolol 1 pill 25 mg in morning to manage HR during hike and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111733 - minimize ARDS shortness of breath, and blurred vision side effects.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111734 - Hiked from Cuneo uphill to Treat - HR 113.  Breathed easily through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111735 - nose entire hike.  Continued at slow pace on narrow, paved shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111736 - Treat hiking East 1 mile to Clayton.  Careful to avoid weaving into                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111737 - traffic.  HR remained about 116.  Time to mile 2.25 43 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111738 - Turned South onto Clayton hiking 2 miles continuing at normal pace,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111739 - mostly on flat concrete sidewalk.  At mile 4.75, turned West onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111740 - Ygnacio Valley Road HR 117 hiking on concrete sidewalk another .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111741 - mile.  About mile 5.5, crossed to South side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111742 - hiking West on asphalt shoulder aganist East bound traffic.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111743 - 5, stopped at Texaco gas station - HR 116 EKG reported Tachycardia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111744 - ref SDS 0 QPPT, - indicating no AF nor flutter.  Continued hike to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111745 - Pine Hollow, then took Campus Road .75-mile uphill to California Sate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111746 - University visitor parking.  Legs did not tire going uphill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111747 - indicating vasodilation activated for rest of hike.  Did not hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111748 - loops through adjoining Faculty and Student Parking lots, in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111749 - avoid drawing too much blood from intestine, that would cause ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111750 - colitis recurrance, reported in meeting at VAMCSF on 200613 0519.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111751 - ref SDS A3 526H  At mile 7.5 took Campus Road North .25 mile downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111752 - to Ygnacio Valley Road.  Hiked West .75 miles.  Kathy picked me up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111753 - and drove us home for 8 mile hike.  After hike, feeling much better,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111754 - indicating inflammation in the intestine is resolving.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111756 -  ..
111757 - Kardia recorded HR 81 at 1012 - reported Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111760 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200614-ecg-101232_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111763 - ...and says:  Atrial fibrillation was not detected and your EKG does                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111764 - not fall under the algorithmic classifications of Normal, Braydcardia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111765 - or Tachcardia.  This may be caused by otehr arrhythmias, uonusually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111766 - fast or slow heart rates, or poor quality recordings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111768 -  ..
111769 - Polar HR GPS study during 8-mile hike indicates sinus all the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111770 - tracking elevation changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111773 -       Date      200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                            
111774 -       Miles        8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                              
111775 -       HR AVG     115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                              
111776 -         MAX      128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                              
111777 -         Min       90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                              
111778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111780 -  ..
111781 - HR profile showing average increased to 120, reflects hiking longer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111782 - and higher hills, and temperature increased to 94.  Appears sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111783 - rhythm tracks elevation profile, so likely no AF and no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111784 - flutter, following ablation on 200511 0546. ref SDS 94 244I  Pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111785 - seems steadier without errtic HR changes indicates no longer wobbly,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111786 - disoriented as occurred on 200608, per above. ref SDS 0 YRQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111789 -              https://flow.polar.com/training/analysis/4778662263                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111793 -   
111794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111796 -  ..
111797 - EKG Kardia recorded HR 112 at 5 miles - reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111800 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200614-ecg-130925_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111802 -  ..
111803 - Looks okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111806 -  ..
111807 - EKG 40 minutes after hiking 8 miles HR 79 - Kardia reported Normal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111810 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200614-ecg-144941_mile_08.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111813 - ...and says:  No Rhythm abnormalties detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111816 -  ..
111817 - HR profile post-hike beginning 2022 overnight until OA 0700 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111818 - morning shows mostly steady heart beat 71 +/- with only few activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111819 - spikes, reflecting taking metoprolol succinct this morning, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111820 - ref SDS 0 999K  Max HR 102 and minimum HR 55 aligns with conditioning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111821 - prior to onset of AF...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111823 -              https://flow.polar.com/training/analysis/4780643178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111827 -   
111828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111830 -  ..
111831 - Breakfast - Cream of Wheat rasins chia seeds with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111832 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111833 - Dinner - meatloaf lettuce onion avocado cumcumber tomato, bread                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111834 - margarin penut butter jam, milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111836 -  ..
111837 - Vomiting: 0% - stomach hurt occasionally pain level 1, until after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111838 - hike, then pain level 0 rest of day - best day in over a week                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111845 -         ..
111846 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111847 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111848 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111849 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111850 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111851 -  167.  200615 0710............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111852 -               0710....BP HR..................................................... 133  78  64  Kardia ECG reports HR Unclassfied, see below. ref SDS 0 PYVU                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111853 -               0715....BP HR..................................................... 127  77  58  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111854 -               0720....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111855 -               0720... 20 975260 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111856 -               0720... 80 191280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111857 -           **  0720... 25    425.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111858 -               0720... 05 1440 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111859 -               0720... 75 9825 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111860 -               1030... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111861 -               1030... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111862 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111863 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111864 -               1045... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111865 -               1100....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111866 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111867 -               0940....miles...........  10.0  10.0  177   171 minutes  temp  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111868 -               1310....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111869 -               1320....BP HR.....................................................  99  71  07                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111870 -               1325....BP HR..................................................... 102  70  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111871 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111872 -               1700... 40 58440 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
111873 -               1830............ 10 13790  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111874 -               1830............ 10 13380  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111875 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111876 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111877 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111878 -               2100... 40 38460 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111879 -               2130... 1000  843000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111880 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111881 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111882 -               2200... 05 1425 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111883 -               2200... 80 191360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111884 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111885 -               0000... stomach not hurting, see vomiting. ref SDS 0 QSXP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111888 -  ..
111889 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111890 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111891 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111892 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111893 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111894 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111895 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111896 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111898 -  ..
111899 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111901 -  ..
111902 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111903 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111904 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111906 -  ..
111907 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111908 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111910 -  ..
111911 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111913 -  ..
111914 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111915 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111917 -  ..
111918 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111920 -  ..
111921 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111922 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111924 -  ..
111925 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111926 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111927 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111928 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111929 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111930 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111931 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111932 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111933 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111934 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111935 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111936 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111937 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111939 -  ..
111940 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111941 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111943 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111944 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111945 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111946 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111947 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111948 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111949 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111950 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111951 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111952 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111953 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111954 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111955 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111956 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111957 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111958 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111959 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111960 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111961 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111962 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111963 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111964 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111965 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111966 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111967 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111968 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111969 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111970 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111971 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111972 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111973 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111974 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111975 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111976 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111977 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111978 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111979 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111980 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111981 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111982 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111983 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111985 -  ..
111986 - Body feels very okay after hiking 8 miles in 80 degrees following PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111987 - on 191009 1500, ref SDS 78 0001, and hiking 1 minor hill.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111988 - feel well starting hike - stomach pain level 2, bloated feeling.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111989 - Stayed that way most of hike.  An hour after hike stomach pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111990 - and no bloated feeling.  Seem weak, drifting off to sleep.
111992 - -
111993 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111994 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111995 - sitting position; cruciate ligaments pain level 0.  Actually, legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111996 - feel pretty good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111998 -  ..
111999 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112001 -  ..
112002 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112003 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112004 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112006 -  ..
112007 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112008 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112009 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112010 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112011 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112013 -  ..
112014 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112015 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112017 -  ..
112018 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112019 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112020 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112022 -  ..
112023 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112024 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112025 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112026 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112027 - ref SDS 77 SM4M  After hike today on 200608, shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112028 - and Tailor's Bunions.  After hike applied ammonium lactate lotion to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112029 - feet. ref SDS 0 868O  Today, wore 2-pair Wrightsock thin double-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112030 - socks, and laced shoes less loosely.  During hike both feet pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112031 - 1 for 2% of 15 miles, evident last mile of hike, when right foot ring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112032 - toe blister burst and bled.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112034 -  ..
112035 - Concord 10 mile route - starting hiked with Kathy 1-mile very slow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112036 - rehab loop around the block.  Starting energy okay today.  Not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112037 - noticably wobbly after BPPV treatment at VAMCSF on 200527 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112038 - ref SDS 96 FR8I  Polar HR report shows pace steadyier, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112039 - ref SDS 0 PPPP  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112040 - ref SDS 77 SM4M; and wore 2-pair dual-layer Wrightsocks.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112041 - Metoprolol 1 pill 25 mg in morning to manage HR during hike and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112042 - minimize ARDS shortness of breath, and blurred vision side effects.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112043 - Hiked from Cuneo uphill to Treat - HR 116.  Breathed easily through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112044 - nose entire hike.  Continued at slow pace on narrow, paved shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112045 - Treat hiking East 1 mile to Clayton.  Careful to avoid weaving into                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112046 - traffic.  HR remained about 108, because temperature in mid-60s.  Time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112047 - to mile 2.25 43 minutes.  Turned South onto Clayton hiking 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112048 - continuing at normal pace, mostly on flat concrete sidewalk.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112049 - 4.75, turned West onto Ygnacio Valley Road HR 116 hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112050 - sidewalk another .5 mile.  About mile 5.5, crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112051 - Ygnacio Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112052 - traffic.  At mile 5, stopped at Texaco gas station - HR 108; could not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112053 - do EKG report because left equipment at home.  Continued hike to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112054 - Hollow, then took Campus Road .75-mile uphill to California Sate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112055 - University visitor parking.  Legs did not tire going uphill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112056 - indicating vasodilation activated for rest of hike.  Hiked half-loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112057 - through Faculty in order to avoid drawing too much blood from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112058 - intestine, that would cause ischemic colitis recurrance, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112059 - meeting at VAMCSF on 200613 0519. ref SDS A3 526H  At mile 7 took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112060 - Campus Road North downhill .25 mile to Ygnacio Valley Road.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112061 - left and hiked 1 mile past Crystal Ranch Road and up hill past Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112062 - on to summit of Ygnacio Valley Road.  At mile 8 crossed from South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112063 - side of Ygnacio Valley Road to the North side in order to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112064 - severely sloped shoulder on South Side.  On North side continued West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112065 - over the summit and past concrete traffic seperation bariars.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112066 - around and hiked back to Cowell.  Turned left onto Cowell and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112067 - North for 1 mile to Treat.  Turned left and hiked West to Cuneo; then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112068 - home for 10 miles.  After hike, feeling good, indicating inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112069 - in the intestine (ischemic colitis) is resolving.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112071 -  ..
112072 - Kardia recorded HR __ at ____ - forfot to do EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112074 -  ..
112075 - Polar HR GPS study during 8-mile hike indicates sinus all the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112076 - tracking elevation changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112079 -       Date      200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                                     
112080 -       Miles       10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                                       
112081 -       HR AVG     113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                                       
112082 -         MAX      131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                                       
112083 -         Min       88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                                       
112084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112086 -  ..
112087 - HR profile showing average decreased to 113, reflects temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112088 - dropped to 68.  Appears sinus rhythm tracks elevation profile, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112089 - likely no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112090 - ref SDS 94 244I  Pace seems steadier without errtic HR changes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112091 - indicates no longer wobbly, disoriented as occurred on 200608, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112092 - above. ref SDS 0 YRQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112095 -              https://flow.polar.com/training/analysis/4782282608                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112099 -   
112100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112102 -  ..
112103 - EKG Kardia forgot equipment, so no report.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112105 -  ..
112106 - EKG 60 minutes after hiking 10 miles HR 81 - Kardia reported Normal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112109 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200614-ecg-144941_mile_08.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112112 - ...and says:  Atrial fibrillation was not detected and your EKG does                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112113 - not fall under the algorithmic classifications of Normal, Braydcardia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112114 - or Tachcardia.  This may be caused by otehr arrhythmias, unusually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112115 - fast or slow heart rates, or poor quality recordings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112119 -  ..
112120 - HR profile post-hike beginning 2022 overnight until OA 0700 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112121 - morning shows mostly steady heart beat 71 +/- with only few activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112122 - spikes, reflecting taking metoprolol succinct this morning, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112123 - ref SDS 0 999K  Max HR 102 and minimum HR 55 aligns with conditioning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112124 - prior to onset of AF...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112126 -              https://flow.polar.com/training/analysis/4780643178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112130 -   
112131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112133 -  ..
112134 - Breakfast - pancake with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112135 - Lunch - salad few bites, lettuce tomato onion avocado brocolli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112136 - Dinner - meatloaf lettuce onion avocado cumcumber tomato, toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112137 - cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112139 -  ..
112140 - Vomiting: 0% - stomach not hurting, pain level 0 after hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112141 - was in vasodilation for only few hours, not enough for intestine to be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112142 - injured by loss of blood to leg muscles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112149 -         ..
112150 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112151 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112152 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112153 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112154 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112155 -  168.  200616 0730............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112156 -               0730....BP HR..................................................... 132  85  60  Kardia ECG reports HR Normal, see below. ref SDS 0 QVPX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112157 -               0735....BP HR..................................................... 136  78  79  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112158 -               0740....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112159 -               0740... 20 975240 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112160 -               0740... 80 191120 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112161 -           **  0740... 25    400.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112162 -               0740... 05 1430 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112163 -               0740... 75 9750 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112164 -               0000... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112165 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112166 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112167 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112168 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112169 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112170 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112171 -               1700... 40 58400 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
112172 -             1 0000............ 10 13790  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112173 -             1 0000............ 10 13380  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112174 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112175 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112176 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112177 -               2100... 40 38420 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112178 -               2130... 1000  842000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112179 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112180 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112181 -               0000... 05 1415 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112182 -               2200... 80 191200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112183 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112184 -               0000... stomach not hurting, see vomiting. ref SDS 0 QSXP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112187 -  ..
112188 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112189 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112190 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112191 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112192 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112193 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112194 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112195 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112197 -  ..
112198 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112200 -  ..
112201 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112202 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112203 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112205 -  ..
112206 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112207 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112209 -  ..
112210 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112212 -  ..
112213 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112214 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112216 -  ..
112217 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112219 -  ..
112220 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112221 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112223 -  ..
112224 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112225 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112226 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112227 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112228 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112229 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112230 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112231 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112232 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112233 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112234 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112235 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112236 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112238 -  ..
112239 - Kardia recorded HR 60 at 0804 - reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112242 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200616-ecg-080402_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112245 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112248 -  ..
112249 - Breakfast - pancake with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112250 - Lunch - half sandwich avocado balogna cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112251 - Dinner - pasta hamburger lettuce asparagus onion avocado cumcumber                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112252 - tomato, cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112254 -  ..
112255 - Vomiting: 0% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112260 -         ..
112261 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112262 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112263 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112264 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112265 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112266 -  169.  200617 0730............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112267 -               0730....BP HR..................................................... 138  86  60  Kardia ECG reports HR Normal, see below. ref SDS 0 QYQV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112268 -               0735....BP HR..................................................... 143  87  79  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112269 -               0740....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112270 -               0740... 20 975260 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112271 -               0740... 80 191280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112272 -           **  0740... 25    425.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112273 -               0740... 05 1440 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112274 -               0740... 75 9825 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112275 -               1030... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112276 -               1030... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112277 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112278 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112279 -               1045... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112280 -               1100....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112281 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112282 -               1020....miles...........  13.0  23.0  221   392 minutes  temp  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112283 -               1450....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112284 -               1500....BP HR..................................................... 112  69 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112285 -               1505....BP HR..................................................... 109  69  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112286 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112287 -               1700... 40 58440 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
112288 -               1830............ 10 13800  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112289 -               1830............ 10 13390  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112290 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112291 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112292 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112293 -               2100... 40 38460 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112294 -               2130... 1000  843000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112295 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112296 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112297 -               2200... 05 1445 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112298 -               2200... 80 191360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112299 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112300 -               0000... stomach not hurting, see vomiting. ref SDS 0 QSXP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112303 -  ..
112304 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112305 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112306 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112307 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112308 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112309 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112310 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112311 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112313 -  ..
112314 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112316 -  ..
112317 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112318 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112319 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112321 -  ..
112322 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112323 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112325 -  ..
112326 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112328 -  ..
112329 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112330 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112332 -  ..
112333 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112335 -  ..
112336 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112337 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112339 -  ..
112340 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112341 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112342 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112343 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112344 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112345 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112346 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112347 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112348 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112349 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112350 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112351 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112352 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112354 -  ..
112355 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112356 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112358 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112359 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112360 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112361 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112362 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112363 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112364 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112365 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112366 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112367 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112368 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112369 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112370 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112371 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112372 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112373 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112374 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112375 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112376 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112377 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112378 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112379 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112380 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112381 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112382 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112383 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112384 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112385 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112386 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112387 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112388 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112389 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112390 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112391 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112392 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112393 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112394 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112395 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112396 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112397 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112398 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112400 -  ..
112401 - Body feels okay maybe weak after hiking 13 miles in 88 degrees                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112402 - following PRP on 191009 1500, ref SDS 78 0001  There might be slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112403 - bloated feeling.  Seem weak, drifting off to sleep - new experience.
112405 - -
112406 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112407 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112408 - sitting position; cruciate ligaments pain level 0.  Actually, legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112409 - feel pretty good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112411 -  ..
112412 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112414 -  ..
112415 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112416 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112417 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112419 -  ..
112420 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112421 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112422 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112423 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112424 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112426 -  ..
112427 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112428 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112430 -  ..
112431 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112432 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112433 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112435 -  ..
112436 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112437 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112438 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112439 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112440 - ref SDS 77 SM4M  After hike today on 200608, shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112441 - and Tailor's Bunions.  After hike applied ammonium lactate lotion to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112442 - feet. ref SDS 0 868O  Today, wore 2-pair Wrightsock thin double-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112443 - socks, and laced shoes less loosely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112445 -  ..
112446 - Concord 13 mile route - Starting energy okay today.  Not noticably                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112447 - wobbly after BPPV treatment at VAMCSF on 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112448 - Polar HR report shows pace steadyier, see below. ref SDS 0 PPPP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112449 - Wearing Hoka Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112450 - and wore 2-pair dual-layer Wrightsocks.  Took Metoprolol 1 pill 25 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112451 - in morning to manage HR during hike and minimize ARDS shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112452 - breath, and blurred vision side effects.  Hiked from Cuneo uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112453 - Treat - HR 98.  Breathed easily through nose entire hike.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112454 - at slow pace on narrow, paved shoulder of Treat hiking East 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112455 - Clayton.  Careful to avoid weaving into traffic.  HR remained about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112456 - 115, because temperature in mid-70s.  Time to mile 1.25 20 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112457 - Turned South onto Clayton hiking 2 miles continuing at normal pace,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112458 - mostly on flat concrete sidewalk.  At mile 3.75, turned West onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112459 - Ygnacio Valley Road HR 117 hiking on concrete sidewalk another .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112460 - mile.  About mile 4, crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112461 - West on asphalt shoulder aganist East bound traffic.  At mile 4.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112462 - stopped at Texaco gas station - HR 109;EKG report HR 108. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112463 - QYUU  Continued hike to Pine Hollow, then took Campus Road .75-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112464 - uphill to California Sate University visitor parking.  Legs did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112465 - tire going uphill, indicating vasodilation activated for rest of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112466 - Hiked 3-loops through Faculty and Studeny parking to test for recovery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112467 - ischemic colitis, reported in meeting at VAMCSF on 200613 0519.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112468 - ref SDS A3 526H  At mile 10, took Campus Road North downhill .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112469 - to Ygnacio Valley Road.  Turned left and hiked 1 mile past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112470 - Ranch Road and up hill past Cowell on to summit of Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112471 - Road.  At mile 11 crossed from South side of Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112472 - the North side in order to avoid severely sloped shoulder on South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112473 - Side.  On North side continued West over the summit and past concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112474 - traffic seperation bariars.  Turned around and hiked back to Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112475 - Turned left onto Cowell and hiked North for 1 mile to Treat.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112476 - left and hiked West to Cuneo; then home for 13 miles.  After hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112477 - feeling good, indicating inflammation in the intestine (ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112478 - colitis) is resolving.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112480 -  ..
112481 - Kardia recorded HR 61 at 0738 - reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112484 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200617-ecg-073840_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112487 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112491 -  ..
112492 - Polar HR GPS study during 8-mile hike indicates sinus all the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112493 - tracking elevation changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112496 -       Date      200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                                       
112497 -       Miles       13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                                         
112498 -       HR AVG     120    hsptl  113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                                         
112499 -         MAX      138     VA    131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                                         
112500 -         Min       93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                                         
112501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112503 -  ..
112504 - HR profile showing average decreased to 120, reflects temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112505 - increased to 88.  Appears sinus rhythm tracks elevation profile, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112506 - likely no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112507 - ref SDS 94 244I  Pace seems steadier without errtic HR changes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112508 - indicates no longer wobbly, disoriented as occurred on 200608, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112509 - above. ref SDS 0 YRQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112512 -              https://flow.polar.com/training/analysis/4790406148                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112516 -   
112517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112519 -  ..
112520 - EKG at mile 5 HR 108 - Kardia reported Tachcardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112523 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200617-ecg-113725_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112526 -  ..
112527 - EKG 60 minutes after hiking 13 miles HR 85 - Kardia reported Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112530 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200617-ecg-153407_mile_13.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112533 - ...and says:  Atrial fibrillation was not detected and your EKG does                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112534 - not fall under the algorithmic classifications of Normal, Braydcardia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112535 - or Tachcardia.  This may be caused by otehr arrhythmias, unusually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112536 - fast or slow heart rates, or poor quality recordings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112540 -  ..
112541 - HR profile post-hike beginning 2022 overnight until OA 0700 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112542 - morning shows mostly steady heart beat 71 +/- with only few activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112543 - spikes, reflecting taking metoprolol succinct this morning, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112544 - ref SDS 0 999K  Max HR 102 and minimum HR 55 aligns with conditioning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112545 - prior to onset of AF...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112547 -              https://flow.polar.com/training/analysis/4780643178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112551 -   
112552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112554 -  ..
112555 - Breakfast - egg toast with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112556 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112557 - Dinner - eggs asparagus onion avocado tomato toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112559 -  ..
112560 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112566 -         ..
112567 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112568 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112569 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112570 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112571 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112572 -  170.  200618 0710............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112573 -               0710....BP HR..................................................... 126  78  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112574 -               0715....BP HR..................................................... 132  80  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112575 -               0720....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112576 -               0720... 20 975280 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112577 -               0720... 80 191440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112578 -           **  0720... 25    450.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112579 -               0720... 05 1450 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112580 -               0720... 75 9825 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112581 -               0000... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112582 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112583 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112584 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112585 -               0000... Diclofenac applied topically left knee - naproxen-like trying for long hike 15+ miles, but pause 7 days before PRP and 6 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112586 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112587 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112588 -               1700... 40 58480 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
112589 -             1 0000............ 10 13800  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112590 -             1 0000............ 10 13390  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112591 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112592 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112593 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112594 -               2100... 40 38500 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112595 -               2130... 1000  844000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112596 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112597 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112598 -               0000... 05 1455 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112599 -               2200... 80 191520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112600 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112601 -               0000... stomach not hurting, see vomiting. ref SDS 0 QSXP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112604 -  ..
112605 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112606 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112607 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112608 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112609 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112610 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112611 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112612 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112614 -  ..
112615 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112617 -  ..
112618 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112619 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112620 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112622 -  ..
112623 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112624 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112626 -  ..
112627 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112629 -  ..
112630 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112631 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112633 -  ..
112634 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112636 -  ..
112637 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112638 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112640 -  ..
112641 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112642 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112643 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112644 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112645 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112646 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112647 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112648 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112649 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112650 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112651 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112652 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112653 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112655 -  ..
112656 - Breakfast - cheerios milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112657 - Lunch - sandwich balogna cheese chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112658 - Dinner - macaroni cheese tuna onion avocado, cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112660 -  ..
112661 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112667 -         ..
112668 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112669 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112670 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112671 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112672 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112673 -  171.  200619 0740............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112674 -               0740....BP HR..................................................... 130  82  86  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112675 -               0745....BP HR..................................................... 133  78  87  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112676 -               0750....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112677 -               0750... 20 975300 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112678 -               0750... 80 191600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112679 -           **  0750... 25    475.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112680 -               0750... 05 1460 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112681 -               0750... 75 9900 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112682 -               1150... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112683 -               1150... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112684 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112685 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112686 -          *2   1230... Diclofenac applied topically left knee - naproxen-like past few days noticed itching rash on left side of left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112687 -               1240....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112688 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112689 -               1300....miles...........  12.0  35.0  202   594 minutes  temp  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112690 -               1710....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112691 -               1730....BP HR..................................................... 105  64  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112692 -               1735....BP HR.....................................................  97  63  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112693 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112694 -               1700... 40 58520 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
112695 -               1830............ 10 13810  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112696 -               1830............ 10 13400  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112697 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112698 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112699 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112700 -               2100... 40 38540 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112701 -               2130... 1000  845000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112702 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112703 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112704 -               2200... 05 1465 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112705 -               2200... 80 191680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112706 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112707 -               0000... stomach not hurting, see vomiting. ref SDS 0 QSXP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112709 -  ..
112710 - *2  Past few days noticed itching rash (lesions) on left side of left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112711 - knee where Diclofenac medicine is applied topically.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112713 -  ..
112714 - Research found...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112716 -        PMC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112717 -        Diclofenac-Induced Allergic Contact Dermatitis: A Series of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112718 -        Four Patients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112720 -        Published:  2016 Nov 23                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112722 -         ..
112723 -        Abstract                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112724 -        Allergic contact dermatitis is an immune-mediated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112725 -        antigen-specific skin reaction to an allergenic chemical that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112726 -        corresponds to a delayed-type hypersensitivity response (type                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112727 -        IV reaction). Allergic contact dermatitis should be suspected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112728 -        when skin lesions are localized to the site of previous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112729 -        applications of the culprit drug. Lesions appear after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112730 -        re-exposure in susceptible persons, with delayed onset (more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112731 -        than 24 h after exposure). The gold standard for diagnosis is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112732 -        patch (epicutaneous) testing; identification and removal of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112733 -        any potential causal agents is crucial. Diclofenac sodium 1%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112734 -        topical gel contains active (diclofenac sodium) and inactive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112735 -        ingredients. It is a widely used non-steroidal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112736 -        anti-inflammatory drug, known to cause allergic contact                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112737 -        dermatitis, and especially photoallergic contact reactions. We                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112738 -        present four cases of diclofenac-sodium-induced allergic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112739 -        contact dermatitis, diagnosed based on clinical grounds:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112740 -        intensively itchy eczematous lesions on the sites of drug                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112741 -        application after several days of treatment. No allergic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112742 -        history and no other drug intake were reported by the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112743 -        patients. The application of diclofenac sodium 1% topical gel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112744 -        was strictly forbidden in all cases; potent topical steroids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112745 -        proved to be effective in all cases within 2 weeks of therapy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112746 -        Patch tests were performed in all cases with European standard                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112747 -        battery, with patients? own diclofenac sodium 1% topical gels                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112748 -        and with diclofenac sodium 1% in petrolatum 3 weeks after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112749 -        completion of local steroid therapy. Readings were done after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112750 -        48 h (Day 2) and 72 h (Day 3) and proved to be positive only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112751 -        to patients? diclofenac sodium 1% topical gel and diclofenac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112752 -        sodium 1% in petrolatum. No sun exposure was allowed during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112753 -        the testing, and any other treatments were forbidden.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112756 -  ..
112757 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112758 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112759 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112760 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112761 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112762 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112763 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112764 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112766 -  ..
112767 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112769 -  ..
112770 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112771 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112772 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112774 -  ..
112775 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112776 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112778 -  ..
112779 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112781 -  ..
112782 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112783 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112785 -  ..
112786 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112788 -  ..
112789 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112790 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112792 -  ..
112793 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112794 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112795 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112796 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112797 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112798 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112799 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112800 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112801 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112802 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112803 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112804 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112805 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112807 -  ..
112808 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112809 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112811 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112812 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112813 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112814 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112815 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112816 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112817 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112818 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112819 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112820 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112821 -        Knee left skin lesions left side.............   0        100  itching from Diclofenac gel have appeared past few days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112822 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112823 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112824 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112825 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112826 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112827 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112828 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112829 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112830 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112831 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112832 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112833 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112834 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112835 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112836 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112837 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112838 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112839 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112840 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112841 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112842 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112843 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112844 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112845 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112846 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112847 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112848 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112849 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112850 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112851 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112852 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112854 -  ..
112855 - Body feels okay after hiking 12 miles in 93 degrees following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112856 - 191009 1500, ref SDS 78 0001  There might be slight bloated feeling.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112857 - Don't seem weak, nor drifting off to sleep, that occurred previously.
112859 - -
112860 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112861 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112862 - sitting position; cruciate ligaments pain level 0.  Actually, legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112863 - feel pretty good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112865 -  ..
112866 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112868 -  ..
112869 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112870 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112871 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112873 -  ..
112874 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112875 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112876 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112877 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112878 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112880 -  ..
112881 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112882 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112884 -  ..
112885 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112886 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112887 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112889 -  ..
112890 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112891 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112892 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112893 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112894 - ref SDS 77 SM4M  After hike today on 200608, shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112895 - and Tailor's Bunions.  After hike applied ammonium lactate lotion to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112896 - feet. ref SDS 0 868O  Today, wore 2-pair Wrightsock thin double-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112897 - socks, and laced shoes less loosely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112899 -  ..
112900 - Concord 12 mile route - Starting energy okay today.  Not noticably                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112901 - wobbly after BPPV treatment at VAMCSF on 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112902 - Polar HR report shows pace steadyier, see below. ref SDS 0 PPPP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112903 - Wearing Hoka Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112904 - and wore 2-pair dual-layer Wrightsocks.  Took Metoprolol 1 pill 25 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112905 - in morning to manage HR during hike and minimize ARDS shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112906 - breath, and blurred vision side effects.  Hiked from Cuneo uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112907 - Treat - HR 117.  Breathed easily through nose entire hike.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112908 - at normal pace on narrow, paved shoulder of Treat hiking East 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112909 - to Clayton.  Very hot today.  Careful to avoid weaving into traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112910 - HR remained about 115, because temperature in low-90s.  Near corner of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112911 - Clayton, stopped and got haircut for about 30 minutes.  Time to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112912 - 1.25 20 minutes.  Turned South onto Clayton hiking 2 miles continuing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112913 - at normal pace, mostly on flat concrete sidewalk.  At mile 3.75,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112914 - turned West onto Ygnacio Valley Road HR 117 hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112915 - sidewalk another .5 mile.  About mile 4, crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112916 - Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112917 - traffic.  At mile 4.5 stopped at Texaco gas station - HR 109;EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112918 - report HR 108. ref SDS 0 QYUU  Continued hike to Pine Hollow, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112919 - took Campus Road .75-mile uphill to California Sate University visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112920 - parking.  Legs did not tire going uphill, indicating vasodilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112921 - activated for rest of hike.  Hiked 2-loops through Faculty and Studeny                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112922 - parking.  At mile 9.5 took Campus Road North downhill .25 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112923 - Ygnacio Valley Road.  Turned left and hiked 1 mile past Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112924 - Road and up hill past Cowell on to summit of Ygnacio Valley Road.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112925 - mile 11 crossed from South side of Ygnacio Valley Road to the North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112926 - side in order to avoid severely sloped shoulder on South Side.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112927 - North side continued West over the summit and past concrete traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112928 - seperation bariars.  Turned around and hiked back to Cowell.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112929 - left onto Cowell and hiked North for 1 mile to Treat.  Turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112930 - hiked West to Cuneo; then home for 12 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112932 -  ..
112933 - Polar HR GPS study during 12-mile hike indicates sinus all the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112934 - tracking elevation changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112937 -       Date      200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                         
112938 -       Miles       12      0     13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                           
112939 -       HR AVG     124    hsptl  120    hsptl  113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                           
112940 -         MAX      148     VA    138     VA    131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                           
112941 -         Min       94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                           
112942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112944 -  ..
112945 - HR profile showing average increased to 120, reflects temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112946 - increased to 91.  Appears sinus rhythm tracks elevation profile, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112947 - likely no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112948 - ref SDS 94 244I  Pace seems steadier without errtic HR changes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112949 - indicates no longer wobbly, disoriented as occurred on 200608, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112950 - above. ref SDS 0 YRQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112953 -              https://flow.polar.com/training/analysis/4797487278                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112957 -   
112958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112960 -  ..
112961 - EKG at mile 5 HR 122 - Kardia reported Tachcardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112964 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200619-ecg-143304_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112966 -  ..
112967 - Fast HR reflects temperature 92.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112970 -  ..
112971 - EKG 60 minutes after hiking 12 miles HR 94 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112974 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200619-ecg-180642_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112977 - ...and says:  No Rhythm abnormalties detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112981 -  ..
112982 - HR profile post-hike beginning 2022 overnight until OA 0700 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112983 - morning shows mostly steady heart beat 71 +/- with only few activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112984 - spikes, reflecting taking metoprolol succinct this morning, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112985 - ref SDS 0 999K  Max HR 102 and minimum HR 55 aligns with conditioning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112986 - prior to onset of AF...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112988 -              https://flow.polar.com/training/analysis/4780643178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112992 -   
112993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112995 -  ..
112996 - Breakfast - cream of wheat rasins with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112997 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112998 - Dinner - pasta lettuce onion avocado salmon tomato cumcumbr                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113000 -  ..
113001 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113007 -         ..
113008 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113009 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113010 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113011 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113012 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113013 -  172.  200620 0710............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113014 -               0720....BP HR..................................................... 118  71  65  Kardia ECG reports HR Unclassified, see below. ref SDS 0 ZV3F                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113015 -               0725....BP HR..................................................... 120  71  60  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113016 -               0730....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113017 -               0730... 20 975300 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113018 -               0730... 80 191600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113019 -           **  0730... 25    475.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113020 -               0730... 05 1460 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113021 -               0730... 75 9900 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113022 -               1050... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113023 -               1050... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113024 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113025 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113026 -          *2   0000... Diclofenac applied topically left knee - naproxen-like past few days noticed itching rash on left side of left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113027 -               1120....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113028 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113029 -               1130....miles...........  14.0  49.0  234   828 minutes  temp  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113030 -               1615....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113031 -               1620....BP HR..................................................... 109  68 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113032 -               1635....BP HR..................................................... 102  70  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113033 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113034 -               1700... 40 58520 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
113035 -             1 0000............ 10 13810  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113036 -             1 0000............ 10 13400  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113037 -               1935... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113038 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113039 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113040 -               2100... 40 38540 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113041 -               2130... 1000  845000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113042 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113043 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113044 -               2200... 05 1465 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113045 -               2200... 80 191680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113046 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113047 -               0000... stomach not hurting, see vomiting. ref SDS 0 QSXP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113049 -  ..
113050 - *2  Past few days noticed itching rash (lesions) on left side of left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113051 - knee where Diclofenac medicine is applied topically.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113053 -  ..
113054 - Paused Diclofenac today.  Hike did not cause pain to left knee.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113056 -  ..
113057 - Research found...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113059 -        PMC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113060 -        Diclofenac-Induced Allergic Contact Dermatitis: A Series of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113061 -        Four Patients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113063 -        Published:  2016 Nov 23                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113065 -         ..
113066 -        Abstract                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113067 -        Allergic contact dermatitis is an immune-mediated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113068 -        antigen-specific skin reaction to an allergenic chemical that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113069 -        corresponds to a delayed-type hypersensitivity response (type                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113070 -        IV reaction). Allergic contact dermatitis should be suspected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113071 -        when skin lesions are localized to the site of previous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113072 -        applications of the culprit drug. Lesions appear after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113073 -        re-exposure in susceptible persons, with delayed onset (more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113074 -        than 24 h after exposure). The gold standard for diagnosis is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113075 -        patch (epicutaneous) testing; identification and removal of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113076 -        any potential causal agents is crucial. Diclofenac sodium 1%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113077 -        topical gel contains active (diclofenac sodium) and inactive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113078 -        ingredients. It is a widely used non-steroidal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113079 -        anti-inflammatory drug, known to cause allergic contact                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113080 -        dermatitis, and especially photoallergic contact reactions. We                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113081 -        present four cases of diclofenac-sodium-induced allergic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113082 -        contact dermatitis, diagnosed based on clinical grounds:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113083 -        intensively itchy eczematous lesions on the sites of drug                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113084 -        application after several days of treatment. No allergic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113085 -        history and no other drug intake were reported by the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113086 -        patients. The application of diclofenac sodium 1% topical gel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113087 -        was strictly forbidden in all cases; potent topical steroids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113088 -        proved to be effective in all cases within 2 weeks of therapy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113089 -        Patch tests were performed in all cases with European standard                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113090 -        battery, with patients? own diclofenac sodium 1% topical gels                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113091 -        and with diclofenac sodium 1% in petrolatum 3 weeks after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113092 -        completion of local steroid therapy. Readings were done after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113093 -        48 h (Day 2) and 72 h (Day 3) and proved to be positive only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113094 -        to patients? diclofenac sodium 1% topical gel and diclofenac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113095 -        sodium 1% in petrolatum. No sun exposure was allowed during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113096 -        the testing, and any other treatments were forbidden.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113099 -  ..
113100 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113101 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113102 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113103 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113104 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113105 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113106 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113107 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113109 -  ..
113110 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113112 -  ..
113113 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113114 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113115 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113117 -  ..
113118 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113119 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113121 -  ..
113122 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113124 -  ..
113125 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113126 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113128 -  ..
113129 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113131 -  ..
113132 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113133 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113135 -  ..
113136 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113137 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113138 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113139 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113140 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113141 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113142 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113143 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113144 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113145 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113146 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113147 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113148 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113150 -  ..
113151 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113152 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113154 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113155 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113156 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113157 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113158 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113159 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113160 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113161 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113162 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113163 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113164 -        Knee left skin lesions left side.............   0        100  no itching because did not use Diclofenac gel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113165 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113166 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113167 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113168 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113169 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113170 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113171 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113172 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113173 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113174 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113175 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113176 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113177 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113178 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113179 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113180 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113181 -        Metatarsalgia left foot...PRP 191009.........   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113182 -        Metatarsalgia right foot..PRP 191009.........   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113183 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113184 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113185 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113186 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113187 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113188 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113189 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113190 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113191 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113192 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113193 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113194 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113195 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113197 -  ..
113198 - Body feels okay after hiking 14 miles in 80 degrees following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113199 - 191009 1500, ref SDS 78 0001  There might be slight bloated feeling.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113200 - Don't seem weak, nor drifting off to sleep, that occurred previously.
113202 - -
113203 - After hike left knee patella pain level 1; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113204 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113205 - sitting position; cruciate ligaments pain level 0.  Actually, legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113206 - feel pretty good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113208 -  ..
113209 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113211 -  ..
113212 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113213 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113214 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113216 -  ..
113217 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113218 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113219 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113220 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113221 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113223 -  ..
113224 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113225 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113227 -  ..
113228 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113229 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113230 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113232 -  ..
113233 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113234 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113235 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113236 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113237 - ref SDS 77 SM4M  After hike today on 200620, shaved calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113238 - and Tailor's Bunions.  After hike applied ammonium lactate lotion to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113239 - feet. ref SDS 0 ZK6J  Today, wore 2-pair Wrightsock thin double-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113240 - socks, and laced shoes less loosely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113242 -  ..
113243 - Concord 14 mile route - Starting energy okay today.  Not noticably                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113244 - wobbly after BPPV treatment at VAMCSF on 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113245 - Polar HR report shows pace steadyier, see below. ref SDS 0 PPPP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113246 - Wearing Hoka Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113247 - and wore 2-pair dual-layer Wrightsocks.  Took Metoprolol 1 pill 25 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113248 - in morning to manage HR during hike and minimize ARDS shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113249 - breath, and blurred vision side effects.  Hiked from Cuneo uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113250 - Treat - HR 117.  Breathed easily through nose entire hike.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113251 - at normal pace on narrow, paved shoulder of Treat hiking East 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113252 - to Clayton.  Very hot today.  Careful to avoid weaving into traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113253 - HR remained about 115, because temperature in low-90s.  Near corner of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113254 - Clayton, stopped and got haircut for about 30 minutes.  Time to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113255 - 1.25 20 minutes.  Turned South onto Clayton hiking 2 miles continuing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113256 - at normal pace, mostly on flat concrete sidewalk.  At mile 3.75,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113257 - turned West onto Ygnacio Valley Road HR 117 hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113258 - sidewalk another .5 mile.  About mile 4, crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113259 - Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113260 - traffic.  At mile 4.5 stopped at Texaco gas station - HR 109;EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113261 - report HR 108. ref SDS 0 QYUU  Continued hike to Pine Hollow, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113262 - took Campus Road .75-mile uphill to California Sate University visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113263 - parking.  Legs did not tire going uphill, indicating vasodilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113264 - activated for rest of hike.  Hiked 2-loops through Faculty and Studeny                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113265 - parking.  At mile 9.5 took Campus Road North downhill .25 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113266 - Ygnacio Valley Road.  Turned left and hiked 1 mile past Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113267 - Road and up hill past Cowell on to summit of Ygnacio Valley Road.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113268 - mile 11 crossed from South side of Ygnacio Valley Road to the North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113269 - side in order to avoid severely sloped shoulder on South Side.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113270 - North side continued West over the summit and past concrete traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113271 - seperation bariars.  At mile 10 crossed back to South side of Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113272 - Valley Road because the shoulder is better for hiking.  Hiked 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113273 - down hill to Oak Grove, and beginning to feel metatarsalgia in both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113274 - feet - only pain level 1.  Crossed Oak Grove at electric traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113275 - light.  Continued West on paved path parallel to Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113276 - around Safeway shopping center.  Turned North onto Via Monte hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113277 - flat ground .25 mile to Shadelands Drive.  Turned around and hiked .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113278 - mile back to corner of Oak Grove and Ygnacio Valley Road.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113279 - around agani and hiked .5 mile back to Via Monte and Shadeland.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113280 - Turned right and hiked .25 mile to Oak Grove Turned left and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113281 - North .75 mile to Treat.  Kathy drove us home for 14 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113284 -  ..
113285 - Kardia recorded HR 63 at 0755 - reported Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113288 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200620-ecg-075522_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113291 - ...and says:  Atrial fibrillation was not detected and your EKG does                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113292 - not fall under the algorithmic classifications of Normal, Braydcardia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113293 - or Tachcardia.  This may be caused by otehr arrhythmias, unusually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113294 - fast or slow heart rates, or poor quality recordings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113297 -  ..
113298 - Polar HR GPS study during 12-mile hike indicates sinus all the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113299 - tracking elevation changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113302 -       Date      200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                                  
113303 -       Miles       14     12      0     13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                                    
113304 -       HR AVG     117    124    hsptl  120    hsptl  113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                                    
113305 -         MAX      134    148     VA    138     VA    131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                                    
113306 -         Min       92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                                    
113307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113309 -  ..
113310 - HR profile showing average decreased to 117, reflects temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113311 - decreased to 80.  Appears sinus rhythm tracks elevation profile, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113312 - likely no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113313 - ref SDS 94 244I  Pace seems steadier without errtic HR changes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113314 - indicates no longer wobbly, disoriented as occurred on 200608, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113315 - above. ref SDS 0 YRQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113318 -              https://flow.polar.com/training/analysis/4801000873                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113322 -   
113323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113325 -  ..
113326 - EKG at mile 5 HR 105 - Kardia reported Tachcardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113329 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200620-ecg-124736_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113333 -  ..
113334 - EKG 60 minutes after hiking 14 miles HR 83 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113338 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200620-ecg-165755_mile_14.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113341 - ...and says:  No Rhythm abnormalties detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113345 -  ..
113346 - HR profile post-hike beginning 1709 overnight until OA 0710 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113347 - morning shows mostly steady heart beat 70 +/- with only few activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113348 - spikes, reflecting taking metoprolol succinct this morning, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113349 - ref SDS 0 ZK6J  Max HR 121 and minimum HR 49 indicates heart getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113350 - stronger, recovering from ablation procedures.  This will reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113351 - exposure to ischemic colitis, reported on 200612 0700. ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113354 -              https://flow.polar.com/training/analysis/4803378043                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113358 -   
113359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113361 -  ..
113362 - Breakfast - eggs toast with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113363 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113364 - Dinner - pasta lettuce onion avocado salmon tomato cumcumbr, ice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113365 - cream milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113367 -  ..
113368 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113375 -         ..
113376 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113377 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113378 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113379 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113380 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113381 -  173.  200621 0720............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113382 -               0730....BP HR..................................................... 131  71  61  Kardia ECG reports HR Unclassified, see below. ref SDS 0 RXWY                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113383 -               0735....BP HR..................................................... 117  71  60  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113384 -               0740....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113385 -               0740... 20 975320 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113386 -               0740... 80 191760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113387 -           **  0740... 25    500.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113388 -               0740... 05 1470 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113389 -               0740... 75 9975 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113390 -               1050... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113391 -               1050... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113392 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113393 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113394 -          *2   0000... Diclofenac applied topically left knee - naproxen-like past few days noticed itching rash on left side of left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113395 -               1120....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113396 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113397 -               1010....miles...........  14.0  63.0  231  1059 minutes  temp  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113398 -               1415....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113399 -               1430....BP HR..................................................... 103  72 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113400 -               1435....BP HR.....................................................  98  64  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113401 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113402 -               1700... 40 58560 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
113403 -               1830............ 10 13820  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113404 -               1830............ 10 13410  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113405 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113406 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113407 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113408 -               2100... 40 38580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113409 -               2130... 1000  846000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113410 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113411 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113412 -               2200... 05 1475 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113413 -               2200... 80 191840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113414 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113415 -               0000... stomach not hurting, see vomiting. ref SDS 0 QSXP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113417 -  ..
113418 - *2  Paused Diclofenac due to dermatitis lesions on left side of left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113419 - knee, reported on 200620, per above. ref SDS 0 RRWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113421 -  ..
113422 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113423 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113424 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113425 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113426 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113427 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113428 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113429 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113431 -  ..
113432 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113434 -  ..
113435 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113436 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113437 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113439 -  ..
113440 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113441 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113443 -  ..
113444 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113446 -  ..
113447 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113448 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113450 -  ..
113451 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113453 -  ..
113454 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113455 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113457 -  ..
113458 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113459 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113460 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113461 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113462 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113463 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113464 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113465 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113466 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113467 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113468 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113469 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113470 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113472 -  ..
113473 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113474 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113476 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113477 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113478 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113479 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113480 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113481 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113482 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113483 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113484 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113485 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113486 -        Knee left skin lesions left side.............   0        100  no itching because did not use Diclofenac gel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113487 -        Knee left meniscus...PRP 191009..............   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113488 -        Knee left patalla...PRP 191009...............   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113489 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113490 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113491 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113492 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113493 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113494 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113495 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113496 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113497 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113498 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113499 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113500 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113501 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113502 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113503 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113504 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113505 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113506 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113507 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113508 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113509 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113510 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113511 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113512 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113513 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113514 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113515 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113516 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113517 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113519 -  ..
113520 - Body feels very tired after hiking 14 miles in 90 degrees following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113521 - PRP on 191009 1500, ref SDS 78 0001  Seem weak and drifting off to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113522 - sleep, that occurred previously.
113524 - -
113525 - After hike left knee patella pain level 1; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113526 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113527 - sitting position; cruciate ligaments pain level 0.  Actually, legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113528 - feel pretty good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113530 -  ..
113531 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113533 -  ..
113534 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113535 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113536 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113538 -  ..
113539 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113540 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113541 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113542 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113543 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113545 -  ..
113546 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113547 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113549 -  ..
113550 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113551 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113552 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113554 -  ..
113555 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113556 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113557 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113558 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113559 - ref SDS 77 SM4M  After hike on 200620, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113560 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113561 - ref SDS 0 ZK6J  Today, wore 2-pair Wrightsock thin double-ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113562 - and laced shoes less loosely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113564 -  ..
113565 - Concord 14 mile route - starting hiked with Kathy 1-mile very slow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113566 - rehab loop around the block.  Starting energy okay today.  Not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113567 - noticably wobbly after BPPV treatment at VAMCSF on 200527 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113568 - ref SDS 96 FR8I  Polar HR report shows pace steadyier, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113569 - ref SDS 0 PPPP  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113570 - ref SDS 77 SM4M; and wore 2-pair dual-layer Wrightsocks.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113571 - Metoprolol 1 pill 25 mg in morning to manage HR during hike and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113572 - minimize ARDS shortness of breath, and blurred vision side effects.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113573 - Hiked from Cuneo uphill to Treat - HR 112.  Breathed easily through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113574 - nose entire hike.  Continued at normal pace on narrow, paved shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113575 - of Treat hiking East 1 mile to Clayton.  Very hot today.  Careful to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113576 - avoid weaving into traffic.  HR remained about 115, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113577 - temperature in low-90s.  Time to mile 2.25 43 minutes.  Turned South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113578 - onto Clayton hiking 2 miles continuing at normal pace, mostly on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113579 - concrete sidewalk.  At mile 3.75, turned West onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113580 - HR 115 hiking on concrete sidewalk another .5 mile.  About mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113581 - crossed to South side Ygnacio Valley Road hiking West on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113582 - shoulder aganist East bound traffic.  At mile 5.5 stopped at Texaco                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113583 - gas station - HR 108 EKG, ref SDS 0 RYRP, Continued hike to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113584 - Hollow, then took Campus Road .75-mile uphill to California Sate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113585 - University visitor parking.  Legs did not tire going uphill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113586 - indicating vasodilation activated for rest of hike.  Hiked 2-loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113587 - through Faculty and Studeny parking.  At mile 10 took Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113588 - North downhill .25 mile to Ygnacio Valley Road.  Turned left and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113589 - 1 mile past Crystal Ranch Road and up hill past Cowell on to summit of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113590 - Ygnacio Valley Road.  At mile 11 crossed from South side of Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113591 - Valley Road to the North side in order to avoid severely sloped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113592 - shoulder on South Side.  On North side continued West over the summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113593 - and past concrete traffic seperation bariars.  At mile 10 turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113594 - around and hiked East .5 mile back to Cowell.  Turned left onto Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113595 - and hiked North for 1 mile to Treat.  Turned left and hiked West to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113596 - Cuneo; then home for 14 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113598 -  ..
113599 - Kardia recorded HR 61 at 0844 - reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113602 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200621-ecg-084405_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113605 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113608 -  ..
113609 - Polar HR GPS study during 12-mile hike indicates sinus all the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113610 - tracking elevation changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113613 -       Date      200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                           
113614 -       Miles       14     14     12      0     13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                             
113615 -       HR AVG     117    117    124    hsptl  120    hsptl  113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                             
113616 -         MAX      136    134    148     VA    138     VA    131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                             
113617 -         Min       85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                             
113618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113620 -  ..
113621 - HR profile showing average 117, reflects temperature 90.  Appears                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113622 - sinus rhythm tracks elevation profile, so likely no AF and no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113623 - flutter, following ablation on 200511 0546. ref SDS 94 244I  Pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113624 - seems steadier without errtic HR changes indicates no longer wobbly,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113625 - disoriented as occurred on 200608, per above. ref SDS 0 YRQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113628 -              https://flow.polar.com/training/analysis/4805163633                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113632 -   
113633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113635 -  ..
113636 - EKG at mile 5 HR 108 - Kardia reported Tachcardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113639 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200621-ecg-114728_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113643 -  ..
113644 - EKG 60 minutes after hiking 14 miles HR 91 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113648 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200621-ecg-150217_mile_14.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113652 - ...and says:  No Rhythm abnormalties detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113655 -  ..
113656 - HR profile post-hike beginning 1709 overnight until OA 0710 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113657 - morning shows mostly steady heart beat 70 +/- with only few activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113658 - spikes, reflecting taking metoprolol succinct this morning, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113659 - ref SDS 0 ZK6J  Max HR 121 and minimum HR 49 indicates heart getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113660 - stronger, recovering from ablation procedures.  This will reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113661 - exposure to ischemic colitis, reported on 200612 0700. ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113664 -              https://flow.polar.com/training/analysis/4803378043                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113668 -   
113669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113671 -  ..
113672 - Breakfast - cheerios chia seeds milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113673 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113674 - Dinner - half bison burger lettuce onion avocado salmon tomato cumcumbr                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113676 -  ..
113677 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113683 -         ..
113684 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113685 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113686 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113687 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113688 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113689 -  174.  200622 0650............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113690 -               0650....BP HR..................................................... 116  70  77  Kardia ECG reports HR Normal, see below. ref SDS 0 SQSS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113691 -               0655....BP HR..................................................... 121  70  73  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113692 -               0700....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113693 -               0700... 20 975340 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113694 -               0700... 80 191920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113695 -           **  0700... 25    525.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113696 -               0700... 05 1480 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113697 -               0700... 75 1050 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113698 -               0950... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113699 -               0900... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113700 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113701 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113702 -          *2   0000... Diclofenac applied topically left knee - naproxen-like past few days noticed itching rash on left side of left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113703 -               0905....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113704 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113705 -               0910....miles...........  14.0  14.0  239   239 minutes  temp  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113706 -               1345....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113707 -               1350....BP HR..................................................... 112  72 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113708 -               1355....BP HR..................................................... 117  72  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113709 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113710 -               1700... 40 58600 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
113711 -             1 0000............ 10 13820  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113712 -             1 0000............ 10 13410  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113713 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113714 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113715 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113716 -               2100... 40 38620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113717 -               2130... 1000  847000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113718 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113719 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113720 -               2200... 05 1485 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113721 -               2200... 80 192000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113722 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113723 -               0000... stomach not hurting, see vomiting. ref SDS 0 QSXP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113725 -  ..
113726 - *2  Paused Diclofenac due to dermatitis lesions on left side of left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113727 - knee, reported on 200620, per above. ref SDS 0 RRWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113729 -  ..
113730 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113731 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113732 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113733 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113734 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113735 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113736 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113737 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113739 -  ..
113740 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113742 -  ..
113743 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113744 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113745 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113747 -  ..
113748 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113749 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113751 -  ..
113752 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113754 -  ..
113755 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113756 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113758 -  ..
113759 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113761 -  ..
113762 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113763 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113765 -  ..
113766 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113767 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113768 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113769 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113770 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113771 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113772 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113773 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113774 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113775 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113776 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113777 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113778 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113780 -  ..
113781 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113782 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113784 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113785 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113786 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113787 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113788 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113789 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113790 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113791 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113792 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113793 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113794 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113795 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113796 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113797 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113798 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113799 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113800 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113801 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113802 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113803 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113804 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113805 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113806 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113807 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113808 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113809 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113810 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113811 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113812 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113813 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113814 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113815 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113816 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113817 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113818 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113819 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113820 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113821 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113822 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113823 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113824 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113825 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113827 -  ..
113828 - Body feels very tired after hiking 14 miles in 90 degrees following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113829 - PRP on 191009 1500, ref SDS 78 0001  Seem weak and drifting off to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113830 - sleep, that occurred previously.
113832 - -
113833 - After hike left knee patella pain level 1; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113834 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113835 - sitting position; cruciate ligaments pain level 0.  Actually, legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113836 - feel pretty good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113838 -  ..
113839 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113841 -  ..
113842 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113843 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113844 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113846 -  ..
113847 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113848 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113849 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113850 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113851 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113853 -  ..
113854 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113855 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113857 -  ..
113858 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113859 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113860 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113862 -  ..
113863 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113864 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113865 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113866 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113867 - ref SDS 77 SM4M  After hike on 200620, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113868 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113869 - ref SDS 0 ZK6J  Today, wore 2-pair Wrightsock thin double-ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113870 - and laced shoes less loosely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113872 -  ..
113873 - Concord 14 mile route - starting hiked with Kathy 1-mile very slow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113874 - rehab loop around the block.  Starting energy okay today.  Not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113875 - noticably wobbly after BPPV treatment at VAMCSF on 200527 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113876 - ref SDS 96 FR8I  Polar HR report shows pace steadyier, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113877 - ref SDS 0 PPPP  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113878 - ref SDS 77 SM4M; and wore 2-pair dual-layer Wrightsocks.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113879 - Metoprolol 1 pill 25 mg in morning to manage HR during hike and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113880 - minimize ARDS shortness of breath, and blurred vision side effects.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113881 - Hiked from Cuneo uphill to Treat - HR 109.  Breathed easily through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113882 - nose entire hike.  Continued at normal pace on narrow, paved shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113883 - of Treat hiking East 1 mile to Clayton.  Very hot today.  Careful to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113884 - avoid weaving into traffic.  HR remained about 105.  Time to mile 2.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113885 - 41 minutes.  Turned South onto Clayton hiking 2 miles continuing at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113886 - normal pace, mostly on flat concrete sidewalk.  At mile 3.75, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113887 - West onto Ygnacio Valley Road HR 111 hiking on concrete sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113888 - another .5 mile.  About mile 5, crossed to South side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113889 - Road hiking West on asphalt shoulder aganist East bound traffic.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113890 - mile 5.5 stopped at Texaco gas station - HR 108 EKG, ref SDS 0 RYRP,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113891 - Continued hike to Pine Hollow, then took Campus Road .75-mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113892 - to California Sate University visitor parking.  Legs did not tire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113893 - going uphill, indicating vasodilation activated for rest of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113894 - Hiked 2-loops through Faculty and Studeny parking.  At mile 10 took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113895 - Campus Road North downhill .25 mile to Ygnacio Valley Road.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113896 - left and hiked 1 mile past Crystal Ranch Road and up hill past Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113897 - on to summit of Ygnacio Valley Road.  At mile 11 crossed from South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113898 - side of Ygnacio Valley Road to the North side in order to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113899 - severely sloped shoulder on South Side.  On North side continued West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113900 - over the summit and past concrete traffic seperation bariars.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113901 - 10 turned around and hiked East .5 mile back to Cowell.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113902 - onto Cowell and hiked North for 1 mile to Treat.  Turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113903 - hiked West to Cuneo; then home for 14 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113905 -  ..
113906 - Kardia recorded HR 75 at 0705 - reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113909 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200622-ecg-070506_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113912 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113915 -  ..
113916 - Polar HR GPS study during 14-mile hike indicates sinus all the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113917 - tracking elevation changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113920 -       Date      200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                                    
113921 -       Miles       14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                                      
113922 -       HR AVG     112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                                      
113923 -         MAX      131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                                      
113924 -         Min       88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                                      
113925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113927 -  ..
113928 - HR profile showing average 112, with themperatuer 90, may indicate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113929 - improving conditioning, i.e., heart getting stronger.  Appears sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113930 - rhythm tracks elevation profile, so likely no AF and no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113931 - flutter, following ablation on 200511 0546. ref SDS 94 244I  Pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113932 - seems steadier without errtic HR changes indicates no longer wobbly,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113933 - disoriented as occurred on 200608, per above. ref SDS 0 YRQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113936 -              https://flow.polar.com/training/analysis/4808926743                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113940 -   
113941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113943 -  ..
113944 - EKG at mile 5 HR 102 - Kardia reported Tachcardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113947 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200622-ecg-105630_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113951 -  ..
113952 - EKG 60 minutes after hiking 14 miles HR 91 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113956 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200621-ecg-150217_mile_14.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113960 - ...and says:  No Rhythm abnormalties detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113963 -  ..
113964 - HR profile post-hike beginning 2319 overnight until OA 0710 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113965 - morning shows mostly steady heart beat 73 +/- with only few activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113966 - spikes, reflecting taking metoprolol succinct this morning, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113967 - ref SDS 0 G44F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113970 -              https://flow.polar.com/training/analysis/4811261496                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113974 -   
113975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113977 -  ..
113978 - Breakfast - eggs toast with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113979 - Lunch - cheese crackers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113980 - Dinner - lettuce onion asparagus avocado salmon tomato cumcumbr, ice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113981 - cream milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113983 -  ..
113984 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113990 -         ..
113991 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113992 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113993 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113994 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113995 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113996 -  175.  200623 0650............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113997 -               0650....BP HR..................................................... 110  73  87  Kardia ECG reports HR Normal, see below. ref SDS 0 STTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113998 -               0655....BP HR..................................................... 119  75  79  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113999 -               0700....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114000 -               0700... 20 975340 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114001 -               0700... 80 191920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114002 -           **  0700... 25    525.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114003 -               0700... 05 1480 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114004 -               0700... 75 1050 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114005 -               0950... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114006 -               0900... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114007 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114008 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114009 -          *2   0000... Diclofenac applied topically left knee - naproxen-like past few days noticed itching rash on left side of left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114010 -               0905....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114011 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114012 -               1055....miles...........  12.0  26.0  202   441 minutes  temp  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114013 -               1520....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114014 -               1525....BP HR..................................................... 119  79 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114015 -               1540....BP HR..................................................... 121  76 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114016 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114017 -               1700... 40 58600 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
114018 -               1830............ 10 13820  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114019 -               1830............ 10 13410  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114020 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114021 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114022 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114023 -               2100... 40 38620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114024 -               2130... 1000  847000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114025 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114026 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114027 -               2200... 05 1485 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114028 -               2200... 80 192000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114029 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114030 -               0000... stomach not hurting, see vomiting. ref SDS 0 QSXP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114032 -  ..
114033 - *2  Paused Diclofenac due to dermatitis lesions on left side of left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114034 - knee, reported on 200620, per above. ref SDS 0 RRWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114036 -  ..
114037 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114038 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114039 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114040 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114041 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114042 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114043 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114044 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114046 -  ..
114047 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114049 -  ..
114050 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114051 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114052 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114054 -  ..
114055 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114056 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114058 -  ..
114059 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114061 -  ..
114062 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114063 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114065 -  ..
114066 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114068 -  ..
114069 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114070 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114072 -  ..
114073 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114074 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114075 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114076 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114077 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114078 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114079 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114080 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114081 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114082 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114083 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114084 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114085 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114087 -  ..
114088 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114089 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114091 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114092 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114093 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114094 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114095 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114096 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114097 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114098 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114099 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114100 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114101 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114102 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114103 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114104 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114105 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114106 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114107 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114108 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114109 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114110 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114111 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114112 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114113 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114114 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114115 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114116 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114117 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114118 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114119 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114120 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114121 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114122 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114123 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114124 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114125 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114126 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114127 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114128 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114129 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114130 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114131 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114132 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114134 -  ..
114135 - Body feels very tired after hiking 12 miles in 93 degrees following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114136 - PRP on 191009 1500, ref SDS 78 0001  Seem weak and drifting off to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114137 - sleep, that occurred previously.
114139 - -
114140 - After hike left knee patella pain level 1; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114141 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114142 - sitting position; cruciate ligaments pain level 0.  Actually, legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114143 - feel pretty good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114145 -  ..
114146 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114148 -  ..
114149 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114150 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114151 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114153 -  ..
114154 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114155 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114156 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114157 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114158 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114160 -  ..
114161 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114162 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114164 -  ..
114165 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114166 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114167 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114169 -  ..
114170 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114171 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114172 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114173 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114174 - ref SDS 77 SM4M  After hike on 200620, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114175 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114176 - ref SDS 0 ZK6J  Today, wore 2-pair Wrightsock thin double-ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114177 - and laced shoes less loosely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114179 -  ..
114180 - Concord 12 mile route - Starting energy okay today.  Not noticably                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114181 - wobbly after BPPV treatment at VAMCSF on 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114182 - Polar HR report shows pace steadyier, see below. ref SDS 0 PPPP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114183 - Wearing Hoka Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114184 - and wore 2-pair dual-layer Wrightsocks.  Took Metoprolol 1 pill 25 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114185 - in morning to manage HR during hike and minimize ARDS shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114186 - breath, and blurred vision side effects.  Hiked from Cuneo uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114187 - Treat - HR 109.  Breathed easily through nose entire hike.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114188 - at normal pace on narrow, paved shoulder of Treat hiking East 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114189 - to Clayton.  Very hot today.  Careful to avoid weaving into traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114190 - HR remained about 105.  Time to mile 2.25 41 minutes.  Turned South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114191 - onto Clayton hiking 2 miles continuing at normal pace, mostly on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114192 - concrete sidewalk.  At mile 3.75, turned West onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114193 - HR 111 hiking on concrete sidewalk another .5 mile.  About mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114194 - crossed to South side Ygnacio Valley Road hiking West on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114195 - shoulder aganist East bound traffic.  At mile 5.5 stopped at Texaco                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114196 - gas station - HR 108 EKG, ref SDS 0 RYRP, Continued hike to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114197 - Hollow, then took Campus Road .75-mile uphill to California Sate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114198 - University visitor parking.  Legs did not tire going uphill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114199 - indicating vasodilation activated for rest of hike.  Hiked 2-loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114200 - through Faculty and Studeny parking.  At mile 8 took Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114201 - North downhill .25 mile to Ygnacio Valley Road.  Turned left and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114202 - 1 mile past Crystal Ranch Road and up hill past Cowell on to summit of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114203 - Ygnacio Valley Road.  At mile 10 crossed from South side of Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114204 - Valley Road to the North side in order to avoid severely sloped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114205 - shoulder on South Side.  On North side continued West over the summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114206 - and past concrete traffic seperation bariars.  At mile 10 turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114207 - around and hiked East .5 mile back to Cowell.  Turned left onto Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114208 - and hiked North for 1 mile to Treat.  Turned left and hiked West to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114209 - Cuneo; then home for 12 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114211 -  ..
114212 - Kardia recorded HR 71 at 0723 - Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114215 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200623-ecg-072530_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114219 -  ..
114220 - Polar HR GPS study during 14-mile hike indicates sinus all the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114221 - tracking elevation changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114224 -       Date      200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                             
114225 -       Miles       12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                               
114226 -       HR AVG     116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                               
114227 -         MAX      132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                               
114228 -         Min       85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                               
114229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114231 -  ..
114232 - HR profile showing average 116, with themperatuer 93, may indicate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114233 - improving conditioning, i.e., heart getting stronger.  Appears sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114234 - rhythm tracks elevation profile, so likely no AF and no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114235 - flutter, following ablation on 200511 0546. ref SDS 94 244I  Pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114236 - seems irregular possibly wobbly due to heat 93 degrees.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114239 -              https://flow.polar.com/training/analysis/4813339251                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114243 -   
114244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114246 -  ..
114247 - EKG at mile 5 HR 105 - Kardia reported Tachcardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114250 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200623-ecg-121243_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114253 -  ..
114254 - EKG looks erratic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114258 -  ..
114259 - EKG 60 minutes after hiking 12 miles HR 85 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114264 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200623-ecg-151557_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114268 - ...and says:  No Rhythm abnormalties detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114271 -  ..
114272 - HR profile post-hike beginning 1709 overnight until OA 0710 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114273 - morning shows mostly steady heart beat 70 +/- with only few activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114274 - spikes, reflecting taking metoprolol succinct this morning, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114275 - ref SDS 0 ZK6J  Max HR 121 and minimum HR 49 indicates heart getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114276 - stronger, recovering from ablation procedures.  This will reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114277 - exposure to ischemic colitis, reported on 200612 0700. ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114280 -              https://flow.polar.com/training/analysis/4803378043                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114284 -   
114285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114287 -  ..
114288 - Breakfast - eggs toast with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114289 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114290 - Dinner - tuna lettuce onion avocado salmon tomato cumcumbr, jello                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114292 -  ..
114293 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114300 -         ..
114301 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114302 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114303 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114304 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114305 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114306 -  176.  200624 0730............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114307 -               0740....BP HR..................................................... 132  80  75  Kardia ECG reports HR Normal, see below. ref SDS 0 SWTX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114308 -               0745....BP HR..................................................... 128  80  73  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114309 -               0750....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114310 -               0750... 20 975360 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114311 -               0750... 80 192080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114312 -           **  0750... 25    550.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114313 -               0750... 05 1490 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114314 -               0750... 75 1125 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114315 -               0950... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114316 -               0900... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114317 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114318 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114319 -          *2   0000... Diclofenac applied topically left knee - naproxen-like past few days noticed itching rash on left side of left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114320 -               0905....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114321 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114322 -               1150....miles...........  14.0  40.0  235   676 minutes  temp  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114323 -               1635....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114324 -               1650....BP HR..................................................... 118  74 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114325 -               1655....BP HR..................................................... 117  72  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114326 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114327 -               1700... 40 58640 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
114328 -             1 0000............ 10 13820  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114329 -             1 0000............ 10 13410  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114330 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114331 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114332 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114333 -               2100... 40 38660 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114334 -               2130... 1000  848000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114335 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114336 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114337 -               2200... 05 1495 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114338 -               2200... 80 192160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114339 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114340 -               0000... stomach not hurting, see vomiting. ref SDS 0 QSXP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114342 -  ..
114343 - *2  Paused Diclofenac due to dermatitis lesions on left side of left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114344 - knee, reported on 200620, per above. ref SDS 0 RRWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114346 -  ..
114347 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114348 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114349 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114350 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114351 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114352 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114353 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114354 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114356 -  ..
114357 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114359 -  ..
114360 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114361 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114362 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114364 -  ..
114365 - Dizzy - noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114366 - 200527 0730. ref SDS 96 FR8I  This seem more like fatigue from taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114367 - apixaban blood thinner.  Occurring 3/4 into long hikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114369 -  ..
114370 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114372 -  ..
114373 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114374 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114376 -  ..
114377 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114379 -  ..
114380 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114381 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114383 -  ..
114384 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114385 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114386 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114387 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114388 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114389 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114390 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114391 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114392 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114393 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114394 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114395 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114396 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114398 -  ..
114399 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114400 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114402 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114403 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114404 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114405 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114406 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114407 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114408 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114409 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114410 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114411 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114412 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114413 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114414 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114415 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114416 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114417 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114418 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114419 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114420 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114421 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114422 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114423 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114424 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114425 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114426 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114427 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114428 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114429 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114430 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114431 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114432 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114433 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114434 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114435 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114436 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114437 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114438 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114439 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114440 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114441 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114442 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114443 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114445 -  ..
114446 - Body feels very tired after hiking 14 miles in 94 degrees following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114447 - PRP on 191009 1500, ref SDS 78 0001  Seem weak and drifting off to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114448 - sleep, that occurred previously; letter to Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114449 - attributes weakness and fatigue to blood thinner drugs, here apixaban.
114451 - -
114452 - After hike left knee patella pain level 1; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114453 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114454 - sitting position; cruciate ligaments pain level 0.  Actually, legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114455 - feel pretty good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114457 -  ..
114458 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114460 -  ..
114461 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114462 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114463 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114465 -  ..
114466 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114467 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114468 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114469 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114470 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114472 -  ..
114473 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114474 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114476 -  ..
114477 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114478 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114479 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114481 -  ..
114482 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114483 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114484 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114485 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114486 - ref SDS 77 SM4M  After hike on 200620, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114487 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114488 - ref SDS 0 ZK6J  Today, wore 2-pair Wrightsock thin double-ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114489 - and laced shoes less loosely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114491 -  ..
114492 - Concord 14 mile route - Starting energy okay today.  Not noticably                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114493 - wobbly after BPPV treatment at VAMCSF on 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114494 - Polar HR report shows pace steadyier, see below. ref SDS 0 PPPP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114495 - Wearing Hoka Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114496 - and wore 2-pair dual-layer Wrightsocks.  Took Metoprolol 1 pill 25 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114497 - in morning to manage HR during hike and minimize ARDS shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114498 - breath, and blurred vision side effects.  Hiked from Cuneo uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114499 - Treat - HR 109.  Breathed easily through nose entire hike.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114500 - at normal pace on narrow, paved shoulder of Treat hiking East 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114501 - to Clayton.  Very hot today.  Careful to avoid weaving into traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114502 - HR remained about 105.  Time to mile 2.25 41 minutes.  Turned South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114503 - onto Clayton hiking 2 miles continuing at normal pace, mostly on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114504 - concrete sidewalk.  At mile 3.75, turned West onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114505 - HR 111 hiking on concrete sidewalk another .5 mile.  About mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114506 - crossed to South side Ygnacio Valley Road hiking West on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114507 - shoulder aganist East bound traffic.  At mile 5.5 stopped at Texaco                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114508 - gas station - HR 108 EKG, ref SDS 0 RYRP, Continued hike to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114509 - Hollow, then took Campus Road .75-mile uphill to California Sate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114510 - University visitor parking.  Legs did not tire going uphill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114511 - indicating vasodilation activated for rest of hike.  Hiked 3-loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114512 - through Faculty and Studeny parking.  At mile 10 took Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114513 - North downhill .25 mile to Ygnacio Valley Road.  Turned left and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114514 - 1 mile past Crystal Ranch Road and up hill past Cowell on to summit of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114515 - Ygnacio Valley Road.  At mile 11 crossed from South side of Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114516 - Valley Road to the North side in order to avoid severely sloped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114517 - shoulder on South Side.  On North side continued West over the summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114518 - and past concrete traffic seperation bariars.  At mile 10 turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114519 - around and hiked East .5 mile back to Cowell.  Turned left onto Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114520 - and hiked North for 1 mile to Treat.  Turned left and hiked West to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114521 - Cuneo; then home for 14 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114523 -  ..
114524 - Kardia recorded HR 73 at 0845 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114527 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200624-ecg-084427_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114530 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114534 -  ..
114535 - Polar HR GPS study during 14-mile hike indicates sinus all the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114536 - tracking elevation changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114539 -       Date      200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                      
114540 -       Miles       14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                        
114541 -       HR AVG     118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                        
114542 -         MAX      142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                        
114543 -         Min       94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                        
114544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114546 -  ..
114547 - HR profile showing average 116, with themperatuer 93, may indicate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114548 - improving conditioning, i.e., heart getting stronger.  Appears sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114549 - rhythm tracks elevation profile, so likely no AF and no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114550 - flutter, following ablation on 200511 0546. ref SDS 94 244I  Pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114551 - very steady, though shuffled feet and was wobbly at times due to 95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114552 - degree heat and apixaban blood thinner.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114555 -              https://flow.polar.com/training/analysis/4817345896                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114560 -   
114561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114563 -  ..
114564 - EKG at mile 5 HR 105 - Kardia reported Tachcardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114567 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200624-ecg-131142_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114570 -  ..
114571 - EKG looks erratic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114575 -  ..
114576 - EKG 60 minutes after hiking 14 miles HR 99 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114579 -              F:\05\00003\SM\CC\BNKG\00010cc\HR_200624-ecg-170501_mile_14.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114582 - ...and says:  No Rhythm abnormalties detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114585 -  ..
114586 - HR profile post-hike beginning 1709 overnight until OA 0710 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114587 - morning shows mostly steady heart beat 70 +/- with only few activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114588 - spikes, reflecting taking metoprolol succinct this morning, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114589 - ref SDS 0 ZK6J  Max HR 121 and minimum HR 49 indicates heart getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114590 - stronger, recovering from ablation procedures.  This will reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114591 - exposure to ischemic colitis, reported on 200612 0700. ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114594 -              https://flow.polar.com/training/analysis/4803378043                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114598 -   
114599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114601 -  ..
114602 - Breakfast - cream of wheat rasins with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114603 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114604 - Dinner - tuna onion avocado salmon tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114606 -  ..
114607 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114613 -         ..
114614 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114615 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114616 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114617 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114618 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114619 -  177.  200625 0700............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114620 -               0710....BP HR..................................................... 116  73  61  Kardia ECG reports HR Normal, see below. ref SDS 0 TPVS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114621 -               0715....BP HR..................................................... 116  74  75  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114622 -               0720....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114623 -               0720... 20 975380 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114624 -               0720... 80 192240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114625 -           **  0720... 25    575.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114626 -               0720... 05 1500 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114627 -               0720... 75 1299 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114628 -               0950... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114629 -               0900... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114630 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114631 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114632 -          *2   0000... Diclofenac applied topically left knee - naproxen-like past few days noticed itching rash on left side of left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114633 -               0905....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114634 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114635 -               1220....miles...........  14.0  54.0  237   913minutes  temp  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114636 -               1650....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114637 -               1700....BP HR..................................................... 100  72 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114638 -               1705....BP HR.....................................................  98  69 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114639 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114640 -               1700... 40 58680 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
114641 -               1830............ 10 13830  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114642 -               1830............ 10 13420  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114643 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114644 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114645 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114646 -               2100... 40 38700 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114647 -               2130... 1000  849000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114648 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114649 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114650 -               2200... 05 1500 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114651 -               2200... 80 192320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114652 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114653 -               0000... stomach not hurting, see vomiting. ref SDS 0 QSXP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114655 -  ..
114656 - *2  Paused Diclofenac due to dermatitis lesions on left side of left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114657 - knee, reported on 200620, per above. ref SDS 0 RRWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114659 -  ..
114660 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114661 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114662 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114663 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114664 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114665 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114666 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114667 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114669 -  ..
114670 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114672 -  ..
114673 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114674 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114675 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114677 -  ..
114678 - Dizzy - noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114679 - 200527 0730. ref SDS 96 FR8I  This seem more like fatigue from taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114680 - apixaban blood thinner.  Occurring 3/4 into long hikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114682 -  ..
114683 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114685 -  ..
114686 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114687 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114689 -  ..
114690 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114692 -  ..
114693 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114694 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114696 -  ..
114697 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114698 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114699 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114700 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114701 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114702 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114703 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114704 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114705 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114706 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114707 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114708 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114709 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114711 -  ..
114712 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114713 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114715 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114716 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114717 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114718 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114719 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114720 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114721 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114722 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114723 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114724 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114725 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114726 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114727 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114728 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114729 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114730 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114731 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114732 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114733 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114734 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114735 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114736 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114737 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114738 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114739 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114740 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114741 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114742 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114743 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114744 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114745 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114746 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114747 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114748 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114749 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114750 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114751 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114752 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114753 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114754 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114755 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114756 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114758 -  ..
114759 - Body feels very tired after hiking 14 miles in 92 degrees following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114760 - PRP on 191009 1500, ref SDS 78 0001  Seem weak and drifting off to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114761 - sleep im chair, wobbly, disoriented hiking that occurred previously;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114762 - letter to Doctor Pellegrini attributes weakness and fatigue to blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114763 - thinner drugs, here apixaban.  Could also be recurrent symptoms of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114764 - stroke.
114766 - -
114767 - After hike left knee patella pain level 1; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114768 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114769 - sitting position; cruciate ligaments pain level 0.  Actually, legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114770 - feel pretty good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114772 -  ..
114773 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114775 -  ..
114776 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114777 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114778 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114780 -  ..
114781 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114782 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114783 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114784 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114785 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114787 -  ..
114788 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114789 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114791 -  ..
114792 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114793 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114794 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114796 -  ..
114797 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114798 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114799 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114800 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114801 - ref SDS 77 SM4M  After hike on 200620, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114802 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114803 - ref SDS 0 ZK6J  Today, wore 2-pair Wrightsock thin double-ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114804 - and laced shoes less loosely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114806 -  ..
114807 - Concord 14 mile route - Starting energy okay today.  Not noticably                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114808 - wobbly after BPPV treatment at VAMCSF on 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114809 - Polar HR report shows pace steadyier, see below. ref SDS 0 PPPP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114810 - Wearing Hoka Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114811 - and wore 2-pair dual-layer Wrightsocks.  Took Metoprolol 1 pill 25 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114812 - in morning to manage HR during hike and minimize ARDS shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114813 - breath, and blurred vision side effects.  Hiked from Cuneo uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114814 - Treat - HR 109.  Breathed easily through nose entire hike.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114815 - at normal pace on narrow, paved shoulder of Treat hiking East 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114816 - to Clayton.  Very hot today.  Careful to avoid weaving into traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114817 - HR remained about 105.  Time to mile 2.25 41 minutes.  Turned South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114818 - onto Clayton hiking 2 miles continuing at normal pace, mostly on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114819 - concrete sidewalk.  At mile 3.75, turned West onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114820 - HR 111 hiking on concrete sidewalk another .5 mile.  About mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114821 - crossed to South side Ygnacio Valley Road hiking West on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114822 - shoulder aganist East bound traffic.  At mile 5.5 stopped at Texaco                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114823 - gas station - HR 108 EKG, ref SDS 0 RYRP, Continued hike to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114824 - Hollow, then took Campus Road .75-mile uphill to California Sate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114825 - University visitor parking.  Legs did not tire going uphill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114826 - indicating vasodilation activated for rest of hike.  Hiked 3-loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114827 - through Faculty and Studeny parking.  At mile 10 took Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114828 - North downhill .25 mile to Ygnacio Valley Road.  Turned left and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114829 - 1 mile past Crystal Ranch Road and up hill past Cowell on to summit of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114830 - Ygnacio Valley Road.  At mile 11 crossed from South side of Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114831 - Valley Road to the North side in order to avoid severely sloped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114832 - shoulder on South Side.  On North side continued West over the summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114833 - and past concrete traffic seperation bariars.  At mile 10 turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114834 - around and hiked East .5 mile back to Cowell.  Turned left onto Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114835 - and hiked North for 1 mile to Treat.  Turned left and hiked West to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114836 - Cuneo; then home for 14 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114838 -  ..
114839 - Kardia recorded HR 63 at 0714 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114842 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200625-ecg-071442_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114845 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114849 -  ..
114850 - Polar HR GPS study during 14-mile hike indicates sinus all the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114851 - tracking elevation changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114854 -       Date     200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                                
114855 -       Miles      14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                                  
114856 -       HR AVG    115    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                                  
114857 -         MAX     146    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                                  
114858 -         Min      68     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                                  
114859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114861 -  ..
114862 - HR profile showing average 115, with temperatuer 92, likely no AF and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114863 - no atrial flutter, following ablation on 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114864 - Pace very steady, though shuffled feet and was wobbly at times might                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114865 - be due to apixaban blood thinner.  On this hike forgot to turn off                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114866 - GPS tracking for 12 hours overnight...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114869 -              https://flow.polar.com/training/analysis/4835523346                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114874 -   
114875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114877 -  ..
114878 - EKG at mile 5 HR 108 - Kardia reported Tachcardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114881 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200625-ecg-133447_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114884 -  ..
114885 - EKG looks erratic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114889 -  ..
114890 - EKG 60 minutes after hiking 14 miles HR 99 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114893 -              F:\05\00003\SM\CC\BNKG\00010cc\HR_200624-ecg-170501_mile_14.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114896 - ...and says:  No Rhythm abnormalties detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114900 -  ..
114901 - Breakfast - toast ensure with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114902 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114903 - Dinner - eggs tuna cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114905 -  ..
114906 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114912 -         ..
114913 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114914 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114915 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114916 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114917 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114918 -  178.  200626 0700............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114919 -               0710....BP HR..................................................... 128  80  88  Kardia ECG reports HR Normal, see below. ref SDS 0 TSTX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114920 -               0715....BP HR..................................................... 132  81  92  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114921 -               0720....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114922 -               0720... 20 975400 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114923 -               0720... 80 192400 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114924 -           **  0720... 25    600.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114925 -               0720... 05 1510 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114926 -               0720... 75 1275 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114927 -               0950... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114928 -               0900... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114929 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114930 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114931 -          *2   0000... Diclofenac applied topically left knee - naproxen-like past few days noticed itching rash on left side of left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114932 -               0905....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114933 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114934 -               1150....miles...........  11.0  65.0  184  1097 minutes  temp  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114935 -               1550....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114936 -               1555....BP HR..................................................... 118  79 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114937 -               1600....BP HR..................................................... 113  83  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114938 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114939 -               1700... 40 58720 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
114940 -             1 0000............ 10 13830  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114941 -             1 0000............ 10 13420  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114942 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114943 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114944 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114945 -               2100... 40 38740 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114946 -               2130... 1000  850000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114947 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114948 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114949 -               2200... 05 1515 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114950 -               2200... 80 192480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114951 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114952 -               2210... stomach hurting during hike, ref SDS 0 TSQV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114954 -  ..
114955 - *2  Paused Diclofenac due to dermatitis lesions on left side of left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114956 - knee, reported on 200620, per above. ref SDS 0 RRWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114958 -  ..
114959 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114960 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114961 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114962 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114963 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114964 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114965 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114966 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114968 -  ..
114969 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114971 -  ..
114972 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114973 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114974 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114976 -  ..
114977 - Dizzy - noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114978 - 200527 0730. ref SDS 96 FR8I  This seem more like fatigue from taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114979 - apixaban blood thinner.  Occurring 3/4 into long hikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114981 -  ..
114982 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114984 -  ..
114985 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114986 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114988 -  ..
114989 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114991 -  ..
114992 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114993 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114995 -  ..
114996 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114997 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114998 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114999 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115000 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115001 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115002 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115003 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115004 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115005 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115006 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115007 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115008 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115010 -  ..
115011 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115012 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115014 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115015 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115016 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115017 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115018 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115019 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115020 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115021 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115022 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115023 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115024 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115025 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115026 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115027 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115028 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115029 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115030 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115031 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115032 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115033 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115034 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115035 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115036 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115037 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115038 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115039 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115040 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115041 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115042 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115043 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115044 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115045 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115046 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115047 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115048 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115049 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115050 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115051 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115052 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115053 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115054 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115055 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115057 -  ..
115058 - Body feels very tired after hiking 14 miles in 92 degrees following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115059 - PRP on 191009 1500, ref SDS 78 0001  Seem weak and drifting off to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115060 - sleep im chair, wobbly, disoriented hiking that occurred previously;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115061 - letter to Doctor Pellegrini attributes weakness and fatigue to blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115062 - thinner drugs, here apixaban.  Could also be recurrent symptoms of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115063 - stroke.
115065 - -
115066 - After hike left knee patella pain level 1; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115067 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115068 - sitting position; cruciate ligaments pain level 0.  Actually, legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115069 - feel pretty good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115071 -  ..
115072 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115074 -  ..
115075 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115076 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115077 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115079 -  ..
115080 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115081 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115082 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115083 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115084 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115086 -  ..
115087 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115088 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115090 -  ..
115091 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115092 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115093 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115095 -  ..
115096 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115097 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115098 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115099 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115100 - ref SDS 77 SM4M  After hike on 200620, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115101 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115102 - ref SDS 0 ZK6J  Today, wore 2-pair Wrightsock thin double-ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115103 - and laced shoes less loosely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115105 -  ..
115106 - Concord 11 mile route - Starting energy okay today.  Not noticably                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115107 - wobbly after BPPV treatment at VAMCSF on 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115108 - Polar HR report shows pace steadyier, see below. ref SDS 0 PPPP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115109 - Wearing Hoka Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115110 - and wore 2-pair dual-layer Wrightsocks.  Took Metoprolol 1 pill 25 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115111 - in morning to manage HR during hike and minimize ARDS shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115112 - breath, and blurred vision side effects.  Hiked from Cuneo uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115113 - Treat - HR 109.  Breathed easily through nose entire hike.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115114 - at normal pace on narrow, paved shoulder of Treat hiking East 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115115 - to Clayton.  Very hot today.  Careful to avoid weaving into traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115116 - HR remained about 105.  Time to mile 2.25 41 minutes.  Turned South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115117 - onto Clayton hiking 2 miles continuing at normal pace, mostly on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115118 - concrete sidewalk.  At mile 3.75, turned West onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115119 - HR 111 hiking on concrete sidewalk another .5 mile.  About mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115120 - crossed to South side Ygnacio Valley Road hiking West on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115121 - shoulder aganist East bound traffic.  At mile 5.5 stopped at Texaco                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115122 - gas station - HR 108 EKG. ref SDS 0 RYRP  Bought sandwich and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115123 - softdrink.  Ate few bites sandwich and half of softdrink.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115124 - hike to Pine Hollow, then took Campus Road .75-mile uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115125 - California Sate University visitor parking.  Legs did not tire going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115126 - uphill, indicating vasodilation activated for rest of hike.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115127 - 1-loop through Faculty and Studeny parking.  Did not feel well in heat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115128 - - stomach bloated indicating ischemic colitis recurrance.  At mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115129 - took Campus Road North downhill .25 mile to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115130 - Turned left and hiked 1 mile past Crystal Ranch Road and up hill past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115131 - Cowell on to summit of Ygnacio Valley Road.  At mile 11 crossed from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115132 - South side of Ygnacio Valley Road to the North side in order to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115133 - severely sloped shoulder on South Side.  On North side continued West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115134 - over the summit and past concrete traffic seperation bariars.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115135 - 10 turned around and hiked East .5 mile back to Cowell.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115136 - onto Cowell and hiked North for 1 mile to Treat.  Turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115137 - hiked West to Cuneo; then home for 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115139 -  ..
115140 - Kardia recorded HR 87 at 0944 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115143 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200626-ecg-094440_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115146 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115149 -  ..
115150 - Polar HR GPS study during 11-mile hike indicates sinus all the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115151 - tracking elevation changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115154 -       Date     200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                         
115155 -       Miles      11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                           
115156 -       HR AVG    116    115    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                           
115157 -         MAX     133    146    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                           
115158 -         Min      95     68     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                           
115159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115161 -  ..
115162 - HR profile showing average 116, with temperatuer 94, likely no AF and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115163 - no atrial flutter, following ablation on 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115164 - Pace very steady, though shuffled feet and was wobbly at times might                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115165 - be due to apixaban blood thinner...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115169 -              https://flow.polar.com/training/analysis/4835524576                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115174 -   
115175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115178 -  ..
115179 - EKG at mile 5 HR 110 - Kardia reported Tachcardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115182 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200626-ecg-130843_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115185 -  ..
115186 - EKG looks less erratic today, than in past few days.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115190 -  ..
115191 - EKG 60 minutes after hiking 11 miles HR 99 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115194 -              F:\05\00003\SM\CC\BNKG\00010cc\HR_200624-ecg-170501_mile_14.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115197 - ...and says:  No Rhythm abnormalties detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115201 -  ..
115202 - Breakfast - ensure with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115203 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115204 - Dinner - steak - few bites lettuce asparagus avocado cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115205 - onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115207 -  ..
115208 - Vomiting: 0%  stomach huring and bloated recurrent ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115209 - from hiking in high heat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115215 -         ..
115216 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115217 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115218 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115219 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115220 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115221 -  179.  200627 0730............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115222 -               0740....BP HR..................................................... 117  76  94  Kardia ECG reports HR Normal, see below. ref SDS 0 TVSW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115223 -               0745....BP HR..................................................... 114  81  94  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115224 -               0750....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115225 -               0750... 20 975420 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115226 -               0750... 80 192560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115227 -           **  0750... 25    625.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115228 -               0750... 05 1520 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115229 -               0750... 75 1350 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115230 -               0910... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115231 -               0910... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115232 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115233 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115234 -          *2   0910... Diclofenac applied topically left knee - naproxen-like past few days noticed itching rash on left side of left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115235 -               0930....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115236 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115237 -               0955....miles...........  11.0  76.0  189  1286 minutes  temp  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115238 -               1345....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115239 -               1350....BP HR..................................................... 104  74 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115240 -               1355....BP HR..................................................... 109  73  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115241 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115242 -               1700... 40 58760 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
115243 -               1830............ 10 13840  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115244 -               1830............ 10 13430  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115245 -               1930... Simethicone 80   80 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115246 -               2010... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115247 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115248 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115249 -               2100... 40 38780 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115250 -               2130... 1000  851000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115251 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115252 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115253 -               2200... 05 1525 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115254 -               2200... 80 192640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115255 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115256 -               0000... stomach hurting, see vomiting. ref SDS 0 TSYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115258 -  ..
115259 - *2  Paused Diclofenac due to dermatitis lesions on left side of left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115260 - knee, reported on 200620, per above. ref SDS 0 RRWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115262 -  ..
115263 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115264 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115265 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115266 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115267 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115268 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115269 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115270 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115272 -  ..
115273 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115275 -  ..
115276 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115277 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115278 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115280 -  ..
115281 - Dizzy - noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115282 - 200527 0730. ref SDS 96 FR8I  This seem more like fatigue from taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115283 - apixaban blood thinner.  Occurring 3/4 into long hikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115285 -  ..
115286 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115288 -  ..
115289 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115290 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115292 -  ..
115293 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115295 -  ..
115296 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115297 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115299 -  ..
115300 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115301 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115302 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115303 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115304 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115305 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115306 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115307 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115308 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115309 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115310 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115311 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115312 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115314 -  ..
115315 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115316 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115318 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115319 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115320 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115321 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115322 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115323 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115324 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115325 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115326 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115327 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115328 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115329 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115330 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115331 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115332 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115333 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115334 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115335 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115336 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115337 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115338 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115339 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115340 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115341 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115342 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115343 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115344 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115345 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115346 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115347 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115348 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115349 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115350 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115351 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115352 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115353 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115354 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115355 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115356 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115357 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115358 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115359 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115361 -  ..
115362 - Body feels tired after hiking 11 miles in 87 degrees following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115363 - 191009 1500, ref SDS 78 0001  Seem weak and drifting off to sleep im                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115364 - chair, wobbly, disoriented hiking that occurred previously; letter to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115365 - Doctor Pellegrini attributes weakness and fatigue to blood thinner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115366 - drugs, here apixaban.  Could also be recurrent symptoms of stroke.
115368 - -
115369 - After hike left knee patella pain level 1; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115370 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115371 - sitting position; cruciate ligaments pain level 0.  Actually, legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115372 - feel pretty good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115374 -  ..
115375 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115377 -  ..
115378 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115379 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115380 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115382 -  ..
115383 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115384 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115385 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115386 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115387 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115389 -  ..
115390 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115391 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115393 -  ..
115394 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115395 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115396 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115398 -  ..
115399 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115400 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115401 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115402 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115403 - ref SDS 77 SM4M  After hike on 200627, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115404 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115405 - ref SDS 0 WN4F  Today, wore 2-pair Wrightsock thin double-ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115406 - and laced shoes less loosely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115408 -  ..
115409 - Concord 11 mile route - Starting energy okay today.  Not noticably                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115410 - wobbly after BPPV treatment at VAMCSF on 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115411 - Polar HR report shows pace steadyier, see below. ref SDS 0 PPPP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115412 - Wearing Hoka Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115413 - and wore 2-pair dual-layer Wrightsocks.  Took Metoprolol 1 pill 25 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115414 - in morning to manage HR during hike and minimize ARDS shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115415 - breath, and blurred vision side effects.  Hiked from Cuneo uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115416 - Treat - HR 109.  Breathed easily through nose entire hike.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115417 - at normal pace on narrow, paved shoulder of Treat hiking East 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115418 - to Clayton.  Very hot today.  Careful to avoid weaving into traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115419 - HR remained about 105.  Time to mile 2.25 41 minutes.  Turned South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115420 - onto Clayton hiking 2 miles continuing at normal pace, mostly on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115421 - concrete sidewalk.  At mile 3.75, turned West onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115422 - HR 111 hiking on concrete sidewalk another .5 mile.  About mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115423 - crossed to South side Ygnacio Valley Road hiking West on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115424 - shoulder aganist East bound traffic.  At mile 5.5 stopped at Texaco                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115425 - gas station - HR 108 EKG. ref SDS 0 RYRP  Bought sandwich and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115426 - softdrink.  Ate few bites sandwich and half of softdrink.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115427 - hike to Pine Hollow, then took Campus Road .75-mile uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115428 - California Sate University visitor parking.  Legs did not tire going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115429 - uphill, indicating vasodilation activated for rest of hike.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115430 - 1-loop through Faculty and Studeny parking.  Did not feel well in heat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115431 - - stomach bloated indicating ischemic colitis recurrance.  At mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115432 - took Campus Road North downhill .25 mile to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115433 - Turned left and hiked 1 mile past Crystal Ranch Road and up hill past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115434 - Cowell on to summit of Ygnacio Valley Road.  At mile 11 crossed from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115435 - South side of Ygnacio Valley Road to the North side in order to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115436 - severely sloped shoulder on South Side.  On North side continued West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115437 - over the summit and past concrete traffic seperation bariars.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115438 - 10 turned around and hiked East .5 mile back to Cowell.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115439 - onto Cowell and hiked North for 1 mile to Treat.  Turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115440 - hiked West to Cuneo; then home for 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115442 -  ..
115443 - Kardia recorded HR 95 at 0901 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115446 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200627-ecg-090107_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115449 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115453 -  ..
115454 - Polar HR GPS study during 11-mile hike indicates sinus all the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115455 - tracking elevation changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115458 -       Date     200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                                  
115459 -       Miles      11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                                    
115460 -       HR AVG    119    116    115    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                                    
115461 -         MAX     132    133    146    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                                    
115462 -         Min      96     95     68     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                                    
115463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115465 -  ..
115466 - HR profile showing average 119, with temperatuer 84, likely no AF and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115467 - no atrial flutter, following ablation on 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115468 - Pace very steady, though shuffled feet and was wobbly at times might                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115469 - be due to apixaban blood thinner...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115473 -              https://flow.polar.com/training/analysis/4835525361                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115478 -   
115479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115483 -  ..
115484 - EKG at mile 5 HR 115 - Kardia reported Tachcardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115487 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200627-ecg-111325_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115489 -  ..
115490 - EKG looks more erratic than yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115494 -  ..
115495 - EKG 60 minutes after hiking 11 miles HR 89 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115498 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200627-ecg-140459_mile_11.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115501 - ...and says:  No Rhythm abnormalties detected in your EKG.  Looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115502 - erratic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115506 -  ..
115507 - Breakfast - ensure with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115508 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115509 - Dinner - cream of wheat rasins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115511 -  ..
115512 - Vomiting: 0%  stomach hurting and bloated recurrent ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115513 - from hiking in high heat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115519 -         ..
115520 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115521 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115522 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115523 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115524 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115525 -  180.  200628 0830............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115526 -               0920....BP HR..................................................... 113  75  74  Kardia ECG reports HR Normal, see below. ref SDS 0 TYRQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115527 -               0925....BP HR..................................................... 122  78  81  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115528 -               0930....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115529 -               0930... 20 975440 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115530 -               0930... 80 192720 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115531 -           **  0930... 25    650.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115532 -               0930... 05 1530 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115533 -               0930... 75 1425 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115534 -               0000... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115535 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115536 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115537 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115538 -          *2   0000... Diclofenac applied topically left knee - naproxen-like past few days noticed itching rash on left side of left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115539 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115540 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115541 -               1700... 40 58800 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
115542 -             1 0000............ 10 13840  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115543 -             1 0000............ 10 13430  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115544 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115545 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115546 -               1930... Simethicone 80   160 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115547 -               2100... 40 38820 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115548 -               2130... 1000  852000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115549 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115550 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115551 -               2200... 05 1535 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115552 -               2200... 80 192800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115553 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115554 -               2200... stomach hurting, see vomiting. ref SDS 0 TYWR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115556 -  ..
115557 - *2  Paused Diclofenac due to dermatitis lesions on left side of left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115558 - knee, reported on 200620, per above. ref SDS 0 RRWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115560 -  ..
115561 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115562 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115563 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115564 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115565 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115566 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115567 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115568 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115570 -  ..
115571 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115573 -  ..
115574 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115575 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115576 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115578 -  ..
115579 - Dizzy - noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115580 - 200527 0730. ref SDS 96 FR8I  This seem more like fatigue from taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115581 - apixaban blood thinner.  Occurring 3/4 into long hikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115583 -  ..
115584 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115586 -  ..
115587 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115588 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115590 -  ..
115591 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115593 -  ..
115594 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115595 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115597 -  ..
115598 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115599 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115600 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115601 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115602 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115603 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115604 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115605 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115606 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115607 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115608 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115609 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115610 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115612 -  ..
115613 - Kardia recorded HR 80 at 0925 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115616 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200628-ecg-092536_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115619 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115621 -  ..
115622 - Breakfast - eggs toast with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115623 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115624 - Dinner - hamburger cottage cheese avocado, ice cream milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115626 -  ..
115627 - Vomiting: 0%  stomach better this morning; hurting again in evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115633 -         ..
115634 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115635 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115636 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115637 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115638 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115639 -  181.  200629 0700............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115640 -               0710....BP HR..................................................... 126  71  71  Kardia ECG reports HR Normal, see below. ref SDS 0 URPC                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115641 -               0715....BP HR..................................................... 124  72  67  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115642 -               0720....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115643 -               0720... 20 975460 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115644 -               0720... 80 192880 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115645 -           **  0720... 25    675.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115646 -               0720... 05 1540 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115647 -               0720... 75 1500 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115648 -               0000... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115649 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115650 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115651 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115652 -               0000... Diclofenac applied topically left knee - naproxen-like past few days noticed itching rash on left side of left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115653 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115654 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115655 -               1025....miles...........   4.0   4.0   68    68 minutes  temp  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115656 -               1255....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115657 -               1305....BP HR..................................................... 118  74  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115658 -               1310....BP HR..................................................... 119  72  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115659 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115660 -               1700... 40 58840 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
115661 -               1830............ 10 13850  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115662 -               1830............ 10 13440  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115663 -               1850... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115664 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115665 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115666 -               1940... Simethicone 80   240 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115667 -               2100... 40 38860 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115668 -               2130... 1000  853000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115669 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115670 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115671 -               2200... 05 1545 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115672 -               2200... 80 192960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115673 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115674 -               2320... Simethicone 80   320 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115676 -  ..
115677 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115678 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115679 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115680 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115681 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115682 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115683 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115684 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115686 -  ..
115687 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115689 -  ..
115690 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115691 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115692 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115694 -  ..
115695 - Dizzy - noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115696 - 200527 0730. ref SDS 96 FR8I  This seem more like fatigue from taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115697 - apixaban blood thinner.  Occurring 3/4 into long hikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115699 -  ..
115700 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115702 -  ..
115703 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115704 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115706 -  ..
115707 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115709 -  ..
115710 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115711 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115713 -  ..
115714 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115715 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115716 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115717 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115718 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115719 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115720 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115721 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115722 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115723 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115724 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115725 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115726 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115728 -  ..
115729 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115730 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115732 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115733 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115734 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115735 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115736 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115737 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115738 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115739 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115740 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115741 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115742 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115743 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115744 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115745 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115746 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115747 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115748 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115749 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115750 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115751 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115752 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115753 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115754 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115755 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115756 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115757 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115758 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115759 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115760 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115761 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115762 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115763 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115764 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115765 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115766 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115767 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115768 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115769 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115770 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115771 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115772 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115773 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115775 -  ..
115776 - Body feels okay after hiking 4 miles in 77 degrees following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115777 - 191009 1500, ref SDS 78 0001
115779 - -
115780 - After hike left knee patella pain level 1; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115781 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115782 - sitting position; cruciate ligaments pain level 0.  Actually, legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115783 - feel pretty good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115785 -  ..
115786 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115788 -  ..
115789 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115790 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115791 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115793 -  ..
115794 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115795 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115796 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115797 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115798 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115800 -  ..
115801 - Socks - wore Smartwool socks for short 4-mile hike.  No blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115803 -  ..
115804 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115805 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115806 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115808 -  ..
115809 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115810 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115811 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115812 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115813 - ref SDS 77 SM4M  After hike on 200629, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115814 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115815 - ref SDS 0 LA4O  Today, wore Smartwool socks and laced shoes less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115816 - loosely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115818 -  ..
115819 - Lafayette Reservoir 4-mile route - 1st time this year.  Park has been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115820 - closed to prevent spread of coronavirus pandemic.  Hiked .25 mile with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115821 - Kathy around North end of reservoir - then hiked rest of circle.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115822 - Handles numberous short hills well without shortness of breath.  Made                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115823 - Killer Ridge breathing through nose, but at top needed extra air                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115824 - breathing through mouth short distance.  Maintained good pace.  Passed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115825 - numerous other hikers.  Began feeling stronger, so increased pace.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115827 -  ..
115828 - Kardia recorded HR 66 at 0731 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115831 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200629-ecg-073140_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115834 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115837 -  ..
115838 - Polar HR GPS study during 4-mile hike did not record report...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115841 -       Date      200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411                   
115842 -       Miles         4      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17                     
115843 -       HR AVG       no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115                     
115844 -         MAX     report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132                     
115845 -         Min                                   94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94                     
115846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115848 -  ..
115849 - HR profile post-hike beginning 1632 and overnight until OA 0710 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115850 - morning shows mostly steady heart beat 68 +/- with only few activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115851 - spikes, reflecting taking metoprolol succinct this morning, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115852 - ref SDS 0 LA4O  Max HR 139 and minimum HR 47 indicates heart getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115853 - stronger, recovering from ablation procedures.  This will reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115854 - exposure to ischemic colitis, reported on 200612 0700. ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115857 -              https://flow.polar.com/training/analysis/4837854546                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115861 -   
115862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115865 -  ..
115866 - Breakfast - cream of wheat with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115867 - Lunch - tuna sandwich                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115868 - Dinner - hamburger pasta broccoli cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115870 -  ..
115871 - Vomiting: 0%  stomach better this morning; hurting in evening took sim                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115877 -         ..
115878 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115879 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115880 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115881 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115882 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115883 -  182.  200630 0720............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115884 -               0720....BP HR..................................................... 123  75  65  Kardia ECG reports HR Normal, see below. ref SDS 0 USPT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115885 -               0725....BP HR..................................................... 137  81  74  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115886 -               0730....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115887 -               0730... 20 975480 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115888 -               0730... 80 193040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115889 -           **  0730... 25    700.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115890 -               0730... 05 1550 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115891 -               0730... 75 1575 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115892 -               0000... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115893 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115894 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115895 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115896 -               0000... Diclofenac applied topically left knee - naproxen-like past few days noticed itching rash on left side of left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115897 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115898 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115899 -               1025....miles...........   4.0   8.0   69   137 minutes  temp  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115900 -               1255....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115901 -               1305....BP HR..................................................... 114  72  78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115902 -               1310....BP HR..................................................... 117  75  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115903 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115904 -               1700... 40 58880 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
115905 -             1 0000............ 10 13850  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115906 -             1 0000............ 10 13440  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115907 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115908 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115909 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115910 -               0000... Simethicone 80   240 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115911 -               2100... 40 38900 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115912 -               2130... 1000  854000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115913 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115914 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115915 -               2200... 05 1555 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115916 -               2200... 80 193120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115917 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115918 -               0000... Simethicone 80   320 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115920 -  ..
115921 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115922 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115923 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115924 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115925 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115926 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115927 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115928 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115930 -  ..
115931 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115933 -  ..
115934 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115935 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115936 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115938 -  ..
115939 - Dizzy - noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115940 - 200527 0730. ref SDS 96 FR8I  This seem more like fatigue from taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115941 - apixaban blood thinner.  Occurring 3/4 into long hikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115943 -  ..
115944 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115946 -  ..
115947 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115948 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115950 -  ..
115951 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115953 -  ..
115954 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115955 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115957 -  ..
115958 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115959 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115960 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115961 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115962 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115963 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115964 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115965 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115966 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115967 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115968 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115969 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115970 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115972 -  ..
115973 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115974 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115976 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115977 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115978 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115979 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115980 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115981 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115982 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115983 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115984 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115985 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115986 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115987 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115988 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115989 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115990 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115991 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115992 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115993 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115994 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115995 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115996 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115997 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115998 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115999 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116000 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116001 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116002 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116003 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116004 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116005 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116006 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116007 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116008 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116009 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116010 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116011 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116012 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116013 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116014 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116015 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116016 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116017 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116019 -  ..
116020 - Body feels okay after hiking 4 miles in 77 degrees following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116021 - 191009 1500, ref SDS 78 0001
116023 - -
116024 - After hike left knee patella pain level 1; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116025 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116026 - sitting position; cruciate ligaments pain level 0.  Actually, legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116027 - feel pretty good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116029 -  ..
116030 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116032 -  ..
116033 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116034 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116035 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116037 -  ..
116038 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116039 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116040 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116041 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116042 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116044 -  ..
116045 - Socks - wore Smartwool socks for short 4-mile hike.  No blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116047 -  ..
116048 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116049 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116050 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116052 -  ..
116053 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116054 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116055 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116056 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116057 - ref SDS 77 SM4M  After hike on 200629, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116058 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116059 - ref SDS 0 LA4O  Today, wore Smartwool socks and laced shoes less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116060 - loosely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116062 -  ..
116063 - Lafayette Reservoir 4-mile route - hiked .25 mile with Kathy around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116064 - North end of reservoir - then hiked rest of 3 mile circle.  Handled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116065 - numberous short hills well without shortness of breath.  Made Killer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116066 - Ridge breathing through nose, better than yesterday.  Maintained good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116067 - pace.  Passed numerous hikers.  Began feeling stronger, so increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116068 - pace.  Looped back around at the end to .5 mile, then doubled back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116069 - start for 4 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116071 -  ..
116072 - Kardia recorded HR 60 at 0751 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116075 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200630-ecg-075121_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116078 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116082 -  ..
116083 - Polar HR GPS study during 4-mile hike indicates sinus all the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116084 - tracking elevation changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116087 -       Date      200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411            
116088 -       Miles         4      4      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17              
116089 -       HR AVG      116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115              
116090 -         MAX       135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132              
116091 -         Min        82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94              
116092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116094 -  ..
116095 - HR profile showing average 116, with temperatuer 82, likely no AF and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116096 - no atrial flutter, following ablation on 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116097 - Pace very steady, though shuffled feet and was wobbly at times might                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116098 - be due to apixaban blood thinner...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116101 -              https://flow.polar.com/training/analysis/4838848461                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116105 -   
116106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116108 -  ..
116109 - Breakfast - ensure banana with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116110 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116111 - Dinner - hamburger pasta broccoli cheese chips, ice cream milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116113 -  ..
116114 - Vomiting: 0%  stomach better this morning; hurting in evening took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116115 - simethicone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116121 -         ..
116122 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116123 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116124 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116125 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116126 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116127 -  183.  200701 0740............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116128 -               0740....BP HR..................................................... 131  82  80  Kardia ECG reports HR Normal, see below. ref SDS 0 USPT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116129 -               0745....BP HR..................................................... 130  79  81  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116130 -               0750....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116131 -               0750... 20 975500 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116132 -               0750... 80 193200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116133 -           **  0750... 25    725.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116134 -               0750... 05 1560 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116135 -               0750... 75 1650 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116136 -               0000... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116137 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116138 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116139 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116140 -               0000... Diclofenac applied topically left knee - naproxen-like past few days noticed itching rash on left side of left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116141 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116142 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116143 -          * cr 1030....miles...........  16.0  24.0  271   408 minutes  temp  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116144 -               1410... Simethicone 80   400 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116145 -               1555....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116146 -               1600....BP HR.....................................................  89  61 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116147 -               1605....BP HR.....................................................  87  59 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116148 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116149 -               1700... 40 58920 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
116150 -               1830............ 10 13860  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116151 -               1830............ 10 13450  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116152 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116153 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116154 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116155 -               2100... 40 38940 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116156 -               2130... 1000  855000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116157 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116158 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116159 -               2200... 05 1565 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116160 -               2200... 80 193280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116161 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116162 -               2250... Simethicone 80   480 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116164 -  ..
116165 - * cr - hiked Crystal Ranch Road 8-mile loop with 6 major hills, 1st                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116166 - time since 200531, per above. ref SDS 0 X46N  On 181029, 1st time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116167 - hiking 4 in a row Crystal Ranch Road 4-mile loops, as part of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116168 - hike. ref SDS 55 E55K   On 191004 changed route going up and coming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116169 - down .5 miles very steep end of Crystal Ranch Road where it deadends                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116170 - at top of mountain. ref SDS 69 2T9L  Also added route using access                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116171 - road to Cal State College and back to Ygnacio Valley Road - makes 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116172 - mile loop with 6 major hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116174 -  ..
116175 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116176 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116177 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116178 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116179 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116180 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116181 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116182 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116184 -  ..
116185 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116187 -  ..
116188 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116189 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116190 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116192 -  ..
116193 - Dizzy - noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116194 - 200527 0730. ref SDS 96 FR8I  This seem more like fatigue from taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116195 - apixaban blood thinner.  Occurring 3/4 into long hikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116197 -  ..
116198 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116200 -  ..
116201 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116202 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116204 -  ..
116205 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116207 -  ..
116208 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116209 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116211 -  ..
116212 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116213 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116214 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116215 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116216 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116217 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116218 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116219 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116220 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116221 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116222 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116223 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116224 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116226 -  ..
116227 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116228 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116230 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116231 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116232 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116233 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116234 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116235 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116236 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116237 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116238 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116239 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116240 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116241 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116242 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116243 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116244 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116245 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116246 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116247 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116248 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116249 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116250 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116251 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116252 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116253 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116254 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116255 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116256 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116257 -        Metatarsalgia left foot...PRP 191009.........   2          8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116258 -        Metatarsalgia right foot..PRP 191009.........   2          8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116259 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116260 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116261 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116262 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116263 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116264 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116265 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116266 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116267 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116268 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116269 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116270 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116271 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116273 -  ..
116274 - Body feels very tired, weak after hiking 16 miles in 80 degrees                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116275 - following PRP on 191009 1500, ref SDS 78 0001
116277 - -
116278 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116279 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116280 - sitting position; cruciate ligaments pain level 0.  Actually, legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116281 - feel pretty good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116283 -  ..
116284 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116286 -  ..
116287 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116288 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116289 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116291 -  ..
116292 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116293 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116294 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116295 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116296 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116298 -  ..
116299 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116300 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116302 -  ..
116303 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116304 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116305 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116307 -  ..
116308 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116309 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116310 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116311 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116312 - ref SDS 77 SM4M  After hike on 200620, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116313 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116314 - ref SDS 0 ZK6J  Today, wore 2-pair Wrightsock thin double-ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116315 - and laced shoes less loosely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116317 -  ..
116318 - Concord 16 mile route - Starting energy okay today, Wearing Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116319 - 6 shoes received on 190927 1110, ref SDS 77 SM4M; and wore 2-pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116320 - double-ply Wright socks received on 191010 1344, ref SDS 79 SM4M, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116321 - prevent blisters.  Took Metoprolol 1 pill 25 mg in morning to manage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116322 - HR during hike and minimize ARDS shortness of breath, and blurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116323 - vision side effects.  Hiked from Cuneo uphill to Treat.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116324 - easily through nose entire hike, including last 150 yards to top of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116325 - Crystal Ranch Road.  Continued normal pace on Treat hiking East 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116326 - to Clayton.  At mile 1.25 turned South onto Clayton hiking 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116327 - continuing at normal pace, mostly on flat concrete sidewalk.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116328 - 3.75, turned West onto Ygnacio Valley Road hiking on concrete sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116329 - another .5 mile.  About mile 4, crossed to South side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116330 - Road hiking West on asphalt shoulder aganist East bound traffic.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116331 - mile 5, stopped at Texaco gas station - HR 109 EKG reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116332 - Tachycardia - see below. ref SDS 0 UUYX  Continued hike to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116333 - Hollow, then took Campus Road .75-mile uphill to California Sate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116334 - University visitor parking.  Legs did not tire going uphill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116335 - indicating vasodilation activated for rest of hike.  Did 1-loop of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116336 - about 2 miles through adjoining Faculty and Student Parking lots,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116337 - including sub-loop uphill .5 mile on the cross street between upper                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116338 - and lower areas.  At mile 7 took Campus Road North .25 mile downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116339 - to Ygnacio Valley Road.  Hiked West .5 miles and turned left hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116340 - South on Crystal Ranch Road, for first time since 200531, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116341 - ref SDS 0 X46N  Hiked 1 mile up steep hill; handled this well,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116342 - breathing easily through nose all the way.  At summit hiked another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116343 - mile on flat ground.  Hiked .25 mile downhill to mile 9 in the hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116344 - Hiked up very steep hill .5 miles to summit of Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116345 - Breathed through nose easily entire distance, showing improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116346 - conditioning, since doing this a month ago on 200531.  Hiked North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116347 - back downhill .5 mile.  Turned right heading East on Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116348 - hiking up very steep hill .33 mile, and breathig through nose all the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116349 - way.  At summit, hiked .66 mile downhill and turned left hiking North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116350 - on Pine Hollow.  Hiked 1 mile to Ygnacio Valley Road.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116351 - Texaco gas station - mile 12 in the hike.  EKG reported HR 124 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116352 - Tachcardia, see below. ref SDS 0 IA9F  Bought softdrink and drank 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116353 - for energy.  Threw rest away.  At 1410 feeling bloated, so took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116354 - Simethicone to relieve possible ischemic colitis symptom.  Hiked West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116355 - on Ygnacio Valley Road .25 mile to Pine Holow.  Hiked 100 yards and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116356 - turned West and hiked Campus Road again .75-mile uphill to California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116357 - Sate University visitor parking at mile 12 in hike.  Took Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116358 - North downhill .25 mile to Ygnacio Valley Road.  Turned left and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116359 - West 1 mile past Crystal Ranch Road and uphill past Cowell.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116360 - 13 crossed from South side of Ygnacio Valley Road to the North side in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116361 - order to avoid severely sloped shoulder on South Side.  On North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116362 - continued West over the summit and past concrete traffic seperation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116363 - bariars.  At mile 14 turned around and hiked back downhill to Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116364 - Turned left onto Cowell and hiked North 1 mile to Treat.  Hiked West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116365 - on Treat to Cuneo and home for 16 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116367 -  ..
116368 - Kardia recorded HR 80 at 0949 - Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116371 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200701-ecg-094856_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116374 - ...and says:  Atrial fibrillation was not detected and your EKG does                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116375 - not fall under the algorithmic classifications of Normal, Braydcardia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116376 - or Tachcardia.  This may be caused by otehr arrhythmias, unusually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116377 - fast or slow heart rates, or poor quality recordings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116379 -  ..
116380 - EKG seems "normal."                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116384 -  ..
116385 - Polar HR GPS study during 16-mile hike indicates sinus all the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116386 - tracking elevation changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116389 -       Date      200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 200411     
116390 -       Miles        16      4      4      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18     17       
116391 -       HR AVG      123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    115       
116392 -         MAX       145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    132       
116393 -         Min        96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68     94       
116394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116396 -  ..
116397 - HR profile showing average 123, with temperatuer 81, likely no AF and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116398 - no atrial flutter, following ablation on 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116399 - Pace very steady, and less shuffled feet and wobbly at times might be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116400 - due to apixaban blood thinner...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116403 -              https://flow.polar.com/training/analysis/4843654896                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116407 -   
116408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116410 -  ..
116411 - EKG at mile 5 HR 108 - Kardia reported Tachcardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116414 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200701-ecg-114447_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116416 -  ..
116417 - EKG looks less erratic than yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116420 -  ..
116421 - EKG at mile 12 HR 124 - Kardia reported Tachcardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116424 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200701-ecg-140845_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116427 -  ..
116428 - EKG looks steady, i.e., consistent.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116431 -  ..
116432 - EKG 60 minutes after hiking 16 miles HR 77 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116435 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200701-ecg-172353_mile_16.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116438 - ...and says:  No Rhythm abnormalties detected in your EKG.  Looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116439 - erratic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116441 -  ..
116442 - Breakfast - ensure banana with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116443 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116444 - Dinner - hamburger asparagus mushrooms avocado onion, ice cream milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116446 -  ..
116447 - Vomiting: 0%  stomach better this morning; hurting in evening took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116448 - simethicone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116454 -         ..
116455 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116456 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116457 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116458 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116459 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116460 -  184.  200702 0730............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116461 -               0740....BP HR..................................................... 126  72  81  Kardia ECG reports HR Normal, see below. ref SDS 0 UYRV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116462 -               0745....BP HR..................................................... 124  74  76  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116463 -               0750....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116464 -               0750... 20 975520 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116465 -               0750... 80 193360 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116466 -           **  0750... 25    750.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116467 -               0750... 05 1570 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116468 -               0750... 75 1725 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116469 -               1005... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116470 -               1005... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116471 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116472 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116473 -               0000... Diclofenac applied topically left knee - naproxen-like past few days noticed itching rash on left side of left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116474 -               1005....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116475 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116476 -               1010....miles...........  11.0  35.0  181   589 minutes  temp  78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116477 -               1230... Simethicone 80   400 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116478 -               1435....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116479 -               1445....BP HR.....................................................  99  68  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116480 -               1450....BP HR.....................................................  98  58  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116481 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116482 -               1500... 40 58960 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
116483 -             1 0000............ 10 13860  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116484 -             1 0000............ 10 13450  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116485 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116486 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116487 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116488 -               0000... Simethicone 80   240 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116489 -               2100... 40 38980 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116490 -               2130... 1000  856000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116491 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116492 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116493 -               2200... 05 1575 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116494 -               2200... 80 193440 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116495 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116496 -               0000... Simethicone 80   320 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116498 -  ..
116499 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116500 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116501 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116502 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116503 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116504 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116505 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116506 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116508 -  ..
116509 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116511 -  ..
116512 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116513 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116514 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116516 -  ..
116517 - Dizzy - noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116518 - 200527 0730. ref SDS 96 FR8I  This seem more like fatigue from taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116519 - apixaban blood thinner.  Occurring 3/4 into long hikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116521 -  ..
116522 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116524 -  ..
116525 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116526 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116528 -  ..
116529 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116531 -  ..
116532 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116533 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116535 -  ..
116536 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116537 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116538 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116539 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116540 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116541 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116542 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116543 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116544 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116545 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116546 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116547 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116548 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116550 -  ..
116551 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116552 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116554 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116555 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116556 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116557 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116558 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116559 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116560 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116561 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116562 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116563 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116564 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116565 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116566 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116567 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116568 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116569 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116570 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116571 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116572 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116573 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116574 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116575 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116576 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116577 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116578 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116579 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116580 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116581 -        Metatarsalgia left foot...PRP 191009.........   2         15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116582 -        Metatarsalgia right foot..PRP 191009.........   2         15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116583 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116584 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116585 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116586 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116587 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116588 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116589 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116590 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116591 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116592 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116593 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116594 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116595 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116597 -  ..
116598 - Body feels weak and wobbly after hiking 11 miles in 78 degrees                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116599 - following PRP on 191009 1500, ref SDS 78 0001
116601 - -
116602 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116603 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116604 - sitting position; cruciate ligaments pain level 0.  Actually, legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116605 - feel pretty good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116607 -  ..
116608 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116610 -  ..
116611 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116612 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116613 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116615 -  ..
116616 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116617 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116618 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116619 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116620 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116622 -  ..
116623 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116624 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116626 -  ..
116627 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116628 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116629 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116631 -  ..
116632 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116633 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116634 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116635 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116636 - ref SDS 77 SM4M  After hike on 200620, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116637 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116638 - ref SDS 0 ZK6J  Today, wore 2-pair Wrightsock thin double-ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116639 - and laced shoes less loosely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116641 -  ..
116642 - Concord 11 mile route - Starting energy okay today, Wearing Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116643 - 6 shoes received on 190927 1110, ref SDS 77 SM4M; and wore 2-pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116644 - double-ply Wright socks received on 191010 1344, ref SDS 79 SM4M, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116645 - prevent blisters.  Took Metoprolol 1 pill 25 mg in morning to manage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116646 - HR during hike and minimize ARDS shortness of breath, and blurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116647 - vision side effects.  Hiked from Cuneo uphill to Treat.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116648 - easily through nose entire hike.  Continued normal pace on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116649 - hiking East 1 mile to Clayton.  Time 19 minutes at mile 1.25 turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116650 - corner.  Hiking South on Clayton 2 miles at normal pace, mostly on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116651 - flat concrete sidewalk.  At mile 3.75, turned West onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116652 - Road hiking on concrete sidewalk another .5 mile.  About mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116653 - crossed to South side Ygnacio Valley Road hiking West on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116654 - shoulder aganist East bound traffic.  At mile 5, stopped at Texaco gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116655 - station - HR 109 EKG reported Tachycardia - see below. ref SDS 0 UYVY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116656 - Continued hike to Pine Hollow, then took Campus Road .75-mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116657 - to California Sate University visitor parking.  Legs tired going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116658 - uphill, indicating vasodilation not activated.  Did 1-loop of about 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116659 - miles through adjoining Faculty and Student Parking lots, including                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116660 - sub-loop uphill .5 mile on the cross street between upper and lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116661 - areas.  At mile 7 took Campus Road North .25 mile downhill to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116662 - Valley Road.  Hiked West .5 miles and turned left hiking South uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116663 - on Crystal Ranch Road.  At mile .25, vasodilation still had not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116664 - increased energy.  Was breathing easily through nose going uphill, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116665 - was extremely tired, so stopped and hiked back to Yegnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116666 - Road.  Turned left and hiked West uphill past Cowell.  At mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116667 - crossed from South side of Ygnacio Valley Road to the North side in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116668 - order to avoid severely sloped shoulder on South Side.  On North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116669 - continued West over the summit and past concrete traffic seperation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116670 - bariars.  At mile 9 turned around and hiked back downhill to Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116671 - Turned left onto Cowell and hiked North 1 mile to Treat.  Hiked West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116672 - on Treat to Cuneo and home for 11 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116674 -  ..
116675 - Kardia recorded HR 77 at 0830 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116678 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200702-ecg-083021_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116681 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116683 -  ..
116684 - EKG seems "normal."                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116688 -  ..
116689 - Polar HR GPS study during 16-mile hike indicates sinus all the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116690 - tracking elevation changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116693 -       Date      200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 200414 200413 200412 20  
116694 -       Miles        11     16      4      4      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17     12     18     18       
116695 -       HR AVG      115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    120    108    122    1  
116696 -         MAX       140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    160    128    173    1  
116697 -         Min        78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57     72     61     68       
116698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116700 -  ..
116701 - HR profile showing average 123, with temperatuer 81, likely no AF and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116702 - no atrial flutter, following ablation on 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116703 - Pace very steady, and less shuffled feet and wobbly at times might be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116704 - due to apixaban blood thinner...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116707 -              https://flow.polar.com/training/analysis/4847014136                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116711 -   
116712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116714 -  ..
116715 - EKG at mile 5 HR 104 - Kardia reported Tachcardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116718 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200702-ecg-113135_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116720 -  ..
116721 - EKG looks erratic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116724 -  ..
116725 - EKG 60 minutes after hiking 16 miles HR 77 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116728 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200701-ecg-172353_mile_16.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116731 - ...and says:  No Rhythm abnormalties detected in your EKG.  Looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116732 - erratic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116734 -  ..
116735 - Breakfast - ensure banana with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116736 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116737 - Dinner - hamburger avocado cottage cheese tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116739 -  ..
116740 - Vomiting: 0%  stomach better this morning; hurting in evening took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116741 - simethicone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116747 -         ..
116748 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116749 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116750 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116751 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116752 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116753 -  185.  200703 0740............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116754 -               0740....BP HR..................................................... 127  72  70  Kardia ECG reports HR Normal, see below. ref SDS 0 VQYU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116755 -               0745....BP HR..................................................... 127  72  73  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116756 -               0750....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116757 -               0750... 20 975540 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116758 -               0750... 80 193520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116759 -           **  0750... 25    775.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116760 -               0750... 05 1580 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116761 -               0750... 75 1800 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116762 -               1005... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116763 -               1005... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116764 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116765 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116766 -               0000... Diclofenac applied topically left knee - naproxen-like past few days noticed itching rash on left side of left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116767 -               1005....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116768 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116769 -               1500... 40 59000 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
116770 -               1830............ 10 13870  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116771 -               1830............ 10 13460  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116772 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116773 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116774 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116775 -               0000... Simethicone 80   240 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116776 -               2100... 40 39020 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116777 -               2130... 1000  857000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116778 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116779 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116780 -               2200... 05 1585 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116781 -               2200... 80 193600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116782 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116783 -               0000... Simethicone 80   320 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116785 -  ..
116786 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116787 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116788 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116789 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116790 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116791 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116792 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116793 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116795 -  ..
116796 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116798 -  ..
116799 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116800 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116801 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116803 -  ..
116804 - Dizzy - noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116805 - 200527 0730. ref SDS 96 FR8I  This seem more like fatigue from taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116806 - apixaban blood thinner.  Occurring 3/4 into long hikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116808 -  ..
116809 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116811 -  ..
116812 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116813 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116815 -  ..
116816 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116818 -  ..
116819 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116820 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116822 -  ..
116823 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116824 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116825 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116826 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116827 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116828 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116829 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116830 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116831 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116832 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116833 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116834 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116835 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116837 -  ..
116838 - Hiking - none, did not feel well, BP very low                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116840 -  ..
116841 - Kardia recorded HR 69 at 0845 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116844 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200703-ecg-084525_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116847 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116849 -  ..
116850 - EKG seems "normal."                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116853 -  ..
116854 - Breakfast - cheerios chia seeds milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116855 - Lunch - balogny cheese, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116856 - Dinner - salmon asparagus avocado cottage cheese tomato, ice cream                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116857 - cookie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116859 -  ..
116860 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116866 -         ..
116867 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116868 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116869 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116870 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116871 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116872 -  186.  200704 0720............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116873 -               0720....BP HR..................................................... 128  75  75  Kardia ECG reports HR Normal, see below. ref SDS 0 VTXX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116874 -               0725....BP HR..................................................... 126  76  76  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116875 -               0730....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116876 -               0730... 20 975560 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116877 -               0730... 80 193680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116878 -           **  0730... 25    800.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116879 -               0730... 05 1590 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116880 -               0730... 75 1875 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116881 -               0000... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116882 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116883 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116884 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116885 -               0000... Diclofenac applied topically left knee - naproxen-like past few days noticed itching rash on left side of left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116886 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116887 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116888 -               1500... 40 59040 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
116889 -             1 0000............ 10 13870  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116890 -             1 0000............ 10 13460  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116891 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116892 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116893 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116894 -               2100... 40 39060 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116895 -               2130... 1000  858000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116896 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116897 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116898 -               2200... 05 1595 Apixaban blood thinner RX 7088121 for stroke - resumed 200530 after EGD dilation on 200529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116899 -               2200... 80 193760 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116900 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116901 -               2220... Simethicone 80   480 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116903 -  ..
116904 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116905 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116906 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116907 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116908 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116909 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116910 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116911 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116913 -  ..
116914 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116916 -  ..
116917 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116918 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116919 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116921 -  ..
116922 - Dizzy - noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116923 - 200527 0730. ref SDS 96 FR8I  This seem more like fatigue from taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116924 - apixaban blood thinner.  Occurring 3/4 into long hikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116926 -  ..
116927 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116929 -  ..
116930 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116931 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116933 -  ..
116934 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116936 -  ..
116937 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116938 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116940 -  ..
116941 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116942 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116943 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116944 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116945 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116946 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116947 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116948 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116949 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116950 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116951 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116952 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116953 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116955 -  ..
116956 - Kardia recorded HR 76 at 1114 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116959 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200704-ecg-111451_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116962 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116964 -  ..
116965 - EKG seems "normal."                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116967 -  ..
116968 - Breakfast - cheerios chia seeds milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116969 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116970 - Dinner - pasta hamburger avocado lettuce cumcumber onion toast,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116971 - ice cream milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116973 -  ..
116974 - Vomiting: 0%  stomach hurting in eveing, took simethicone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116980 -         ..
116981 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116982 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116983 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116984 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116985 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116986 -  187.  200705 0730............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116987 -               0730....BP HR..................................................... 132  74  59  Kardia ECG reports HR Normal, see below. ref SDS 0 VVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116988 -               0735....BP HR..................................................... 141  81  57  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116989 -               0740....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116990 -               0740... 20 975580 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116991 -               0740... 80 193840 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116992 -           **  0740... 25    825.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116993 -               0000... 05 1590 Apixaban blood thinner RX 7088121 for stroke - paused 200705 2 days before EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116994 -               0000... 75 1875 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 200705 2 days before EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116995 -               0000... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116996 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116997 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116998 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116999 -               0000... Diclofenac applied topically left knee - naproxen-like past few days noticed itching rash on left side of left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117000 -               1055....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117001 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117002 -               1100....miles...........  12.0  47.0  198   787 minutes  temp  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117003 -               1300... Simethicone 80   560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117004 -               1520....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117005 -               1525....BP HR..................................................... 115  71  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117006 -               1530....BP HR..................................................... 111  69  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117007 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117008 -               1500... 40 59080 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
117009 -               1830............ 10 13880  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117010 -               1830............ 10 13470  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117011 -               1930... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117012 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117013 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117014 -               2100... 40 39100 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117015 -               2130... 1000  859000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117016 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117017 -               2140....Tramadol 50 1900 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117018 -               0000... 05 1590 Apixaban blood thinner RX 7088121 for stroke - paused 200705 2 days before EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117019 -               2200... 80 193920 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117020 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117021 -               0000... Simethicone 80   480 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117023 -  ..
117024 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117025 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117026 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117027 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117028 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117029 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117030 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117031 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117033 -  ..
117034 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117036 -  ..
117037 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117038 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117039 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117041 -  ..
117042 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117043 - 200527 0730, ref SDS 96 FR8I; and after not taking apixaban blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117044 - thinner, per above. ref SDS 0 P25K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117046 -  ..
117047 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117049 -  ..
117050 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117051 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117053 -  ..
117054 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117056 -  ..
117057 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117058 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117060 -  ..
117061 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117062 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117063 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117064 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117065 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117066 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117067 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117068 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117069 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117070 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117071 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117072 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117073 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117075 -  ..
117076 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117077 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117079 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117080 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117081 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117082 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117083 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117084 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117085 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117086 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117087 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117088 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117089 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117090 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117091 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117092 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117093 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117094 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117095 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117096 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117097 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117098 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117099 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117100 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117101 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117102 -        Tailor's Bunion left foot.. PRP 190612.......   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117103 -        Tailor's Bunion right foot..PRP 190816.......   2         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117104 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117105 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117106 -        Metatarsalgia left foot...PRP 191009.........   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117107 -        Metatarsalgia right foot..PRP 191009.........   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117108 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117109 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117110 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117111 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117112 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117113 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117114 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117115 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117116 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117117 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117118 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117119 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117120 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117122 -  ..
117123 - Body feels okay after hiking 11 miles in 78 degrees following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117124 - 191009 1500, ref SDS 78 0001
117126 - -
117127 - After hike left knee patella pain level 1; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117128 - slightly pain level 1, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117129 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117131 -  ..
117132 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117134 -  ..
117135 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117136 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117137 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117139 -  ..
117140 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117141 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117142 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117143 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117144 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117146 -  ..
117147 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117148 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117150 -  ..
117151 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117152 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117153 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117155 -  ..
117156 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117157 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117158 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117159 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117160 - ref SDS 77 SM4M  After hike on 200705, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117161 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117162 - ref SDS 0 P25K  Today, wore 2-pair Wrightsock thin double-ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117163 - and laced shoes less loosely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117165 -  ..
117166 - Concord 12 mile route - Starting energy okay today, Wearing Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117167 - 6 shoes received on 190927 1110, ref SDS 77 SM4M; and wore 2-pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117168 - double-ply Wright socks received on 191010 1344, ref SDS 79 SM4M, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117169 - prevent blisters.  Took Metoprolol 1 pill 25 mg in morning to manage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117170 - HR during hike and minimize ARDS shortness of breath, and blurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117171 - vision side effects.  Hiked from Cuneo uphill to Treat.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117172 - easily through nose entire hike.  Continued normal pace on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117173 - hiking East 1 mile to Clayton.  Time 20 minutes at mile 1.25 turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117174 - corner.  Hiking South on Clayton 2 miles at normal pace, mostly on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117175 - flat concrete sidewalk.  At mile 3.75, turned West onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117176 - Road hiking on concrete sidewalk another .5 mile.  About mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117177 - crossed to South side Ygnacio Valley Road hiking West on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117178 - shoulder aganist East bound traffic.  At mile 5, stopped at Texaco gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117179 - station - HR 105 EKG reported Tachycardia - see below. ref SDS 0 VVTS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117180 - Continued hike to Pine Hollow, then took Campus Road .75-mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117181 - to California Sate University visitor parking.  Legs strong going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117182 - uphill, indicating vasodilation activated.  Did 1-loop of about 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117183 - miles through adjoining Faculty and Student Parking lots, including                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117184 - sub-loop uphill .5 mile on the cross street between upper and lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117185 - areas.  At mile 7 took Campus Road North .25 mile downhill to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117186 - Valley Road.  Hiked West .5 miles past Crystal Ranch Road and uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117187 - past Cowell.  At mile 8 crossed from South side of Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117188 - to the North side in order to avoid severely sloped shoulder on South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117189 - Side.  On North side continued West over the summit and past concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117190 - traffic seperation bariars.  At mile 9 crossed back to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117191 - Ygnacio Valley Road and continued 2 miles downhill to Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117192 - Hiked around Safeway shopping complex to Via Monte, then to Shadelands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117193 - and back to Oak Grove.  Hiked 1 mile to Treat.  Kathy drove us home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117194 - for 12 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117196 -  ..
117197 - Kardia recorded HR 58 at 0808 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117200 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200705-ecg-080859_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117203 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117205 -  ..
117206 - EKG seems very "normal" at last.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117209 -  ..
117210 - Polar HR GPS study during 12-mile hike indicates sinus all the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117211 - tracking elevation changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117214 -       Date      200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 200415 20  
117215 -       Miles        12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13     17       
117216 -       HR AVG      114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132     99    1  
117217 -         MAX       128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    128    1  
117218 -         Min        88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92     57       
117219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117221 -  ..
117222 - HR profile showing average 114 and max 128 with temperatuer 93, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117223 - no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117224 - ref SDS 94 244I  Pace very steady, and less shuffled feet and wobbly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117225 - at times might be due to apixaban blood thinner...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117228 -              https://flow.polar.com/training/analysis/4858317541                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117232 -   
117233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117235 -  ..
117236 - EKG at mile 5 HR 105 - Kardia reported Tachcardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117239 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200705-ecg-121932_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117241 -  ..
117242 - EKG looks erratic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117245 -  ..
117246 - EKG 60 minutes after hiking 12 miles HR 81 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117250 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200705-ecg-154947_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117253 - ...and says:  No Rhythm abnormalties detected in your EKG.  Looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117254 - erratic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117258 -  ..
117259 - HR profile post-hike beginning 1623 and overnight until OA 0700 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117260 - morning shows mostly steady heart beat 69 +/- with only few activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117261 - spikes, reflecting taking metoprolol succinct this morning, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117262 - ref SDS 0 P25K  Max HR 131 and minimum HR 44 indicates heart getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117263 - stronger, recovering from ablation procedures.  This will reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117264 - exposure to ischemic colitis, reported on 200612 0700. ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117267 -              https://flow.polar.com/training/analysis/4860116321                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117271 -   
117272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117276 -  ..
117277 - Breakfast - ensure with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117278 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117279 - Dinner - pancake eggs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117281 -  ..
117282 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117288 -         ..
117289 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117290 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117291 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117292 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117293 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117294 -  188.  200706 0700............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117295 -               0710....BP HR..................................................... 130  76  59  Kardia ECG reports HR Normal, see below. ref SDS 0 VWSR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117296 -               0715....BP HR..................................................... 131  74  63  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117297 -               0720....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117298 -               0720... 20 975600 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117299 -               0720... 80 194000 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117300 -           **  0000... 25    825.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117301 -               0000... 05 1590 Apixaban blood thinner RX 7088121 for stroke - paused 200705 2 days before EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117302 -               0000... 75 1875 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 200705 2 days before EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117303 -               0950... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117304 -               0950... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117305 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117306 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117307 -               0000... Diclofenac applied topically left knee - naproxen-like past few days noticed itching rash on left side of left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117308 -               0955....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117309 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117310 -               1000....miles...........  14.0  14.0  232   232 minutes  temp  83  very windy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117311 -               1440....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117312 -               1445....BP HR.....................................................  85  61 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117313 -               1450....BP HR.....................................................  96  66  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117314 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117315 -               1500... 40 59120 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
117316 -             1 0000............ 10 13880  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117317 -             1 0000............ 10 13470  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117318 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117319 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117320 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117321 -               2100... 40 39100 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117322 -               2130... 1000  860000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117323 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117324 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117325 -               0000... 05 1590 Apixaban blood thinner RX 7088121 for stroke - paused 200705 2 days before EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117326 -               2200... 80 194080 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117327 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117328 -               0000... Simethicone 80   560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117330 -  ..
117331 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117332 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117333 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117334 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117335 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117336 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117337 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117338 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117340 -  ..
117341 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117343 -  ..
117344 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117345 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117346 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117348 -  ..
117349 - Dizzy - noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117350 - 200527 0730. ref SDS 96 FR8I   Since did not take apixaban today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117351 - could be naproxen and gabapentin causing neurological deficits.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117353 -  ..
117354 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117356 -  ..
117357 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117358 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117360 -  ..
117361 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117363 -  ..
117364 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117365 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117367 -  ..
117368 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117369 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117370 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117371 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117372 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117373 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117374 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117375 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117376 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117377 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117378 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117379 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117380 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117382 -  ..
117383 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117384 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117386 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117387 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117388 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117389 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117390 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117391 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117392 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117393 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117394 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117395 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117396 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117397 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117398 -        Knee left patalla...PRP 191009...............   3          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117399 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117400 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117401 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117402 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117403 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117404 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117405 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117406 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117407 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117408 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117409 -        Tailor's Bunion left foot.. PRP 190612.......   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117410 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117411 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117412 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117413 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117414 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117415 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117416 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117417 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117418 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117419 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117420 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117421 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117422 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117423 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117424 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117425 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117426 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117427 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117429 -  ..
117430 - Body feels okay after hiking 14 miles in 83 degrees following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117431 - 191009 1500, ref SDS 78 0001
117433 - -
117434 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117435 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117436 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117438 -  ..
117439 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117441 -  ..
117442 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117443 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117444 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117446 -  ..
117447 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117448 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117449 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117450 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117451 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117453 -  ..
117454 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117455 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117457 -  ..
117458 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117459 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117460 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117462 -  ..
117463 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117464 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117465 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117466 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117467 - ref SDS 77 SM4M  After hike on 200620, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117468 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117469 - ref SDS 0 ZK6J  Today, wore 2-pair Wrightsock thin double-ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117470 - and laced shoes less loosely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117472 -  ..
117473 - Concord 14 mile route - Starting energy okay today, Wearing Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117474 - 6 shoes received on 190927 1110, ref SDS 77 SM4M; and wore 2-pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117475 - double-ply Wright socks received on 191010 1344, ref SDS 79 SM4M, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117476 - prevent blisters.  Took Metoprolol 1 pill 25 mg in morning to manage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117477 - HR during hike and minimize ARDS shortness of breath, and blurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117478 - vision side effects.  Hiked from Cuneo uphill to Treat.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117479 - easily through nose entire hike.  Continued normal pace on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117480 - hiking East 1 mile to Clayton.  Time 20 minutes at mile 1.25 turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117481 - corner.  Hiking South on Clayton 2 miles at normal pace, mostly on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117482 - flat concrete sidewalk.  At mile 3.75, turned West onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117483 - Road hiking on concrete sidewalk another .5 mile.  About mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117484 - crossed to South side Ygnacio Valley Road hiking West on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117485 - shoulder aganist East bound traffic.  At mile 5, stopped at Texaco gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117486 - station - HR 111 EKG reported Tachycardia - see below. ref SDS 0 VWWQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117487 - Continued hike to Pine Hollow, then took Campus Road .75-mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117488 - to California Sate University visitor parking.  Legs strong going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117489 - uphill, indicating vasodilation activated.  Did 1-loop of about 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117490 - miles through adjoining Faculty and Student Parking lots, including                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117491 - sub-loop uphill .5 mile on the cross street between upper and lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117492 - areas.  At mile 7 took Campus Road North .25 mile downhill to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117493 - Valley Road - left knee patella pain level 3 at times.  Hiked West .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117494 - miles past Crystal Ranch Road and uphill past Cowell.  At mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117495 - crossed from South side of Ygnacio Valley Road to the North side in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117496 - order to avoid severely sloped shoulder on South Side.  On North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117497 - continued West over the summit and past concrete traffic seperation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117498 - bariars.  At mile 9 crossed back to South side Ygnacio Valley Road and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117499 - continued 2 miles downhill to Oak Grove.  Had to run fast for about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117500 - 100 yards to make traffic light.  Stomach pain level 2, similar to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117501 - pain for ischemic colitis diagnosed while in hospital at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117502 - 200612 0700. ref SDS A2 LY3G  Stomach pain level 0 after running.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117503 - Hiked around Safeway shopping complex to Via Monte, then to Shadelands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117504 - and back to Oak Grove.  Did this twice to increase mileage - feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117505 - good at mile 13.  Hiked 1 mile to Treat.  Kathy drove us home for 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117506 - miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117508 -  ..
117509 - Kardia recorded HR 65 at 0721 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117512 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200706-ecg-072123_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117515 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117517 -  ..
117518 - EKG seems very "normal" at last.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117521 -  ..
117522 - Polar HR GPS study during 14-mile hike indicates sinus all the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117523 - tracking elevation changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117526 -       Date      200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 200417 200416 20  
117527 -       Miles        14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16     19     13       
117528 -       HR AVG      116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90     96    132       
117529 -         MAX       130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    125    149    1  
117530 -         Min        80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62     54     92       
117531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117533 -  ..
117534 - HR profile showing average 116 and max 130 with temperatuer 83, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117535 - no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117536 - ref SDS 94 244I  Pace okay, but shuffled feet and wobbly at times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117537 - might be due to pain medication naproxen and gabapentin, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117538 - ref SDS 0 FD4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117541 -              https://flow.polar.com/training/analysis/4862014896                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117545 -   
117546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117548 -  ..
117549 - EKG at mile 5 HR 111 - Kardia reported Tachcardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117552 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200706-ecg-111636_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117554 -  ..
117555 - EKG looks good - very steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117558 -  ..
117559 - EKG 60 minutes after hiking 14 miles HR 83 - Kardia reported Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117562 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200706-ecg-160013_mile_14.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117565 - ...and says:  Atrial fibrillation was not detected and your EKG does                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117566 - not fall under the algorithmic classifications of Normal, Braydcardia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117567 - or Tachcardia.  This may be caused by otehr arrhythmias, unusually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117568 - fast or slow heart rates, or poor quality recordings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117570 -  ..
117571 - EKG chart shows 1 huge blip and few other erratic blips, then rest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117572 - look good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117576 -  ..
117577 - HR profile post-hike beginning 2149 and overnight until OA 0500 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117578 - morning shows mostly steady heart beat 75 +/- with no activity spikes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117579 - Max HR 130 and minimum HR 47 indicates heart getting stronger,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117580 - recovering from ablation procedures, since did not take metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117581 - succinct this morning, pending EGD colonoscopy tomorrow.  This will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117582 - reduce exposure to ischemic colitis, reported on 200612 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117583 - ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117586 -              https://flow.polar.com/training/analysis/4863762271                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117590 -   
117591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117593 -  ..
117594 - Breakfast - ensure with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117595 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117596 - Dinner - NPO for EGD and colonoscopy tomorrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117598 -  ..
117599 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117605 -         ..
117606 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117607 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117608 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117609 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117610 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117611 -  189.  200707 0410............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117612 -               0410....BP HR..................................................... 127  72  81  Kardia ECG reports HR Normal, see below. ref SDS 0 WPUR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117613 -               0415....BP HR..................................................... 130  76  73  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117614 -               0420....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117615 -               0420... 20 975620 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117616 -               0420... 80 194160 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117617 -           **  0000... 25    825.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117618 -               0000... 05 1590 Apixaban blood thinner RX 7088121 for stroke - paused 200705 2 days before EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117619 -               0000... 75 1875 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 200705 2 days before EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117620 -               0000... Naproxen (Aleve) 2 pill 250 mg -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117621 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117622 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117623 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117624 -               0000... Diclofenac applied topically left knee - naproxen-like past few days noticed itching rash on left side of left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117625 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117626 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117627 -               1500... 40 59160 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
117628 -               1830............ 10 13890  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117629 -               1830............ 10 13480  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117630 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117631 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117632 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117633 -               2100... 40 39140 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117634 -               2130... 1000  861000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117635 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117636 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117637 -               0000... 05 1595 Apixaban blood thinner RX 7088121 for stroke - resume 200707 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117638 -               2200... 80 194240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117639 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117640 -               0000... Simethicone 80   560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117642 -  ..
117643 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117644 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117645 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117646 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117647 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117648 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117649 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117650 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117652 -  ..
117653 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117655 -  ..
117656 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117657 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117658 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117660 -  ..
117661 - Dizzy - noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117662 - 200527 0730. ref SDS 96 FR8I   Since did not take apixaban today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117663 - could be naproxen and gabapentin causing neurological deficits.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117665 -  ..
117666 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117668 -  ..
117669 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117670 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117672 -  ..
117673 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117675 -  ..
117676 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117677 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117679 -  ..
117680 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117681 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117682 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117683 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117684 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117685 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117686 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117687 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117688 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117689 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117690 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117691 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117692 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117694 -  ..
117695 - Kardia recorded HR 82 at 0420 - Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117698 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200707-ecg-042004_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117701 - ...and says:  Atrial fibrillation was not detected and your EKG does                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117702 - not fall under the algorithmic classifications of Normal, Braydcardia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117703 - or Tachcardia.  This may be caused by otehr arrhythmias, unusually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117704 - fast or slow heart rates, or poor quality recordings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117706 -  ..
117707 - EKG erratic in beginning, then normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117709 -  ..
117710 - HR profile post-hike beginning 2307 and overnight until OA 0640 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117711 - morning shows mostly steady heart beat 73 +/- with only few activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117712 - spikes, while not taking metoprolol succinct this morning, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117713 - ref SDS 0 GH6H  Max HR 95 and minimum HR 51 indicates heart getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117714 - stronger, recovering from ablation procedures.  This will reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117715 - exposure to ischemic colitis, reported on 200612 0700. ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117718 -              https://flow.polar.com/training/analysis/4867895566                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117722 -   
117723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117725 -  ..
117726 - Breakfast - NPO for EGD and colonoscopy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117727 - Lunch - hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117728 - Dinner - asparagus onion hamburger tomato avocado cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117730 -  ..
117731 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117737 -         ..
117738 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117739 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117740 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117741 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117742 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117743 -  190.  200708 0640............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117744 -               0650....BP HR..................................................... 133  78  68  Kardia ECG reports HR Normal, see below. ref SDS 0 WSWR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117745 -               0655....BP HR..................................................... 132  80  77  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117746 -               0700....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117747 -               0700... 20 975640 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117748 -               0700... 80 194320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117749 -           **  0000... 25    850.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117750 -               0700... 05 1600 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117751 -               0700... 75 1950 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117752 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117753 -               0900... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117754 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117755 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117756 -               0940... Diclofenac applied topically left knee - naproxen-like past few days noticed itching rash on left side of left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117757 -               1000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117758 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117759 -               0950....miles...........  12.0  26.0  199   431 minutes  temp  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117760 -               1400....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117761 -               1420....BP HR..................................................... 127  70 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117762 -               1425....BP HR..................................................... 110  68  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117763 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117764 -               1700... 40 59200 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
117765 -             1 =000............ 10 13890  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117766 -             1 0000............ 10 13480  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117767 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117768 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117769 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117770 -               2100... 40 39180 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117771 -               2130... 1000  862000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117772 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117773 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117774 -               2150... 05 1605 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117775 -               2200... 80 194400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117776 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117777 -               0000... Simethicone 80   560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117779 -  ..
117780 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117781 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117782 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117783 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117784 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117785 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117786 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117787 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117789 -  ..
117790 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117792 -  ..
117793 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117794 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117795 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117797 -  ..
117798 - Dizzy - noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117799 - 200527 0730. ref SDS 96 FR8I   Since did not take apixaban today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117800 - could be naproxen and gabapentin causing neurological deficits.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117802 -  ..
117803 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117805 -  ..
117806 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117807 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117809 -  ..
117810 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117812 -  ..
117813 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117814 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117816 -  ..
117817 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117818 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117819 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117820 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117821 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117822 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117823 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117824 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117825 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117826 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117827 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117828 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117829 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117831 -  ..
117832 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117833 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117835 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117836 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117837 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117838 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117839 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117840 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117841 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117842 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117843 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117844 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117845 -        Knee left skin lesions left side.............   0        100  Diclofenac medication left knee avoided lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117846 -        Knee left meniscus...PRP 191009..............   0        100  applied Diclofenac medication to left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117847 -        Knee left patalla...PRP 191009...............   0        100  applied Diclofenac medication to left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117848 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117849 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117850 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117851 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117852 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117853 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117854 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117855 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117856 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117857 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117858 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117859 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117860 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117861 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117862 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117863 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117864 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117865 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117866 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117867 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117868 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117869 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117870 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117871 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117872 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117873 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117874 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117875 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117876 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117878 -  ..
117879 - Body feels okay after hiking 12 miles in 90 degrees following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117880 - 191009 1500, ref SDS 78 0001
117882 - -
117883 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117884 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117885 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117887 -  ..
117888 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117890 -  ..
117891 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117892 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117893 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117895 -  ..
117896 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117897 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117898 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117899 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117900 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117902 -  ..
117903 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117904 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117906 -  ..
117907 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117908 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117909 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117911 -  ..
117912 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117913 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117914 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117915 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117916 - ref SDS 77 SM4M  After hike on 200620, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117917 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117918 - ref SDS 0 ZK6J  Today, wore 2-pair Wrightsock thin double-ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117919 - and laced shoes less loosely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117921 -  ..
117922 - Concord 12 mile route - starting hiked with Kathy 1-mile very slow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117923 - rehab loop around the block.  Starting energy okay today, Wearing Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117924 - Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M; and wore                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117925 - 2-pair double-ply Wright socks received on 191010 1344, ref SDS 79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117926 - SM4M, to prevent blisters.  Took Metoprolol 1 pill 25 mg in morning to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117927 - manage HR during hike and minimize ARDS shortness of breath, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117928 - blurred vision side effects.  Hiked from Cuneo uphill to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117929 - Breathed easily through nose entire hike.  Continued normal pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117930 - Treat hiking East 1 mile to Clayton.  Time 40 minutes at mile 2.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117931 - turned corner.  Hiking South on Clayton 2 miles at normal pace, mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117932 - on flat concrete sidewalk.  At mile 4.75, turned West onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117933 - Valley Road hiking on concrete sidewalk another .5 mile.  About mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117934 - 5, crossed to South side Ygnacio Valley Road hiking West on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117935 - shoulder aganist East bound traffic.  At mile 6, stopped at Texaco gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117936 - station - HR 106 EKG reported Tachycardia - see below. ref SDS 0 WTQU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117937 - Continued hike to Pine Hollow, then took Campus Road .75-mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117938 - to California Sate University visitor parking.  Legs strong going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117939 - uphill, indicating vasodilation activated.  Did 1-loop of about 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117940 - miles through adjoining Faculty and Student Parking lots, including                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117941 - sub-loop uphill .5 mile on the cross street between upper and lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117942 - areas.  At mile 9 took Campus Road North .25 mile downhill to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117943 - Valley Road - left knee patella pain level 0 at all times, despite not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117944 - taking naproxen.  Hiked West .5 miles past Crystal Ranch Road and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117945 - uphill past Cowell.  Noticed not stumbling nor wobbly, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117946 - past few hikes, and possibly because did not take naproxen pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117947 - medication, per above. ref SDS 0 VP8H  At mile 9 crossed from South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117948 - side of Ygnacio Valley Road to the North side in order to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117949 - severely sloped shoulder on South Side.  On North side continued West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117950 - over the summit and past concrete traffic seperation bariars.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117951 - 10.5 reversed direction.  Hiked East on Ygnacio Valley Road 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117952 - Cowell.  Turned and hiked on Cowell North 1 mile to Treat, then home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117953 - for 12 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117955 -  ..
117956 - Kardia recorded HR 71 at 0652 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117959 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200708-ecg-065207_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117962 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117964 -  ..
117965 - EKG seems normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117968 -  ..
117969 - Polar HR GPS study during 12-mile hike indicates sinus all the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117970 - tracking elevation changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117973 -       Date      200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 200419 200418 20  
117974 -       Miles        12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18      0     16       
117975 -       HR AVG      113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    no      90       
117976 -         MAX       131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hike    112    1  
117977 -         Min        87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67            62       
117978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117980 -  ..
117981 - HR profile showing average 113 and max 131 with temperature 90, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117982 - no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117983 - ref SDS 94 244I  Pace okay, and did not shuffle feet and not wobbly at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117984 - times after omitting naproxen and taking gabapentin, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117985 - ref SDS 0 VP8H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117988 -              https://flow.polar.com/training/analysis/4869728801                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117992 -   
117993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117995 -  ..
117996 - EKG at mile 6 HR 106 - Kardia reported Tachcardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117999 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200708-ecg-114029_mile_06.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118001 -  ..
118002 - EKG seems erratic for 1st 10 seconds, then appears normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118005 -  ..
118006 - EKG 60 minutes after hiking 12 miles HR 89 - Kardia reported Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118010 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200708-ecg-144208_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118013 - ...and says:  Atrial fibrillation was not detected and your EKG does                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118014 - not fall under the algorithmic classifications of Normal, Braydcardia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118015 - or Tachcardia.  This may be caused by otehr arrhythmias, unusually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118016 - fast or slow heart rates, or poor quality recordings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118018 -  ..
118019 - EKG chart shows initial erratic BPM cycles, then rest looks good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118022 -  ..
118023 - HR profile post-hike beginning 1830 and overnight until OA 0630 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118024 - morning shows mostly steady heart beat 75 +/- with only few activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118025 - spikes, reflecting taking metoprolol succinct this morning, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118026 - ref SDS 0 VP8H  Max HR 129 and minimum HR 56 indicates heart getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118027 - stronger, recovering from ablation procedures.  This will reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118028 - exposure to ischemic colitis, reported on 200612 0700. ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118031 -              https://flow.polar.com/training/analysis/4871651211                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118035 -   
118036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118038 -  ..
118039 - Breakfast - ensure with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118040 - Lunch - bread cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118041 - Dinner - pasta broccoli asparagus onion hamburger mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118043 -  ..
118044 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118050 -         ..
118051 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118052 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118053 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118054 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118055 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118056 -  191.  200709 0640............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118057 -               0650....BP HR..................................................... 152  80  62  Kardia ECG reports HR Normal, see below. ref SDS 0 WTYV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118058 -               0655....BP HR..................................................... 139  78  61  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118059 -               0700....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118060 -               0700... 20 975660 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118061 -               0700... 80 194480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118062 -           **  0700... 25    875.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118063 -               0700... 05 1610 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118064 -               0700... 75 2025 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118065 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118066 -               0900... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118067 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118068 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118069 -               0000... Diclofenac applied topically left knee - naproxen-like past few days noticed itching rash on left side of left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118070 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118071 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118072 -               1700... 40 59240 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
118073 -               1830............ 10 13900  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118074 -               1830............ 10 13490  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118075 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118076 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118077 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118078 -               2100... 40 39220 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118079 -               2130... 1000  863000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118080 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118081 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118082 -               2150... 05 1615 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118083 -               2200... 80 194560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118084 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118085 -               0000... Simethicone 80   560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118087 -  ..
118088 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118089 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118090 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118091 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118092 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118093 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118094 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118095 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118097 -  ..
118098 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118100 -  ..
118101 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118102 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118103 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118105 -  ..
118106 - Dizzy - noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118107 - 200527 0730. ref SDS 96 FR8I   Since did not take apixaban today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118108 - could be naproxen and gabapentin causing neurological deficits.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118110 -  ..
118111 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118113 -  ..
118114 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118115 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118117 -  ..
118118 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118120 -  ..
118121 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118122 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118124 -  ..
118125 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118126 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118127 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118128 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118129 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118130 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118131 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118132 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118133 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118134 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118135 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118136 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118137 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118139 -  ..
118140 - Kardia recorded HR 70 at 1004 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118143 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200709-ecg-100404_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118146 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118148 -  ..
118149 - EKG seems normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118151 -  ..
118152 - Breakfast - ensure with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118153 - Lunch - sandwich avocado tomato onion, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118154 - Dinner - pasta asparagus onion hamburger mushrooms, pie ice cream                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118156 -  ..
118157 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118163 -         ..
118164 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118165 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118166 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118167 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118168 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118169 -  192.  200710 0630............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118170 -               0640....BP HR..................................................... 144  83  61  Kardia ECG reports HR Normal, see below. ref SDS 0 WVPY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118171 -               0645....BP HR..................................................... 141  82  60  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118172 -               0650....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118173 -               0650... 20 975680 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118174 -               0650... 80 194640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118175 -           **  0650... 25    900.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118176 -               0650... 05 1620 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118177 -               0650... 75 2100 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118178 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118179 -               1040... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118180 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118181 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118182 -               1055... Diclofenac applied topically left knee - naproxen-like past few days noticed itching rash on left side of left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118183 -               1100....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118184 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118185 -               1105....miles...........  15.0  41.0  258   682 minutes  temp 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118186 -               1430... Simethicone 80   560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118187 -               1550....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118188 -               1620....BP HR.....................................................  97  62 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118189 -               1625....BP HR.....................................................  98  66 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118190 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118191 -               1700... 40 59280 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
118192 -             1 0000............ 10 13900  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118193 -             1 0000............ 10 13490  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118194 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118195 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118196 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118197 -               2100... 40 39260 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118198 -               2130... 1000  864000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118199 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118200 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118201 -               2150... 05 1625 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118202 -               2200... 80 194720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118203 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118205 -  ..
118206 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118207 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118208 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118209 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118210 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118211 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118212 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118213 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118215 -  ..
118216 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118218 -  ..
118219 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118220 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118221 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118223 -  ..
118224 - Dizzy - noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118225 - 200527 0730. ref SDS 96 FR8I   Since did not take apixaban today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118226 - could be naproxen and gabapentin causing neurological deficits.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118228 -  ..
118229 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118231 -  ..
118232 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118233 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118235 -  ..
118236 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118238 -  ..
118239 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118240 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118242 -  ..
118243 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118244 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118245 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118246 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118247 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118248 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118249 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118250 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118251 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118252 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118253 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118254 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118255 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118257 -  ..
118258 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118259 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118261 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118262 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118263 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118264 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118265 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118266 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118267 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118268 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118269 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118270 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118271 -        Knee left skin lesions left side.............   0        100  Diclofenac medication left knee avoided lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118272 -        Knee left meniscus...PRP 191009..............   0        100  applied Diclofenac medication to left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118273 -        Knee left patalla...PRP 191009...............   0        100  applied Diclofenac medication to left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118274 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118275 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118276 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118277 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118278 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118279 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118280 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118281 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118282 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118283 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118284 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118285 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118286 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118287 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118288 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118289 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118290 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118291 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118292 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118293 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118294 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118295 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118296 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118297 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118298 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118299 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118300 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118301 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118302 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118304 -  ..
118305 - Body feels okay after hiking 15 miles in 101 degrees following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118306 - 191009 1500, ref SDS 78 0001
118308 - -
118309 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118310 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118311 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118313 -  ..
118314 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118316 -  ..
118317 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118318 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118319 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118321 -  ..
118322 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118323 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118324 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118325 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118326 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118328 -  ..
118329 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118330 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118332 -  ..
118333 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118334 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118335 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118337 -  ..
118338 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118339 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118340 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118341 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118342 - ref SDS 77 SM4M  After hike on 200620, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118343 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118344 - ref SDS 0 ZK6J  Today, wore 2-pair Wrightsock thin double-ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118345 - and laced shoes less loosely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118347 -  ..
118348 - Concord 15 mile route - Starting energy okay today, Wearing Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118349 - 6 shoes received on 190927 1110, ref SDS 77 SM4M; and wore 2-pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118350 - double-ply Wright socks received on 191010 1344, ref SDS 79 SM4M, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118351 - prevent blisters.  Took Metoprolol 1 pill 25 mg in morning to manage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118352 - HR during hike and minimize ARDS shortness of breath, and blurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118353 - vision side effects.  Hiked from Cuneo uphill to Treat.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118354 - easily through nose entire hike.  Continued normal pace on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118355 - hiking East 1 mile to Clayton.  Time 20 minutes at mile 1.25 turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118356 - corner.  Hiking South on Clayton 2 miles at normal pace, mostly on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118357 - flat concrete sidewalk.  At mile 3.50, turned West onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118358 - Road hiking on concrete sidewalk another .5 mile.  About mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118359 - crossed to South side Ygnacio Valley Road hiking West on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118360 - shoulder aganist East bound traffic.  At mile 5, stopped at Texaco gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118361 - station - HR 104 EKG reported Tachycardia - see below. ref SDS 0 WUSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118362 - Continued hike to Pine Hollow, then took Campus Road .75-mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118363 - to California Sate University visitor parking.  Legs strong going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118364 - uphill, indicating vasodilation activated.  Did 2-loops of about 2.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118365 - miles each through adjoining Faculty and Student Parking lots,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118366 - including sub-loop uphill .5 mile on the cross street between upper                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118367 - and lower areas.  At mile 9.5 took Campus Road North .25 mile downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118368 - to Ygnacio Valley Road - left knee patella pain level 0 at all times,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118369 - despite not taking naproxen.  Hiked West .5 miles past Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118370 - Road and uphill past Cowell.  Noticed not stumbling nor wobbly, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118371 - occurred past few hikes, and possibly because did not take naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118372 - pain medication, per above. ref SDS 0 VP8H  At mile 10.5 crossed from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118373 - South side of Ygnacio Valley Road to the North side in order to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118374 - severely sloped shoulder on South Side.  On North side continued West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118375 - over the summit and past concrete traffic seperation bariars.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118376 - 11 back to South side Ygnacio Valley Road.  Continued 2 miles downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118377 - to Oak Grove.  Hiked .25 miles on asphalt path parallel to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118378 - Valley Road.  Turned North on Via Monte and hiked .25 mile still on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118379 - asphalt path to Shadelands.  Turned around and hiked South on Via                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118380 - Monte .25 mile then East .25 mile back to Oak Grove.  Hiked North on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118381 - Oak Grove 1 mile to Treat.  Kathy drove us home for 15 mile hike.  Car                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118382 - said temperature 102 - didn't feel that hot during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118384 -  ..
118385 - Kardia recorded HR 56 at 0701 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118388 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200710-ecg-070107_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118391 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118393 -  ..
118394 - EKG seems very normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118397 -  ..
118398 - Polar HR GPS study during 12-mile hike indicates sinus all the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118399 - tracking elevation changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118402 -       Date      200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 200420 20  
118403 -       Miles        15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12     18       
118404 -       HR AVG      115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    132    n  
118405 -         MAX       135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    148   hi  
118406 -         Min        88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60     67       
118407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118409 -  ..
118410 - HR profile showing average 115 and max 135 with temperature 101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118411 - likely no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118412 - ref SDS 94 244I  Pace okay, and did not shuffle feet and not wobbly at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118413 - any time after omitting naproxen and taking gabapentin, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118414 - ref SDS 0 6Y6G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118417 -              https://flow.polar.com/training/analysis/4876995831                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118421 -   
118422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118424 -  ..
118425 - EKG at mile 5 HR 104 - Kardia reported Tachcardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118429 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200710-ecg-122311_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118431 -  ..
118432 - EKG seems erratic for most of 30 seconds.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118435 -  ..
118436 - EKG 60 minutes after hiking 15 miles HR 91 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118440 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200710-ecg-165348_mile_15.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118444 - ...and says:  No Rhythm abnormalties detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118446 -  ..
118447 - EKG chart shows beautiful heart rhythm.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118450 -  ..
118451 - HR profile post-hike beginning 1703 and overnight until OA 0703 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118452 - morning shows mostly steady heart beat 72 +/- with only few activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118453 - spikes going for after dinner hike.  Max HR 141 occurred running                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118454 - upstairs.  Overnight minimum HR 51 indicates heart getting stronger,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118455 - recovering from ablation procedures.  This will reduce exposure to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118456 - ischemic colitis, reported on 200612 0700. ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118459 -              https://flow.polar.com/training/analysis/4879067556                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118463 -   
118464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118466 -  ..
118467 - Breakfast - ensure with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118468 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118469 - Dinner - lettuce avocado tuna salmon onion tomato olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118471 -  ..
118472 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118477 -         ..
118478 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118479 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118480 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118481 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118482 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118483 -  193.  200711 0710............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118484 -               0710....BP HR..................................................... 128  70  62  Kardia ECG reports HR Normal, see below. ref SDS 0 WYRV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118485 -               0715....BP HR..................................................... 123  73  63  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118486 -               0720....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118487 -               0720... 20 975700 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118488 -               0720... 80 194800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118489 -           **  0720... 25    925.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118490 -               0720... 05 1630 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118491 -               0720... 75 2175 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118492 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118493 -               0815... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118494 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118495 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118496 -               0000... Diclofenac applied topically left knee - omitted due to itching rash on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118497 -               0900....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118498 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118499 -               0940....miles...........   4.0  45.0   62   744 minutes  temp  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118500 -               1150....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118501 -               1155....BP HR..................................................... 117  63  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118502 -               1200....BP HR..................................................... 118  65  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118503 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118504 -               1700... 40 59320 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
118505 -               1830............ 10 13910  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118506 -               1830............ 10 13500  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118507 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118508 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118509 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118510 -               2100... 40 39300 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118511 -               2130... 1000  865000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118512 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118513 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118514 -               2150... 05 1635 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118515 -               2200... 80 194880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118516 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118517 -               0000... Simethicone 80   560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118519 -  ..
118520 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118521 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118522 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118523 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118524 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118525 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118526 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118527 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118529 -  ..
118530 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118532 -  ..
118533 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118534 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118535 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118537 -  ..
118538 - Dizzy - noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118539 - 200527 0730. ref SDS 96 FR8I   Since did not take apixaban today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118540 - could be naproxen and gabapentin causing neurological deficits.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118542 -  ..
118543 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118545 -  ..
118546 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118547 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118549 -  ..
118550 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118552 -  ..
118553 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118554 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118556 -  ..
118557 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118558 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118559 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118560 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118561 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118562 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118563 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118564 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118565 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118566 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118567 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118568 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118569 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118571 -  ..
118572 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118573 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118575 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118576 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118577 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118578 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118579 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118580 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118581 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118582 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118583 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118584 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118585 -        Knee left skin lesions left side.............   0        100  diclofenac omitted today due to rising lesions adverse reactions                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118586 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118587 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118588 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118589 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118590 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118591 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118592 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118593 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118594 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118595 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118596 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118597 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118598 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118599 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118600 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118601 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118602 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118603 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118604 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118605 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118606 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118607 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118608 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118609 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118610 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118611 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118612 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118613 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118614 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118615 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118616 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118618 -  ..
118619 - Body feels more tired that expected after hiking only 4 miles in 91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118620 - degrees following PRP on 191009 1500, ref SDS 78 0001  Could be speed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118621 - and elevation changes going around the reservoir.
118623 - -
118624 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118625 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118626 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118628 -  ..
118629 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118631 -  ..
118632 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118633 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118634 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118636 -  ..
118637 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118638 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118639 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118640 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118641 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118643 -  ..
118644 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118645 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118647 -  ..
118648 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118649 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118650 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118652 -  ..
118653 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118654 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118655 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118656 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118657 - ref SDS 77 SM4M  After hike on 200620, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118658 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118659 - ref SDS 0 ZK6J  Today, wore 2-pair Wrightsock thin double-ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118660 - and laced shoes less loosely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118662 -  ..
118663 - Lafayette Reservoir 4-mile route - hiked .75 mile with Kathy around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118664 - North end of reservoir - then hiked rest of 3 mile circle.  Handled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118665 - numerous short hills well without shortness of breath.  Made Killer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118666 - Ridge breathing through nose, but with effort at the top.  Maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118667 - good pace.  Passed many hikers.  Began feeling stronger, so increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118668 - pace.  Looped back around at the end to .5 mile, then doubled back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118669 - start for 4 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118671 -  ..
118672 - Kardia recorded HR 60 at 0752 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118675 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200711-ecg-075236_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118678 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118680 -  ..
118681 - EKG seems normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118684 -  ..
118685 - Polar HR GPS study during 4-mile hike indicates sinus all the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118686 - tracking elevation changes with steady pace...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118689 -       Date      200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 200421 20  
118690 -       Miles         4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16     12       
118691 -       HR AVG      115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98     87    1  
118692 -         MAX       136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    124    1  
118693 -         Min        87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50     60       
118694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118696 -  ..
118697 - HR profile showing average 115 and max 136 with temperature 91, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118698 - no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118699 - ref SDS 94 244I  Pace okay, and did not shuffle feet and not wobbly at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118700 - any time after omitting naproxen and taking gabapentin, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118701 - ref SDS 0 X53K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118704 -              https://flow.polar.com/training/analysis/4880000406                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118708 -   
118709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118711 -  ..
118712 - EKG 60 minutes after hiking 4 miles HR 73 - Kardia reported Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118716 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200711-ecg-124749_mile_04.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118720 - ...and says:  Atrial fibrillation was not detected and your EKG does                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118721 - not fall under the algorithmic classifications of Normal, Braydcardia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118722 - or Tachcardia.  This may be caused by otehr arrhythmias, unusually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118723 - fast or slow heart rates, or poor quality recordings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118725 -  ..
118726 - EKG chart looks like "normal" rhythm. ref SDS 0 WYRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118729 -  ..
118730 - HR profile post-hike beginning 1715 and overnight until OA 0730 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118731 - morning shows mostly steady heart beat 64 +/- with only few activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118732 - spikes; maximum HR 126 and minimum HR 37 indicates heart getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118733 - stronger, recovering from ablation procedures.  This will reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118734 - exposure to ischemic colitis, reported on 200612 0700. ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118737 -              https://flow.polar.com/training/analysis/4882902241                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118741 -   
118742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118744 -  ..
118745 - Breakfast - cream of wheat rasins chia seeds with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118746 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118747 - Dinner - lettuce avocado tuna salmon onion tomato olives, ice cream cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118749 -  ..
118750 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118755 -         ..
118756 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118757 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118758 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118759 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118760 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118761 -  194.  200712 0740............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118762 -               0740....BP HR..................................................... 122  76  56  Kardia ECG reports HR Normal, see below. ref SDS 0 XQXX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118763 -               0745....BP HR..................................................... 128  73  63  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118764 -               0750....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118765 -               0750... 20 975720 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118766 -               0750... 80 194960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118767 -           **  0750... 25    950.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118768 -               0750... 05 1640 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118769 -               0750... 75 2250 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118770 -               0845... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118771 -               0845... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118772 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118773 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118774 -               0000... Diclofenac applied topically left knee - omitted due to itching rash on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118775 -               0845....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118776 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118777 -               0940....miles...........   5.0  50.0   78   744 minutes  temp  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118778 -               1205....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118779 -               1210....BP HR..................................................... 109  63  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118780 -               1215....BP HR..................................................... 114  67  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118781 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118782 -               1220... Simethicone 80   640 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118783 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118784 -               1700... 40 59360 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
118785 -             1 0000............ 10 13910  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118786 -             1 0000............ 10 13500  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118787 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118788 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118789 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118790 -               2100... 40 39340 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118791 -               2130... 1000  866000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118792 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118793 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118794 -               2150... 05 1645 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118795 -               2200... 80 195040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118796 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118798 -  ..
118799 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118800 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118801 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118802 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118803 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118804 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118805 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118806 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118808 -  ..
118809 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118811 -  ..
118812 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118813 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118814 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118816 -  ..
118817 - Dizzy - noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118818 - 200527 0730. ref SDS 96 FR8I   Since did not take apixaban today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118819 - could be naproxen and gabapentin causing neurological deficits.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118821 -  ..
118822 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118824 -  ..
118825 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118826 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118828 -  ..
118829 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118831 -  ..
118832 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118833 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118835 -  ..
118836 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118837 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118838 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118839 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118840 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118841 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118842 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118843 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118844 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118845 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118846 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118847 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118848 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118850 -  ..
118851 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118852 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118854 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118855 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118856 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118857 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118858 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118859 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118860 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118861 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118862 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118863 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118864 -        Knee left skin lesions left side.............   2        100  diclofenac omitted today due to rising lesions adverse reactions                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118865 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118866 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118867 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118868 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118869 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118870 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118871 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118872 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118873 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118874 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118875 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118876 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118877 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118878 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118879 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118880 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118881 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118882 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118883 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118884 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118885 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118886 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118887 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118888 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118889 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118890 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118891 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118892 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118893 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118894 -        Restless   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118895 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118897 -  ..
118898 - Body feels more tired than expected after hiking 5 miles in 91 degrees                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118899 - following PRP on 191009 1500, ref SDS 78 0001   Started on 2nd hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118900 - after doing 4.25 miles at Lafayette Reservoir.  Had to stop and rturn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118901 - after just .25 miles.
118903 - -
118904 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118905 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118906 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118908 -  ..
118909 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118911 -  ..
118912 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118913 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118914 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118916 -  ..
118917 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118918 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118919 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118920 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118921 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118923 -  ..
118924 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118925 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118927 -  ..
118928 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118929 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118930 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118932 -  ..
118933 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118934 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118935 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118936 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118937 - ref SDS 77 SM4M  After hike on 200620, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118938 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118939 - ref SDS 0 ZK6J  Today, wore 2-pair Wrightsock thin double-ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118940 - and laced shoes less loosely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118942 -  ..
118943 - Lafayette Reservoir 4-mile route - hiked .75 mile with Kathy around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118944 - North end of reservoir - then hiked rest of 3 mile circle.  Handled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118945 - numerous short hills well without shortness of breath.  Made Killer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118946 - Ridge breathing through nose, and with less effort than yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118947 - Maintained good pace.  Passed many hikers.  Began feeling stronger, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118948 - increased pace.  Looped back around at the end to .5 mile, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118949 - doubled back to start for 4 miles.  At home started on another hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118950 - but did not feel well, so returned.  Total for day 5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118952 -  ..
118953 - Kardia recorded HR 58 at 0802 - Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118956 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200712-ecg-080202_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118959 - ...and says:  Atrial fibrillation was not detected and your EKG does                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118960 - not fall under the algorithmic classifications of Normal, Braydcardia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118961 - or Tachcardia.  This may be caused by otehr arrhythmias, unusually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118962 - fast or slow heart rates, or poor quality recordings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118964 -  ..
118965 - EKG seems normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118968 -  ..
118969 - Polar HR GPS study during 5-mile hike shows relatively constant HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118970 - profile, rather than rising and falling with changes in terrain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118971 - elevations, as occurred yesteday, per above. ref SDS 0 WYSY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118975 -       Date      200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 200423 200422 20  
118976 -       Miles         5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13      4     16       
118977 -       HR AVG      115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89     78     98       
118978 -         MAX       130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    111    121    1  
118979 -         Min        80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56     50     50       
118980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118982 -  ..
118983 - HR profile showing average 115 and max 136 with temperature 91, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118984 - no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118985 - ref SDS 94 244I  Pace okay, and did not shuffle feet and not wobbly at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118986 - any time after omitting naproxen and taking gabapentin, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118987 - ref SDS 0 X53K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118990 -              https://flow.polar.com/training/analysis/4883893976                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118994 -   
118995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119000 -  ..
119001 - EKG 120 minutes after hiking 5 miles HR 59 - Kardia shows Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119005 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200712-ecg-130513_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119009 - ...and says:  Atrial fibrillation was not detected and your EKG does                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119010 - not fall under the algorithmic classifications of Normal, Braydcardia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119011 - or Tachcardia.  This may be caused by otehr arrhythmias, unusually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119012 - fast or slow heart rates, or poor quality recordings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119014 -  ..
119015 - EKG chart looks erratic in places.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119018 -  ..
119019 - HR profile post-hike beginning 1435 and overnight until OA 0710 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119020 - morning shows some erratic heart beats - average HR 63 +/- with some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119021 - severe activity spikes, despite taking metoprolol succinct this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119022 - morning, per above. ref SDS 0 VP8H  Max HR 154 and minimum HR 39                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119023 - indicates possible AF activity following ablation procedures ending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119024 - 200511.  This may increase exposure to ischemic colitis, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119025 - 200612 0700. ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119028 -              https://flow.polar.com/training/analysis/4886607281                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119032 -   
119033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119035 -  ..
119036 - Breakfast - cream of wheat rasins with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119037 - Lunch - sandwich tuna salmon avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119038 - Dinner - lettuce avocado tuna salmon onion, toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119040 -  ..
119041 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119046 -         ..
119047 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119048 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119049 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119050 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119051 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119052 -  195.  200713 0710............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119053 -               0710....BP HR..................................................... 134  78  58  Kardia ECG reports HR Normal, see below. ref SDS 0 XTXS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119054 -               0715....BP HR..................................................... 127  75  62  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119055 -               0720....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119056 -               0720... 20 975740 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119057 -               0720... 80 195120 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119058 -           **  0720... 25    975.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119059 -               0720... 05 1650 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119060 -               0720... 75 2325 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119061 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119062 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119063 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119064 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119065 -               0000... Diclofenac applied topically left knee - omitted due to itching rash on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119066 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119067 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119068 -               1700... 40 59400 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
119069 -               1830............ 10 13920  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119070 -               1830............ 10 13510  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119071 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119072 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119073 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119074 -               2100... 40 39380 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119075 -               2130... 1000  867000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119076 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119077 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119078 -               2150... 05 1655 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119079 -               2200... 80 195200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119080 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119082 -  ..
119083 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119084 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119085 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119086 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119087 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119088 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119089 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119090 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119092 -  ..
119093 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119095 -  ..
119096 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119097 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119098 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119100 -  ..
119101 - Dizzy - noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119102 - 200527 0730. ref SDS 96 FR8I   Since did not take apixaban today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119103 - could be naproxen and gabapentin causing neurological deficits.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119105 -  ..
119106 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119108 -  ..
119109 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119110 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119112 -  ..
119113 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119115 -  ..
119116 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119117 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119119 -  ..
119120 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119121 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119122 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119123 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119124 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119125 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119126 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119127 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119128 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119129 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119130 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119131 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119132 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119134 -  ..
119135 - Kardia recorded HR 59 at 0738 - Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119138 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200713-ecg-073822_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119141 - ...and says:  Atrial fibrillation was not detected and your EKG does                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119142 - not fall under the algorithmic classifications of Normal, Braydcardia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119143 - or Tachcardia.  This may be caused by otehr arrhythmias, unusually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119144 - fast or slow heart rates, or poor quality recordings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119146 -  ..
119147 - EKG seems normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119165 -  ..
119166 - Breakfast - cream of wheat rasins with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119167 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119168 - Dinner - pasta hamburger lettuce avocado tuna salmon onion, jello                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119170 -  ..
119171 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119176 -         ..
119177 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119178 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119179 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119180 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119181 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119182 -  196.  200714 0640............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119183 -               0650....BP HR..................................................... 134  81  54  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119184 -               0655....BP HR..................................................... 137  83  59  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119185 -               0700....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119186 -               0700... 20 975760 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119187 -               0700... 80 195280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119188 -           **  0700... 25   1000.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119189 -               0700... 05 1640 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119190 -               0700... 75 2400 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119191 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119192 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119193 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119194 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119195 -               0000... Diclofenac applied topically left knee - omitted due to itching rash on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119196 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119197 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119198 -               1700... 40 59440 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
119199 -             1 0000............ 10 13920  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119200 -             1 0000............ 10 13510  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119201 -               0000... Amonium Lactate 12% lotion applied to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119202 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119203 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119204 -               2100... 40 39420 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119205 -               2130... 1000  868000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119206 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119207 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119208 -               2150... 05 1665 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119209 -               2200... 80 195360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119210 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119212 -  ..
119213 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119214 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119215 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119216 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119217 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119218 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119219 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119220 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119222 -  ..
119223 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119225 -  ..
119226 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119227 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119228 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119230 -  ..
119231 - Dizzy - noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119232 - 200527 0730. ref SDS 96 FR8I   Since did not take apixaban today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119233 - could be naproxen and gabapentin causing neurological deficits.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119235 -  ..
119236 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119238 -  ..
119239 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119240 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119242 -  ..
119243 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119245 -  ..
119246 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119247 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119249 -  ..
119250 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119251 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119252 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119253 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119254 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119255 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119256 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119257 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119258 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119259 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119260 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119261 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119262 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119280 -  ..
119281 - Breakfast - cream of wheat rasins with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119282 - Lunch - sandwich balogna tomato cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119283 - Dinner - pasta hamburger lettuce avocado tuna salmon onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119285 -  ..
119286 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119292 -         ..
119293 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119294 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119295 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119296 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119297 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119298 -  197.  200715 0640............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119299 -               0650....BP HR..................................................... 136  78  54  Kardia ECG reports HR Normal, see below. ref SDS 0 XYPT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119300 -               0655....BP HR..................................................... 136  83  61  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119301 -               0700....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119302 -               0700... 20 975780 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119303 -               0700... 80 195440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119304 -           **  0700... 25   1025.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119305 -               0700... 05 1650 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119306 -               0700... 75 2475 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119307 -               0700... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119308 -               0700... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119309 -               0000... Oxycodone HCL Plain  5  200 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119310 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119311 -               0000... Diclofenac applied topically left knee - omitted due to itching rash on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119312 -               1020....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119313 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119314 -               1025....miles...........  14.0  14.0  239   239 minutes  temp  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119315 -               1510....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119316 -               1540....BP HR.....................................................  76  52  97    pressure cuff failed to report BP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119317 -               1545....BP HR.....................................................  76  51  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119318 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119319 -               0000... Simethicone 80   640 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119320 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119321 -               1700... 40 59480 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
119322 -               1830............ 10 13920  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119323 -               1830............ 10 13510  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119324 -               2030... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119325 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119326 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119327 -               2100... 40 39460 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119328 -               2130... 1000  869000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119329 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119330 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119331 -               2150... 05 1675 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119332 -               2200... 80 195520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119333 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119335 -  ..
119336 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119337 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119338 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119339 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119340 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119341 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119342 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119343 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119345 -  ..
119346 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119348 -  ..
119349 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119350 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119351 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119353 -  ..
119354 - Dizzy - noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119355 - 200527 0730. ref SDS 96 FR8I   Since did not take apixaban today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119356 - could be naproxen and gabapentin causing neurological deficits.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119358 -  ..
119359 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119361 -  ..
119362 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119363 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119365 -  ..
119366 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119368 -  ..
119369 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119370 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119372 -  ..
119373 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119374 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119375 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119376 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119377 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119378 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119379 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119380 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119381 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119382 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119383 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119384 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119385 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119387 -  ..
119388 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119389 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119391 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119392 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119393 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119394 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119395 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119396 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119397 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119398 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119399 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119400 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119401 -        Knee left skin lesions left side.............   2        100  diclofenac omitted today due to rising lesions adverse reactions                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119402 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119403 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119404 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119405 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119406 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119407 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119408 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119409 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119410 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119411 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119412 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119413 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119414 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119415 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119416 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119417 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119418 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119419 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119420 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119421 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119422 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119423 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119424 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119425 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119426 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119427 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119428 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119429 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119430 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119431 -        Restless legs................................   2         10  after hike late at night OA 2100 for 60 minutes did not take Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119432 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119434 -  ..
119435 - Body feels more tired than expected after hiking 14 miles in 89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119436 - degrees following PRP on 191009 1500, ref SDS 78 0001  Last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119437 - coming uphill on Treat was major struggle.  After hike slight side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119438 - ache left side.
119440 - -
119441 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119442 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119443 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119445 -  ..
119446 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119448 -  ..
119449 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119450 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119451 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119453 -  ..
119454 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119455 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119456 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119457 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119458 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119460 -  ..
119461 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119462 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119464 -  ..
119465 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119466 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119467 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119469 -  ..
119470 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119471 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119472 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119473 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119474 - ref SDS 77 SM4M  After hike on 200715, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119475 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119476 - ref SDS 0 543M  Today, wore 2-pair Wrightsock thin double-ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119477 - and laced shoes snuggly.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119479 -  ..
119480 - Concord 14 mile route - Starting energy okay today, Wearing Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119481 - 6 shoes received on 190927 1110, ref SDS 77 SM4M; and wore 2-pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119482 - double-ply Wright socks received on 191010 1344, ref SDS 79 SM4M, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119483 - prevent blisters.  Took Metoprolol 1 pill 25 mg in morning to manage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119484 - HR during hike and minimize ARDS shortness of breath, and blurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119485 - vision side effects.  Hiked from Cuneo uphill to Treat.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119486 - easily through nose entire hike.  Temperatur reached 89, but cool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119487 - breeze, so did not feel hot.  Continued normal pace on Treat hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119488 - East 1 mile to Clayton.  Time 20 minutes at mile 1.25 turned corner.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119489 - Hiking South on Clayton 2 miles at normal pace, mostly on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119490 - concrete sidewalk.  At mile 3.50, turned West onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119491 - hiking on concrete sidewalk another .5 mile.  About mile 4, crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119492 - South side Ygnacio Valley Road hiking West on asphalt shoulder aganist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119493 - East bound traffic.  At mile 5, stopped at Texaco gas station - HR 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119494 - EKG reported Tachycardia - see below. ref SDS 0 AW6O  There was a line                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119495 - at checkout, so did not buy softdrink nor banana (actually they were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119496 - sold out).  Continued hike to Pine Hollow, then took Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119497 - .75-mile uphill to California Sate University visitor parking.  Legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119498 - strong going uphill, indicating vasodilation activated.  Did 1-loop of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119499 - about 2.5 miles through adjoining Faculty and Student Parking lots,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119500 - including sub-loop uphill .5 mile on the cross street between upper                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119501 - and lower areas.  Hiked partial 2nd loop.  At mile 8.5 took Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119502 - Road North .25 mile downhill to Ygnacio Valley Road - left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119503 - patella pain level 0 at all times, while taking naproxen.  Hiked West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119504 - .5 miles past Crystal Ranch Road and uphill past Cowell.  Not wobbly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119505 - nor disoriented while hiking with naproxen pain medication per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119506 - ref SDS 0 543M  At mile 10.5 crossed from South side of Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119507 - Road to the North side in order to avoid severely sloped shoulder on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119508 - South Side.  On North side continued West over the summit and past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119509 - concrete traffic seperation bariars.  At mile 11 back to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119510 - Ygnacio Valley Road.  Continued West 2 miles downhill to Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119511 - About half way down feeling left knee hamstring tendon pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119512 - for about .25 mile.  This subsided to pain level 0.  At Oak Grove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119513 - hiked .25 miles on asphalt path parallel to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119514 - Turned North on Via Monte and hiked .25 mile still on asphalt path to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119515 - Shadelands.  Turned and hiked East .25 mile back to Oak Grove.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119516 - left and hiked North 1 mile to Treat.  Feeling tired - hiked East 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119517 - miles to Cuneo.  Struggle hiking over the hill from San Miguel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119518 - rest of way home - after hiking 14 miles BP 76 52. ref SDS 0 543M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119520 -  ..
119521 - Kardia recorded HR 54 at 0640 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119524 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200715-ecg-064056_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119527 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119529 -  ..
119530 - EKG extremely erratic on 1st beat, then perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119533 -  ..
119534 - Polar HR GPS study during 5-mile hike shows relatively constant HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119535 - profile, rather than rising and falling with changes in terrain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119536 - elevations, as occurred yesteday, per above. ref SDS 0 WYSY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119540 -       Date      200715 200714 200713 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 200424 20  
119541 -       Miles        14      0      0      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18     13       
119542 -       HR AVG      120     no     no    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88     89       
119543 -         MAX       145  report  eport   136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    120    1  
119544 -         Min        98                   87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60     56       
119545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119547 -  ..
119548 - HR profile showing average 120 and max 145 with temperature 89, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119549 - no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119550 - ref SDS 94 244I  Pace okay, and did not shuffle feet and not wobbly at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119551 - any time taking naproxen and gabapentin, per above. ref SDS 0 543M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119552 - Last 2 miles slowed and struggled to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119555 -              https://flow.polar.com/training/analysis/4896477786                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119559 -   
119560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119562 -  ..
119563 - EKG Kardia recorded HR 108 at 5 miles - reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119566 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200715-ecg-114101_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119568 -  ..
119569 - Looks okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119574 -  ..
119575 - EKG 90 minutes after hiking 14 miles HR 83 - Kardia shows Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119578 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200715-ecg-161915_mile_14.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119581 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119583 -  ..
119584 - EKG chart looks very good - consistently normal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119587 -  ..
119588 - HR profile post-hike beginning 1630 and overnight until OA 0230 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119589 - morning shows considerable erratic heart beat 74 +/- with numerous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119590 - spikes, some above 150.  Max HR 159 and minimum HR 45 indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119591 - possible atrial fibrillatin (AF), while recovering from ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119592 - procedures.  This will reduce exposure to ischemic colitis, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119593 - on 200612 0700. ref SDS A2 RK6F  Appears pattern paroxysmal AF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119594 - episodes.  May correlate to very low BP 76 51 after hike today, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119595 - above. ref SDS 0 543M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119598 -              https://flow.polar.com/training/analysis/4898164291                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119602 -   
119603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119605 -             ..
119606 -            [On 200716 1048 letter submits Polar HR report to Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119607 -            Pellegrini and Doctor Simpson on first evident episode of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119608 -            AF since ablation procedure on 200430 and 200511.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119609 -            ref SDS A5 SN55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119611 -  ..
119612 - 2nd HR profile continuing at 0230 next morning until 0530 shows near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119613 - perfect heart beat 64 with no spikes.  Max HR 105, after getting up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119614 - and moving around; minumum HR 50 indicates likely no paroxysmal AF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119617 -              https://flow.polar.com/training/analysis/4898164546                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119621 -   
119622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119624 -  ..
119625 - Breakfast - ensure half banana with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119626 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119627 - Dinner - pasta hamburger lettuce avocado tuna salmon onion tomato,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119628 - jello                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119630 -  ..
119631 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119637 -         ..
119638 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119639 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119640 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119641 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119642 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119643 -  198.  200716 0540............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119644 -               0650....BP HR..................................................... 128  74  56  Kardia ECG reports HR Normal, see below. ref SDS 0 YQPP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119645 -               0655....BP HR..................................................... 144  76  59  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119646 -               0700....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119647 -               0700... 20 975780 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119648 -               0700... 80 195440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119649 -           **  0700... 25   1025.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119650 -               0700... 05 1650 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119651 -               0700... 75 2475 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119652 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
119653 -               1240... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119654 -               1240... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119655 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119656 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119657 -               1240....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119658 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119659 -               1245....miles...........  14.0  28.0  233   239 minutes  temp  80  windy cooling breeze                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119660 -               1440... Simethicone 80   640 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119661 -               1745....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119662 -               1755....BP HR..................................................... 110  68  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119663 -               1800....BP HR..................................................... 111  68  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119664 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119665 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119666 -               1815... 40 59480 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
119667 -             1 0000............ 10 13920  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119668 -             1 0000............ 10 13510  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119669 -               2040... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119670 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119671 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119672 -               2100... 40 39460 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119673 -               2130... 1000  869000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119674 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119675 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119676 -               2150... 05 1675 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119677 -               2200... 80 195520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119678 -               2310... Simethicone 80   720 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119679 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119681 -  ..
119682 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119683 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119684 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119685 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119686 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119687 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119688 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119689 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119691 -  ..
119692 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119694 -  ..
119695 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119696 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119697 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119699 -  ..
119700 - Dizzy - noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119701 - 200527 0730. ref SDS 96 FR8I   Since did not take apixaban today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119702 - could be naproxen and gabapentin causing neurological deficits.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119704 -  ..
119705 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119707 -  ..
119708 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119709 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119711 -  ..
119712 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119714 -  ..
119715 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119716 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119718 -  ..
119719 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119720 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119721 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119722 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119723 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119724 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119725 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119726 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119727 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119728 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119729 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119730 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119731 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119733 -  ..
119734 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119735 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119737 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119738 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119739 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119740 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119741 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119742 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119743 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119744 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119745 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119746 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119747 -        Knee left skin lesions left side.............   2        100  diclofenac omitted today due to rising lesions adverse reactions                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119748 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119749 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119750 -        Knee buckling left..PRP 191009...............   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119751 -        Knee left cruciate ligaments back of knee....   2          3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119752 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119753 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119754 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119755 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119756 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119757 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119758 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119759 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119760 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119761 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119762 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119763 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119764 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119765 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119766 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119767 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119768 -        Callus big toe left foot.....................   2         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119769 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119770 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119771 -        Blister ring toe right foot..................   1         90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119772 -        Blister ring toe left foot...................   2         90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119773 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119774 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119775 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119776 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119777 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119778 -        Wobbly disoriented staggering dizzy..........   1        100  wobbly entire hike after taking oxycodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119780 -  ..
119781 - Body feels better than yeserday, i.e., less tired and BP more normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119782 - for after hiking 14 miles in 80 degrees following PRP on 191009 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119783 - ref SDS 78 0001  Last 2 miles coming uphill on Treat was handled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119784 - well, breathing through nose, as for rest of hike.
119786 - -
119787 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119788 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119789 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119791 -  ..
119792 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119794 -  ..
119795 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119796 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119797 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119799 -  ..
119800 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119801 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119802 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119803 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119804 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119806 -  ..
119807 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119808 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119810 -  ..
119811 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119812 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119813 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119815 -  ..
119816 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119817 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119818 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119819 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119820 - ref SDS 77 SM4M  After hike on 200716, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119821 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119822 - ref SDS 0 FX4H  Today, wore 2-pair Wrightsock thin double-ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119823 - and laced shoes snuggly.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119825 -  ..
119826 - Concord 14 mile route - Starting energy okay today, Wearing Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119827 - 6 shoes received on 190927 1110, ref SDS 77 SM4M; and wore 2-pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119828 - double-ply Wright socks received on 191010 1344, ref SDS 79 SM4M, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119829 - prevent blisters.  Took Metoprolol 1 pill 25 mg in morning to manage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119830 - HR during hike and minimize ARDS shortness of breath, and blurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119831 - vision side effects.  Hiked from Cuneo uphill to Treat.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119832 - easily through nose entire hike.  Temperatur reached 80, but cool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119833 - breeze, so did not feel hot.  Continued normal pace on Treat hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119834 - East 1 mile to Clayton.  Time 20 minutes at mile 1.25 turned corner.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119835 - Hiking South on Clayton 2 miles at normal pace, mostly on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119836 - concrete sidewalk.  At mile 3.50, turned West onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119837 - hiking on concrete sidewalk another .5 mile.  About mile 4, crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119838 - South side Ygnacio Valley Road hiking West on asphalt shoulder aganist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119839 - East bound traffic.  At mile 5, stopped at Texaco gas station - HR 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119840 - EKG reported Tachycardia - see below. ref SDS 0 YQTR  Bought softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119841 - to hydrate, per telecon with Doctor Lee this morning. ref SDS A4 N88N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119842 - Also bought banana to eat something.  Continued hike to Pine Hollow,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119843 - then took Campus Road .75-mile uphill to California Sate University                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119844 - visitor parking.  Legs strong going uphill, indicating vasodilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119845 - activated.  Did 1-loop of about 2 miles through adjoining Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119846 - Student Parking lots.  Did not include sub-loop uphill .5 mile on the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119847 - cross street between upper and lower areas.  At mile 8 took Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119848 - Road North .25 mile downhill to Ygnacio Valley Road - left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119849 - patella pain level 0 at all times, while not taking naproxen.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119850 - West .5 miles past Crystal Ranch Road and uphill past Cowell.  Wobbly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119851 - and disoriented hiking with oxycodone pain medication per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119852 - ref SDS 0 FX4H  At mile 9.5 crossed from South side of Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119853 - Road to the North side in order to avoid severely sloped shoulder on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119854 - South Side.  On North side continued West over the summit and past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119855 - concrete traffic seperation bariars.  At mile 10 crossed back to South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119856 - side Ygnacio Valley Road.  Continued West 2 miles downhill to Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119857 - Grove.  About half way down feeling both feet metatarsalgia pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119858 - 2 for about a mile.  This subsided to pain level 0.  At Oak Grove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119859 - hiked .25 miles on asphalt path parallel to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119860 - Turned North on Via Monte and hiked .25 mile still on asphalt path to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119861 - Shadelands.  Turned around and hike back to Ygnacio Valley Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119862 - turned left and East back Oak Grove, about mile 11.  Turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119863 - hiked 1 mile North on Oak Grove to Treat.  Hiked East 1 miles to San                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119864 - Miguel.  Hiked uphill .5 miles - did this better than yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119865 - Continued on flat grade to Cuneo at mile 14, completed hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119867 -  ..
119868 - Kardia recorded HR 55 at 0653 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119871 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200716-ecg-065310_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119874 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119876 -  ..
119877 - EKG extremely erratic on 1st beat, then perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119880 -  ..
119881 - Polar HR GPS study during 14-mile hike shows relatively HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119882 - that rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119885 -       Date      200716 200715 200714 200713 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 200428 200427 200426 200425 20  
119886 -       Miles        14     14      0      0      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17     14     17     12     18       
119887 -       HR AVG      114    120     no     no    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    131     88     86     88       
119888 -         MAX       135    145  report  eport   136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    165    120    122    117    1  
119889 -         Min        78     98                   87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74     74     56     65     60       
119890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119892 -  ..
119893 - HR profile showing average 114 and max 135 with temperature 80, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119894 - no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119895 - ref SDS 94 244I  Pace okay, and did not shuffle feet and not wobbly at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119896 - any time taking oxycodone and gabapentin, per above. ref SDS 0 FX4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119897 - Last 2 miles slowed and struggled to complete hike, but faster than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119898 - yesterday.  HR diagnostics while hiking contrast significantly with HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119899 - profile over night indicating recurrance of atrial fibrillation, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119900 - above. ref SDS 0 XYWP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119903 -              https://flow.polar.com/training/analysis/4900216021                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119907 -   
119908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119911 -  ..
119912 - EKG Kardia recorded HR 107 at 5 miles - reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119915 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200716-ecg-140416_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119917 -  ..
119918 - Looks severely erratic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119921 -  ..
119922 - EKG 90 minutes after hiking 14 miles HR 79 - Kardia shows Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119925 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200716-ecg-183145_mile_14.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119928 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119930 -  ..
119931 - EKG chart looks very good - consistently normal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119934 -  ..
119935 - HR profile post-hike beginning 1617 and overnight until OA 0500 next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119936 - morning shows mostly steady heart beat 72 +/- with 0 spikes above 140.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119937 - Few spikes above 116.  Max HR 135 and minimum HR 40 indicates possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119938 - mini-atrial fibrillatin (AF), while recovering from ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119939 - procedures.  This continues exposure to ischemic colitis, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119940 - 200612 0700. ref SDS A2 RK6F  Appears pattern paroxysmal AF episodes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119941 - May correlate to very low BP 76 51 after hike yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119942 - ref SDS 0 543M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119945 -              https://flow.polar.com/training/analysis/4903650686                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119949 -   
119950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119952 -  ..
119953 - Breakfast - ensure half banana with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119954 - Lunch - banana softdrink at mile 5 in hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119955 - Dinner - eggs toast pasta avocado tuna salmon onion tomato,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119956 - jello                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119958 -  ..
119959 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119965 -         ..
119966 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119967 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119968 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119969 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119970 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119971 -  199.  200717 0600............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119972 -               0830....BP HR..................................................... 123  70  66  Kardia ECG reports HR Normal, see below. ref SDS 0 YTTS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119973 -               0855....BP HR..................................................... 119  69  57  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119974 -               0800....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119975 -               0800... 20 975800 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119976 -               0800... 80 195600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119977 -           **  0800... 25   1050.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119978 -               0800... 05 1660 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119979 -               0800... 75 2550 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119980 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
119981 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119982 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119983 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119984 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119985 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119986 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119987 -               1700... 40 59520 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
119988 -               1830............ 10 13930  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119989 -               1830............ 10 13520  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119990 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119991 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119992 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119993 -               1940... Simethicone 80   800 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119994 -               2100... 40 39500 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119995 -               2130... 1000  870000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119996 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119997 -            *2 2145....Tramadol 50 1900 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119998 -               2150... 05 1675 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119999 -               2200... 80 195680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120000 -               2320... Simethicone 80   880 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120001 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120003 -  ..
120004 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120005 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120006 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120007 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120008 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120009 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120010 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120011 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120013 -  ..
120014 - *2  Tramadol took for restless legs and to sleep.  Aspirated 1st pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120015 - while laying down on bed; so took 2nd pill and tried to sleep rest of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120016 - night in recliner chair.  Could not sleep, felt odd; laying on bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120017 - even with 2 pillows caused vomiting.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120019 -  ..
120020 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120022 -  ..
120023 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120024 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120025 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120027 -  ..
120028 - Dizzy - noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120029 - 200527 0730. ref SDS 96 FR8I   Since did not take apixaban today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120030 - could be naproxen and gabapentin causing neurological deficits.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120032 -  ..
120033 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120035 -  ..
120036 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120037 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120039 -  ..
120040 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120042 -  ..
120043 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120044 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120046 -  ..
120047 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120048 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120049 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120050 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120051 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120052 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120053 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120054 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120055 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120056 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120057 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120058 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120059 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120061 -  ..
120062 - Hiking - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120064 -  ..
120065 - Kardia recorded HR 73 at 0710 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120068 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200717-ecg-071027_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120071 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120073 -  ..
120074 - EKG seems perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120076 -  ..
120077 - Breakfast - ensure half banana with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120078 - Lunch - sandwich balogna onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120079 - Dinner - pasta avocado tuna salmon onion tomato,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120081 -  ..
120082 - Vomiting: 0% aspirated 1st tramadol from throat, see above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120083 - ref SDS 0 FW9G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120088 -         ..
120089 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120090 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120091 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120092 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120093 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120094 -  200.  200718 0630............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120095 -               0630....BP HR..................................................... 116  70  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120096 -               0655....BP HR..................................................... 113  56  55  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120097 -               0600....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120098 -               0600... 20 975820 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120099 -               0600... 80 195760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120100 -           **  0600... 25   1075.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120101 -               0600... 05 1670 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120102 -               0600... 75 2625 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120103 -               1010... Simethicone 80   960 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120104 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
120105 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120106 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120107 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120108 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120109 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120110 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120111 -               1700... 40 59560 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
120112 -             1 0000............ 10 13930  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120113 -             1 0000............ 10 13520  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120114 -               1910... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120115 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120116 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120117 -               2015... Simethicone 80  1040 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120118 -               2100... 40 39540 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120119 -               2130... 1000  871000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120120 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120121 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120122 -               2150... 05 1685 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120123 -               2200... 80 195840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120124 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120126 -  ..
120127 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120128 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120129 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120130 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120131 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120132 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120133 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120134 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120136 -  ..
120137 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120139 -  ..
120140 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120141 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120142 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120144 -  ..
120145 - Dizzy - noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120146 - 200527 0730. ref SDS 96 FR8I   Since did not take apixaban today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120147 - could be naproxen and gabapentin causing neurological deficits.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120149 -  ..
120150 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120152 -  ..
120153 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120154 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120156 -  ..
120157 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120159 -  ..
120160 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120161 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120163 -  ..
120164 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120165 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120166 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120167 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120168 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120169 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120170 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120171 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120172 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120173 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120174 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120175 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120176 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120178 -  ..
120179 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120180 - reduce pressure, shown above. ref SDS 83 QVWS  In evening on 200718,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120181 - shaved calluses big toes and Tailor's Bunions, and applied ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120182 - lactate lotion to feet. ref SDS 0 9G8J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120184 -  ..
120185 - Hiking - none today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120187 -  ..
120188 - HR profile post-hike (actually no hiking today) beginning 1228 until                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120189 - OA 0700 next morning reports steady heart beat 61 +/- with "0" spikes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120190 - above 120.  Got up 5 times to urinate overnight.  Max HR 116 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120191 - minimum HR 41 aligns with indoor activity using the computer for SDS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120192 - indicating no likely atrial fibrillatin (AF), while recovering from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120193 - ablation procedures.  This will reduce exposure to ischemic colitis,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120194 - reported on 200612 0700. ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120197 -              https://flow.polar.com/training/analysis/4909387746                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120202 -   
120203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120205 -  ..
120206 - Breakfast - ensure half banana with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120207 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120208 - Dinner - hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120210 -  ..
120211 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120217 -         ..
120218 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120219 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120220 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120221 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120222 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120223 -  201.  200719 0705............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120224 -               0730....BP HR..................................................... 142  75  60  Kardia ECG reports HR Normal, see below. ref SDS 0 YYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120225 -               0735....BP HR..................................................... 131  80  53  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120226 -               0740....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120227 -               0740... 20 975840 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120228 -               0740... 80 195920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120229 -           **  0740... 25   1100.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120230 -               0740... 05 1680 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120231 -               0740... 75 2700 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120232 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
120233 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120234 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120235 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120236 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120237 -               0900....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120238 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120239 -               0930....miles...........   4.0  32.0   64   535 minutes  temp  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120240 -               1120....weight....................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120241 -               1125....BP HR.....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120242 -               1800....BP HR.....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120243 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120244 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120245 -               1205....miles...........   4.0  36.0   69    61 minutes  temp  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120246 -               1329... Simethicone 80  1120 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120247 -               1120....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120248 -               1125....BP HR..................................................... 113  63  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120249 -               1800....BP HR..................................................... 117  70  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120250 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120251 -               1700... 40 59600 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
120252 -               1830............ 10 13940  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120253 -               1830............ 10 13530  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120254 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120255 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120256 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120257 -               2100... 40 39580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120258 -               2130... 1000  872000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120259 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120260 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120261 -               2150... 05 1695 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120262 -               2200... 80 196000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120263 -               2240... Simethicone 80  1200 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120264 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120266 -  ..
120267 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120268 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120269 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120270 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120271 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120272 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120273 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120274 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120276 -  ..
120277 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120279 -  ..
120280 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120281 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120282 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120284 -  ..
120285 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120286 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120288 -  ..
120289 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120291 -  ..
120292 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120293 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120295 -  ..
120296 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120298 -  ..
120299 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120300 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120302 -  ..
120303 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120304 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120305 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120306 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120307 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120308 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120309 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120310 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120311 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120312 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120313 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120314 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120315 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120317 -  ..
120318 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120319 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120321 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120322 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120323 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120324 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120325 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120326 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120327 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120328 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120329 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120330 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120331 -        Knee left skin lesions left side.............   0        100  diclofenac omitted today due to rising lesions adverse reactions                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120332 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120333 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120334 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120335 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120336 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120337 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120338 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120339 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120340 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120341 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120342 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120343 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120344 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120345 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120346 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120347 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120348 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120349 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120350 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120351 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120352 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120353 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120354 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120355 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120356 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120357 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120358 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120359 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120360 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120361 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120362 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120364 -  ..
120365 - Body feels weak, fatigued and BP more normal for after hiking 4 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120366 - in 70 degrees at high speed, following PRP on 191009 1500, ref SDS 78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120367 - 0001
120369 - -
120370 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120371 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120372 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120374 -  ..
120375 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120377 -  ..
120378 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120379 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120380 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120382 -  ..
120383 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120384 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120385 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120386 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120387 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120389 -  ..
120390 - Socks - wore Smartwool socks for short 4-mile hike.  No blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120392 -  ..
120393 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120394 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120395 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120397 -  ..
120398 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120399 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120400 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120401 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120402 - ref SDS 77 SM4M  After hike on 200715, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120403 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120404 - ref SDS 0 543M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120406 -  ..
120407 - Lafayette Reservoir 4-mile route - hiked .75 mile with Kathy around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120408 - North end of reservoir - then hiked rest of 3 mile circle.  Handled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120409 - numberous short hills well without shortness of breath.  Made Killer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120410 - Ridge Maintained good pace.  Passed numerous hikers.  Raced 2 women                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120411 - for .75 miles.  Increased pace so had to breath through mouth.  1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120412 - woman finally passed me, but then pulled off the trail to rest and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120413 - wait for her friend.  She offered complimentary comment, as I passed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120414 - her.  Looped back around at the end to .5 mile, then doubled back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120415 - the starting point, for 4 miles.  Raced another woman heading back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120416 - toward South end of dam and up the hill to the park area.  Lot of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120417 - racing today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120419 -  ..
120420 - Concord 4.5 mile route - Starting energy low after hiking 4 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120421 - around Lafayetter Reservoir with continual hills up and down.  Wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120422 - Hoka Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M; and wore                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120423 - 2-pair double-ply Wright socks received on 191010 1344, ref SDS 79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120424 - SM4M, to prevent blisters.  Took Metoprolol 1 pill 25 mg in morning to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120425 - manage HR during hike and minimize ARDS shortness of breath, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120426 - blurred vision side effects.  Hiked from Cuneo uphill to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120427 - Breathed easily through nose entire hike.  Temperatur reached 80, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120428 - cool breeze, so did not feel hot.  Continued normal pace on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120429 - hiking East 1 mile to Clayton.  Time 20 minutes at mile 1.25 turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120430 - corner.  Hiking South on Clayton 2 miles at normal pace, mostly on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120431 - flat concrete sidewalk.  At mile 3.50, turned West onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120432 - Road hiking on concrete sidewalk another .5 mile.  About mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120433 - crossed to South side Ygnacio Valley Road hiking West on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120434 - shoulder aganist East bound traffic.  At mile 5, stopped at Texaco gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120435 - station - HR 102 EKG reported Atrial Fibrillation. - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120436 - ref SDS 0 YWTS  Drove home with Kathy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120438 -  ..
120439 - Kardia recorded HR 61 at 0726 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120442 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200719-ecg-072617_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120445 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120447 -  ..
120448 - EKG seems perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120451 -  ..
120452 - Polar HR GPS study during 4-mile hike shows HR profile that rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120453 - falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120455 -                      A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120456 -       Date      200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 200429 20  
120457 -       Miles         4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0     17       
120458 -       HR AVG      110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  131    1  
120459 -         MAX       134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 165    1  
120460 -         Min        73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                          74       
120461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120463 -  ..
120464 - HR profile showing average 110 and max 134 with temperature 73, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120465 - no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120466 - ref SDS 94 244I  Pace okay, and did not shuffle feet and not wobbly at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120467 - any time without taking oxycodone and gabapentin, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120468 - ref SDS 0 WC4L  HR diagnostics while hiking align with HR profile over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120469 - night indicating no recurrance of atrial fibrillation, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120470 - ref SDS 0 YXUP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120473 -              https://flow.polar.com/training/analysis/4910541901                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120477 -   
120478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120480 -  ..
120481 - EKG 90 minutes after hiking 4 miles HR 58 - Kardia shows Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120484 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200719-ecg-114925_mile_04.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120487 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120489 -  ..
120490 - EKG chart looks very good - consistently normal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120494 -  ..
120495 - Polar HR GPS study during 2nd 4-mile hike shows HR profile that rises                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120496 - and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120498 -                      B                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120499 -       Date      200719 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 20  
120500 -       Miles         4      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0       
120501 -       HR AVG      106    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  1  
120502 -         MAX       116    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 1  
120503 -         Min        88     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                            
120504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120506 -  ..
120507 - HR profile showing average 106 and max 116 with temperature 84, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120508 - no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120509 - ref SDS 94 244I  Pace okay, and did not shuffle feet and not wobbly at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120510 - any time without taking oxycodone and gabapentin, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120511 - ref SDS 0 WC4L  HR diagnostics while hiking align with HR profile over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120512 - night indicating no recurrance of atrial fibrillation, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120513 - ref SDS 0 YXUP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120516 -              https://flow.polar.com/training/analysis/4911145176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120520 -   
120521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120523 -  ..
120524 - EKG 0 minutes after hiking 4 miles HR 102 - Kardia shows Possible Atrial Fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120527 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200719-ecg-132719_mile_04.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120530 -  ..
120531 - EKG chart shows 4+ major spikes indicative of AF - seems conflicting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120532 - with Polar HR report, per above. ref SDS 0 2A4J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120534 -            [On 200722 2038 letter from Doctor Pellegrini notifies that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120535 -            ECG tracings reporting "possible atrial fibrillation" for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120536 -            hike on 200719, look good to her, saying they do not show                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120537 -            actual AF, because they show underlying atrial activity and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120538 -            a regular rhythm; so patient is on track recovering from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120539 -            AF. ref SDS A7 NE9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120541 -  ..
120542 - EKG 90 minutes after hiking 4 miles HR 59 - Kardia shows Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120545 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200719-ecg-143755_mile_04.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120548 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120550 -  ..
120551 - EKG chart looks very good - consistently normal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120554 -  ..
120555 - HR profile post-hike beginning 1513 until next day OA 0620 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120556 - mostly steady heart beat 60 +/- with 1 spike above 130, and several                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120557 - other mini-spikes.  Max HR 141 and minimum HR 39 aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120558 - activity; seems to indicate likely atrial fibrillatin (AF), while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120559 - recovering from ablation procedures.  This increases exposure to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120560 - ischemic colitis, reported on 200612 0700. ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120563 -              https://flow.polar.com/training/analysis/4912998456                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120567 -   
120568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120570 -  ..
120571 - Breakfast - ensure half banana with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120572 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120573 - Dinner - meatloaf broccoli rice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120575 -  ..
120576 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120582 -         ..
120583 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120584 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120585 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120586 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120587 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120588 -  202.  200720 0725............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120589 -               0730....BP HR..................................................... 152  77  65  Kardia ECG reports HR Normal, see below. ref SDS 0 PPUQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120590 -               0735....BP HR..................................................... 140  77  61  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120591 -               0740....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120592 -               0740... 20 975840 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120593 -               0740... 80 195920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120594 -           **  0740... 25   1100.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120595 -               0740... 05 1680 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120596 -               0740... 75 2700 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120597 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
120598 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120599 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120600 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120601 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120602 -               0910... Simethicone 80  1280 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120603 -               0920....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120604 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120605 -               0950....miles...........   5.0   5.0   83    83 minutes  temp  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120606 -               1220....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120607 -               1315....BP HR..................................................... 125  78  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120608 -               1320....BP HR..................................................... 117  70  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120609 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120610 -               1720... 40 59600 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
120611 -             1 0000............ 10 13940  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120612 -             1 0000............ 10 13530  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120613 -               1930... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120614 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120615 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120616 -               2100... 40 39580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120617 -               2130... 1000  872000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120618 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120619 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120620 -               2150... 05 1695 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120621 -               2200... 80 196000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120622 -               2240... Simethicone 80  1360 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120623 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120625 -  ..
120626 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120627 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120628 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120629 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120630 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120631 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120632 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120633 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120635 -  ..
120636 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120638 -  ..
120639 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120640 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120641 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120643 -  ..
120644 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120645 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120647 -  ..
120648 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120650 -  ..
120651 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120652 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120654 -  ..
120655 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120657 -  ..
120658 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120659 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120661 -  ..
120662 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120663 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120664 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120665 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120666 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120667 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120668 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120669 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120670 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120671 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120672 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120673 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120674 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120676 -  ..
120677 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120678 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120680 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120681 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120682 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120683 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120684 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120685 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120686 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120687 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120688 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120689 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120690 -        Knee left skin lesions left side.............   0        100  diclofenac omitted today due to rising lesions adverse reactions                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120691 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120692 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120693 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120694 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120695 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120696 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120697 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120698 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120699 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120700 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120701 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120702 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120703 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120704 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120705 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120706 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120707 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120708 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120709 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120710 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120711 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120712 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120713 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120714 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120715 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120716 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120717 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120718 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120719 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120720 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120721 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120723 -  ..
120724 - Body feels good and BP more normal for after hiking 5 miles in 68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120725 - degrees at high speed, following PRP on 191009 1500, ref SDS 78 0001
120727 - -
120728 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120729 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120730 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120732 -  ..
120733 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120735 -  ..
120736 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120737 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120738 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120740 -  ..
120741 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120742 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120743 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120744 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120745 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120747 -  ..
120748 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120749 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120751 -  ..
120752 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120753 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120754 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120756 -  ..
120757 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120758 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120759 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120760 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120761 - ref SDS 77 SM4M  After hike on 200720, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120762 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120763 - ref SDS 0 SU5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120765 -  ..
120766 - Lafayette Reservoir 5-mile route - hiked .75 mile with Kathy around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120767 - North end of reservoir - then hiked rest of 3 mile loop.  Handled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120768 - numberous short hills well; shortness of breath 1st time in many years                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120769 - on 1st big hill.  Made Killer Ridge good pace, but again shortness of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120770 - breath.  Passed some hikers, and was passed by 1 hiker.  Did not try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120771 - to keep up with new protocol to reduce level of effort hiking.  Looped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120772 - back around at the end to 1 mile, then doubled back to the starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120773 - point, for 5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120775 -  ..
120776 - Kardia recorded HR 60 at 0705 - Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120779 -              F:\05\00003\SM\CC\BNKG\00101cc\HR_200720-ecg-070532_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120782 - ...and says:  Atrial fibrillation was not detected and your EKG does                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120783 - not fall under the algorithmic classifications of Normal, Braydcardia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120784 - or Tachcardia.  This may be caused by otehr arrhythmias, unusually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120785 - fast or slow heart rates, or poor quality recordings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120787 -  ..
120788 - EKG seems perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120791 -  ..
120792 - Polar HR GPS study during 5-mile hike shows HR profile that rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120793 - falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120796 -       Date      200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 200430 20  
120797 -       Miles         5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0      0       
120798 -       HR AVG      109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  ablation  1  
120799 -         MAX       125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L atrial 1  
120800 -         Min        77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                            
120801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120803 -  ..
120804 - HR profile showing average 109 and max 125 with temperature 68, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120805 - no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120806 - ref SDS 94 244I  Pace okay, and did not shuffle feet and not wobbly at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120807 - any time without taking oxycodone and gabapentin, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120808 - ref SDS 0 SU5O  HR diagnostics while hiking align with HR profile over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120809 - night indicating no recurrance of atrial fibrillation, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120810 - ref SDS 0 YYWR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120813 -              https://flow.polar.com/training/analysis/4914600716                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120817 -   
120818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120820 -  ..
120821 - EKG 5 minutes after hiking 5 miles HR 90 - Kardia shows Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120824 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200720-ecg-113524_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120827 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120829 -  ..
120830 - EKG chart looks very good - consistently normal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120834 -  ..
120835 - EKG 90 minutes after hiking 5 miles HR 59 - Kardia shows Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120838 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200720-ecg-130415_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120841 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120843 -  ..
120844 - EKG chart looks very good - consistently normal, except last heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120845 - beat looks abnormal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120849 -  ..
120850 - HR profile post-hike beginning 1605 until next day OA 0640 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120851 - mostly steady heart beat 66 +/- with 0 spike above 130, and several                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120852 - mini-spikes.  Max HR 114 and minimum HR 53 aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120853 - activity; seems to indicate no likely atrial fibrillatin (AF), while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120854 - recovering from ablation procedures.  This reduces exposure to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120855 - ischemic colitis, reported on 200612 0700. ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120858 -              https://flow.polar.com/training/analysis/4917172341                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120862 -   
120863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120865 -  ..
120866 - Breakfast - cheerios banana milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120867 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120868 - Dinner - meatloaf broccoli rice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120870 -  ..
120871 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120876 -         ..
120877 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120878 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120879 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120880 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120881 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120882 -  203.  200721 0705............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120883 -               0710....BP HR..................................................... 143  78  58  Kardia ECG reports HR Normal, see below. ref SDS 0 PSQV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120884 -               0715....BP HR..................................................... 132  78  54  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120885 -               0720....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120886 -               0720... 20 975860 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120887 -               0720... 80 196080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120888 -           **  0720... 25   1125.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120889 -               0720... 05 1690 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120890 -               0720... 75 2775 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120891 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
120892 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120893 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120894 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120895 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120896 -               0000... Simethicone 80  1280 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120897 -               0920....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120898 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120899 -               0935....miles...........   6.0  11.0   99   182 minutes  temp  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120900 -               1220....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120901 -               1230....BP HR..................................................... 115  72  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120902 -               1235....BP HR..................................................... 121  71  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120903 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120904 -               1700... 40 59640 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
120905 -               1830............ 10 13950  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120906 -               1830............ 10 13540  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120907 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120908 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120909 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120910 -               2100... 40 39620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120911 -               2130... 1000  873000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120912 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120913 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120914 -               2150... 05 1695 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120915 -               2200... 80 196160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120916 -               0000... Simethicone 80  1360 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120917 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120919 -  ..
120920 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120921 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120922 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120923 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120924 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120925 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120926 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120927 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120929 -  ..
120930 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120932 -  ..
120933 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120934 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120935 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120937 -  ..
120938 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120939 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120941 -  ..
120942 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120944 -  ..
120945 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120946 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120948 -  ..
120949 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120951 -  ..
120952 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120953 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120955 -  ..
120956 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120957 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120958 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120959 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120960 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120961 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120962 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120963 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120964 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120965 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120966 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120967 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120968 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120970 -  ..
120971 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120972 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120974 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120975 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120976 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120977 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120978 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120979 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120980 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120981 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120982 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120983 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120984 -        Knee left skin lesions left side.............   0        100  diclofenac omitted today due to rising lesions adverse reactions                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120985 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120986 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120987 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120988 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120989 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120990 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120991 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120992 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120993 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120994 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120995 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120996 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120997 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120998 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120999 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121000 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121001 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121002 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121003 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121004 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121005 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121006 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121007 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121008 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121009 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121010 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121011 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121012 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121013 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121014 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121015 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121017 -  ..
121018 - Body feels good and BP more normal for after hiking 6 miles in 68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121019 - degrees at high speed, following PRP on 191009 1500, ref SDS 78 0001
121021 - -
121022 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121023 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121024 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121026 -  ..
121027 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121029 -  ..
121030 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121031 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121032 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121034 -  ..
121035 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121036 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121037 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121038 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121039 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121041 -  ..
121042 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121043 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121045 -  ..
121046 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121047 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121048 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121050 -  ..
121051 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121052 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121053 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121054 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121055 - ref SDS 77 SM4M  After hike on 200720, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121056 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121057 - ref SDS 0 SU5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121059 -  ..
121060 - Lafayette Reservoir 6-mile route - hiked .25 mile up steep hill from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121061 - park entrance; hiked .75 mile very slow with Kathy around North end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121062 - reservoir - then hiked rest of 3 mile loop.  Handled numberous short                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121063 - hills well; shortness of breath 1st time in many years on initial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121064 - steep hill into the park; had to stop and rest - never had to do that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121065 - before, indicates conditioning declining.  Made Killer Ridge 7% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121066 - with good pace, but again shortness of breath - had to breath through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121067 - mouth at top of hill for 100 yards.  Passed some hikers, and was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121068 - passed numerous hikers.  Looped back around at the end to 1 mile, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121069 - doubled back to the starting point, for 6 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121071 -  ..
121072 - Kardia recorded HR 57 at 0718 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121075 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200721-ecg-071843_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121078 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121080 -  ..
121081 - EKG seems perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121084 -  ..
121085 - Polar HR GPS study during 5-mile hike shows HR profile that rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121086 - falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121089 -       Date      200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 200502 200501 20  
121090 -       Miles         6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8      0      0       
121091 -       HR AVG      121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    no     no  abla  
121092 -         MAX       135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hike   hike  L a  
121093 -         Min       104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66                     
121094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121096 -  ..
121097 - HR profile showing average 121 and max 135 with temperature 68, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121098 - no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121099 - ref SDS 94 244I  Pace okay, and did not shuffle feet and not wobbly at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121100 - any time without taking oxycodone and gabapentin, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121101 - ref SDS 0 SH5I  HR diagnostics while hiking align with HR profile over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121102 - night indicating no recurrance of atrial fibrillation, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121103 - ref SDS 0 PQVR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121106 -              https://flow.polar.com/training/analysis/4918570366                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121110 -   
121111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121113 -  ..
121114 - EKG 5 minutes after hiking 6 miles HR 98 - Kardia shows Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121117 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200721-ecg-112714_mile_06.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121120 - ...and says:  Atrial fibrillation was not detected and your EKG does                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121121 - not fall under the algorithmic classifications of Normal, Braydcardia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121122 - or Tachcardia.  This may be caused by otehr arrhythmias, unusually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121123 - fast or slow heart rates, or poor quality recordings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121125 -  ..
121126 - EKG chart looks good - very consistent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121129 -  ..
121130 - EKG 90 minutes after hiking 6 miles HR 58 - Kardia shows Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121133 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200721-ecg-130513_mile_06.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121136 - ...and says:  Atrial fibrillation was not detected and your EKG does                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121137 - not fall under the algorithmic classifications of Normal, Braydcardia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121138 - or Tachcardia.  This may be caused by otehr arrhythmias, unusually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121139 - fast or slow heart rates, or poor quality recordings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121141 -  ..
121142 - EKG chart looks good - very consistent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121146 -  ..
121147 - HR profile post-hike beginning 1512 until next day OA 0640 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121148 - mostly steady heart beat 66 +/- with 0 spike above 140, there were 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121149 - spikes above 130 and several mini-spikes.  Max HR 135 and minimum HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121150 - 43 aligns with indoor activity; seems to indicate possible mini-atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121151 - fibrillatin (AF), while recovering from ablation procedures.  May                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121152 - increase exposure to ischemic colitis, reported on 200612 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121153 - ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121156 -              https://flow.polar.com/training/analysis/4921089731                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121160 -   
121161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121163 -  ..
121164 - Breakfast - cheerios banana milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121165 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121166 - Dinner - pasta asparagus onion tomato rice, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121168 -  ..
121169 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121174 -         ..
121175 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121176 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121177 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121178 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121179 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121180 -  204.  200722 0640............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121181 -               0855....BP HR..................................................... 149  86  66  Kardia ECG reports HR Normal, see below. ref SDS 0 PVPU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121182 -               0900....BP HR..................................................... 138  85  61  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121183 -               0910....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121184 -               0910... 20 975880 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121185 -               0910... 80 196240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121186 -           **  0910... 25   1150.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121187 -               0910... 05 1700 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121188 -               0910... 75 2775 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121189 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
121190 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121191 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121192 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121193 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121194 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121195 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121196 -               1700... 40 59640 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
121197 -             1 0000............ 10 13950  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121198 -             1 0000............ 10 13540  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121199 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121200 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121201 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121202 -               2100... 40 39620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121203 -               2130... 1000  873000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121204 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121205 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121206 -               2135... Simethicone 80  1440 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121207 -               2150... 05 1705 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121208 -               2200... 80 196320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121209 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121211 -  ..
121212 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121213 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121214 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121215 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121216 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121217 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121218 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121219 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121221 -  ..
121222 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121224 -  ..
121225 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121226 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121227 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121229 -  ..
121230 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121231 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121233 -  ..
121234 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121236 -  ..
121237 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121238 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121240 -  ..
121241 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121243 -  ..
121244 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121245 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121247 -  ..
121248 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121249 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121250 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121251 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121252 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121253 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121254 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121255 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121256 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121257 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121258 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121259 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121260 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121262 -  ..
121263 - Kardia recorded HR 58 at 0643 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121266 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200722-ecg-064348_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121269 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121271 -  ..
121272 - EKG seems perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121275 -  ..
121276 - HR profile post-hike beginning 1417 until next day OA 0700 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121277 - mostly steady heart beat 71 +/- with 3 spikes above 130, and several                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121278 - mini-spikes.  Max HR 153 and minimum HR 44 aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121279 - activity; seems to indicate some atrial fibrillatin (AF), while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121280 - recovering from ablation procedures.  This may increase exposure to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121281 - ischemic colitis, reported on 200612 0700. ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121284 -              https://flow.polar.com/training/analysis/4925040446                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121288 -   
121289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121291 -  ..
121292 - Breakfast - cheerios banana milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121293 - Lunch - sandwich tuna avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121294 - Dinner - eggs toast avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121296 -  ..
121297 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121303 -         ..
121304 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121305 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121306 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121307 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121308 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121309 -  205.  200723 0710............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121310 -               0730....BP HR..................................................... 138  79  57  Kardia ECG reports HR Normal, see below. ref SDS 0 PYPX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121311 -               0735....BP HR..................................................... 131  80  56  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121312 -               0740....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121313 -               0740... 20 975900 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121314 -               0740... 80 196400 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121315 -           **  0740... 25   1175.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121316 -               0740... 05 1710 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121317 -               0740... 75 2850 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121318 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
121319 -               1345... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121320 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121321 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121322 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121323 -               1345....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121324 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121325 -               1350....miles...........  11.0  22.0  179   364 minutes  temp  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121326 -               1440... Simethicone 80  1520 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121327 -               1735....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121328 -               1750....BP HR.....................................................  68  50 101   pressure cuff device time out                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121329 -               1733....BP HR.....................................................  67  49  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121330 -               1814....BP HR.....................................................  63  47  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121331 -               1820....BP HR.....................................................  71  51  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121332 -               1822....BP HR.....................................................  72  50  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121333 -               1841....BP HR.....................................................  81  54  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121334 -               1852....BP HR.....................................................  79  56  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121335 -               1911....BP HR.....................................................  99  54  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121336 -               2030....BP HR.....................................................  93  55  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121337 -               2328....BP HR.....................................................  93  56  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121338 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121340 -             ..
121341 -            [On 200723 1820 letter notifies Doctor Simpson with copy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121342 -            Doctor Pellegrini (out of communication on vacation) of low                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121343 -            BP, asking when medical assistance should be consulted.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121344 -            ref SDS A8 046M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121347 -               1840... 40 59680 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
121348 -               1930............ 10 13960  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121349 -               1930............ 10 13550  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121350 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121351 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121352 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121353 -               2100... 40 39660 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121354 -               2130... 1000  874000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121355 -               2150... Simethicone 80  1600 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121356 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121357 -               0000....Tramadol 50 1850 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121358 -               2150... 05 1715 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121359 -               2200... 80 196480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121360 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121362 -  ..
121363 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121364 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121365 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121366 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121367 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121368 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121369 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121370 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121372 -  ..
121373 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121375 -  ..
121376 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121377 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121378 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121380 -  ..
121381 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121382 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121384 -  ..
121385 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121387 -  ..
121388 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121389 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121391 -  ..
121392 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121394 -  ..
121395 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121396 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121398 -  ..
121399 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121400 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121401 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121402 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121403 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121404 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121405 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121406 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121407 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121408 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121409 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121410 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121411 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121413 -  ..
121414 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121415 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121417 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121418 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121419 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121420 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121421 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121422 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121423 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121424 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121425 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121426 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121427 -        Knee left skin lesions left side.............   0        100  diclofenac omitted today due to rising lesions adverse reactions                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121428 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121429 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121430 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121431 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121432 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121433 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121434 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121435 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121436 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121437 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121438 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121439 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121440 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121441 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121442 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121443 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121444 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121445 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121446 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121447 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121448 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121449 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121450 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121451 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121452 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121453 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121454 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121455 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121456 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121457 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121458 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121460 -  ..
121461 - Body feels fatigued with very low BP after hiking 11 miles in 84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121462 - degrees at normal speed, following PRP on 191009 1500, ref SDS 78 0001
121464 - -
121465 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121466 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121467 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121469 -  ..
121470 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121471 - Little wobbly walking around.  At 2030 BP dropped to 93 55, and HD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121472 - down to 76, see above. ref SDS 0 4T4I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121474 -  ..
121475 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121476 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121477 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121479 -  ..
121480 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121481 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121482 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121483 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121484 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121486 -  ..
121487 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121488 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121490 -  ..
121491 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121492 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121493 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121495 -  ..
121496 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121497 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121498 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121499 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121500 - ref SDS 77 SM4M  After hike on 200720, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121501 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121502 - ref SDS 0 SU5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121504 -  ..
121505 - Concord 11 mile route - Starting energy okay today, Wearing Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121506 - 6 shoes received on 190927 1110, ref SDS 77 SM4M; and wore 2-pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121507 - double-ply Wright socks received on 191010 1344, ref SDS 79 SM4M, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121508 - prevent blisters.  Took Metoprolol 1 pill 25 mg in morning to manage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121509 - HR during hike and minimize ARDS shortness of breath, and blurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121510 - vision side effects.  Hiked from Cuneo uphill to Treat.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121511 - easily through nose entire hike.  Continued normal pace on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121512 - hiking East 1 mile to Clayton.  Time 19 minutes at mile 1.25 turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121513 - corner.  Hiking South on Clayton 2 miles at normal pace, mostly on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121514 - flat concrete sidewalk.  At mile 3.75, turned West onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121515 - Road hiking on concrete sidewalk another .5 mile.  About mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121516 - crossed to South side Ygnacio Valley Road hiking West on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121517 - shoulder aganist East bound traffic.  At mile 5, stopped at Texaco gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121518 - station - HR 118 EKG reported Tachycardia - see below. ref SDS 0 NS5I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121519 - Continued hike to Pine Hollow, then took Campus Road .75-mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121520 - to California Sate University visitor parking.  Legs tired going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121521 - uphill, indicating vasodilation not activated.  Did 1-loop of about 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121522 - miles through adjoining Faculty and Student Parking lots.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121523 - hike sub-loop uphill .5 mile on the cross street between upper and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121524 - lower areas.  At mile 7 took Campus Road North .25 mile downhill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121525 - Ygnacio Valley Road.  Hiked West .5 miles and turned left hiking South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121526 - uphill on Crystal Ranch Road.  At mile .25, vasodilation still had not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121527 - increased energy.  Was breathing easily through nose going uphill, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121528 - was extremely tired, so stopped and hiked back to Yegnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121529 - Road.  Turned left and hiked West uphill past Cowell.  At mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121530 - crossed from South side of Ygnacio Valley Road to the North side in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121531 - order to avoid severely sloped shoulder on South Side.  On North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121532 - continued West over the summit and past concrete traffic seperation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121533 - bariars.  At mile 9 turned around and hiked back downhill to Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121534 - Turned left onto Cowell and hiked North 1 mile to Treat.  Hiked West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121535 - on Treat to Cuneo and home for 11 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121537 -  ..
121538 - Kardia recorded HR 65 at 0732 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121541 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200723-ecg-073248_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121544 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121546 -  ..
121547 - EKG seems perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121550 -  ..
121551 - Polar HR GPS study during 11-mile hike shows HR profile that rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121552 - falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121555 -       Date      200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 200504 200503 20  
121556 -       Miles        11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3     13      8       
121557 -       HR AVG      122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    102     93    n  
121558 -         MAX       140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    120    124   hi  
121559 -         Min        83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42     77     66       
121560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121562 -  ..
121563 - HR profile showing average 122 and max 140 with temperature 84, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121564 - no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121565 - ref SDS 94 244I  Pace okay, and did not shuffle feet and not wobbly at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121566 - any time without taking naproxen and oxycodone, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121567 - 4T4I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121570 -              https://flow.polar.com/training/analysis/4927041611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121574 -   
121575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121578 -  ..
121579 - EKG at mile 5 HR 118 - Kardia reported Tachcardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121582 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200723-ecg-150957_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121585 -  ..
121586 - EKG looks fast and consistent.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121590 -  ..
121591 - EKG 15 minutes after hiking 11 miles HR 113 - Kardia shows tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121594 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200723-ecg-173640_mile_11.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121597 - ...and says:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121599 -  ..
121600 - EKG chart similar to chart at mile 5. ref SDS 0 NS5I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121603 -  ..
121604 - EKG 15 minutes after hiking 11 miles HR 113 - Kardia shows tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121607 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200721-ecg-112714_mile_06.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121610 - ...and says:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121612 -  ..
121613 - EKG chart looks good - very consistent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121616 -  ..
121617 - EKG 120 minutes after hiking 11 miles HR 58 - Kardia shows Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121618 - Atrial Fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121621 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200723-ecg-190131_mile_11.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121624 - ...and says:  Your EKG shows signs of Atrial Fibrillation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121626 -  ..
121627 - EKG chart shows initial beat significantly elevated, but rest are all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121628 - consistent, i.e., "well organized" is the term Doctor Pellegrini uses.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121632 -  ..
121633 - HR profile post-hike beginning 1908 until next day OA 0730 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121634 - mostly steady heart beat 68 +/-.  After 10 hours possible AF period                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121635 - for about an hour, then returned to sinus.  Max HR 170 and minimum HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121636 - 49 aligns with indoor activity; seems to indicate some atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121637 - fibrillatin (AF), while recovering from ablation procedures.  This may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121638 - increase exposure to ischemic colitis, reported on 200612 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121639 - ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121642 -              https://flow.polar.com/training/analysis/4928889186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121646 -   
121647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121649 -  ..
121650 - Breakfast - ensure banana with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121651 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121652 - Dinner - macaroni cheese onion meatloaf mushrooms, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121654 -  ..
121655 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121660 -         ..
121661 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121662 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121663 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121664 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121665 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121666 -  206.  200724 0740............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121667 -               0750....BP HR..................................................... 113  67  75  Kardia ECG reports HR Normal, see below. ref SDS 0 QQQX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121668 -               0755....BP HR..................................................... 118  73  75  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121669 -               0800....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121670 -               0800... 20 975920 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121671 -               0800... 80 196560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121672 -           **  0800... 25   1200.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121673 -               0800... 05 1720 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121674 -               0800... 75 2925 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121675 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
121676 -               0000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121677 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121678 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121679 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121680 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121681 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121682 -               1700... 40 59720 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
121683 -             1 1830............ 10 13960  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121684 -             1 1830............ 10 13550  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121685 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121686 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121687 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121688 -               2100... 40 39700 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121689 -               2130... 1000  875000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121690 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121691 -               2140....Tramadol 50 1900 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121692 -               2150... 05 1725 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121693 -               2200... 80 196640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121694 -               2205... Simethicone 80  1680 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121695 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121697 -  ..
121698 - ** Metoprolol Succinct - Doctor Pellegrini switchted from Tartrate,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121699 - reported on 200527 0930. ref SDS 97 MU4H  On 200612 resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121700 - Metoprolol, clopidogrel and Apixaban - meeting with Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121701 - in hospital; can end Apixaban in 3 months.  Doctor Monto diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121702 - stomach pain as ischemic colotis based on CT test finding inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121703 - in colon, caused by vasodilation hiking long distances in combination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121704 - with 4 coronary medical procedures in past 6 months (2 at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121705 - January, and 2 last month), reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121707 -  ..
121708 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121710 -  ..
121711 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121712 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121713 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121715 -  ..
121716 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121717 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121719 -  ..
121720 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121722 -  ..
121723 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121724 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121726 -  ..
121727 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121729 -  ..
121730 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121731 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121733 -  ..
121734 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121735 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121736 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121737 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121738 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121739 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121740 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121741 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121742 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121743 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121744 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121745 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121746 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121748 -  ..
121749 - Hiking - none due to stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121751 -  ..
121752 - Kardia recorded HR 73 at 0758 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121755 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200724-ecg-075844_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121758 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121760 -  ..
121761 - EKG seems perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121764 -  ..
121765 - HR profile post-hike beginning 1559 until next day OA 0610 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121766 - mostly steady heart beat 70 +/-.  Few spikes during afternoon and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121767 - evening, possibly going upstairs.  None overnight.  Max HR 136 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121768 - minimum HR 48 aligns with indoor activity; seems to indicate no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121769 - evident atrial fibrillatin (AF), while recovering from ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121770 - procedures.  This may decrease exposure to ischemic colitis, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121771 - on 200612 0700. ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121774 -              https://flow.polar.com/training/analysis/4932171296                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121778 -   
121779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121781 -  ..
121782 - Breakfast - ensure banana with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121783 - Lunch - hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121784 - Dinner - sandwich tuna salmon avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121786 -  ..
121787 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121792 -         ..
121793 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121794 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121795 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121796 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121797 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121798 -  207.  200725 0609............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121799 -               0610....BP HR..................................................... 132  74  57  Kardia ECG reports HR Normal, see below. ref SDS 0 QTUT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121800 -               0615....BP HR..................................................... 130  73  56  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121801 -               0620....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121802 -               0620... 20 975920 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121803 -               0620... 80 196560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121804 -               0620... 05 1720 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121805 -               0620... 75 2925 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121806 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
121807 -               1000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121808 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121809 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121810 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121811 -               1000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121812 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121813 -               1031....miles...........   7.0  29.0  117   481 minutes  temp  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121814 -               1335....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121815 -               1340....BP HR..................................................... 109  66  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121816 -               1345....BP HR..................................................... 112  69  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121817 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121818 -               1700... 40 59720 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
121819 -               1830............ 10 13970  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121820 -               1830............ 10 13560  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121821 -               2010... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121822 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121823 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121824 -               2100... 40 39700 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121825 -               2130... 1000  875000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121826 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121827 -               0000....Tramadol 50 1900 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121828 -               2150... 05 1725 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121829 -           **  2150... 25   1200.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121830 -               2200... 80 196640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121831 -               2205... Simethicone 80  1760 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121832 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121834 -  ..
121835 - ** Metoprolol Succinct - on 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121836 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121837 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121838 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121839 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121840 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121841 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121842 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121843 - distances in combination with 4 coronary medical procedures in past 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121844 - months (2 at end of January, and 2 last month), reported on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121845 - 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121847 -  ..
121848 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121850 -  ..
121851 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121852 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121853 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121855 -  ..
121856 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121857 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121859 -  ..
121860 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121862 -  ..
121863 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121864 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121866 -  ..
121867 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121869 -  ..
121870 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121871 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121873 -  ..
121874 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121875 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121876 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121877 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121878 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121879 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121880 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121881 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121882 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121883 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121884 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121885 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121886 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121888 -  ..
121889 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121890 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121892 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121893 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121894 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121895 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121896 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121897 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121898 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121899 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121900 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121901 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121902 -        Knee left skin lesions left side.............   0        100  diclofenac omitted today due to rising lesions adverse reactions                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121903 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121904 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121905 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121906 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121907 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121908 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121909 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121910 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121911 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121912 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121913 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121914 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121915 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121916 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121917 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121918 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121919 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121920 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121921 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121922 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121923 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121924 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121925 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121926 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121927 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121928 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121929 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121930 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121931 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121932 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121933 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121935 -  ..
121936 - Body feels okay, little weak after hiking 7 miles of hills at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121937 - Lafayette reservoir in 84 degrees at good speed, following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121938 - 191009 1500, ref SDS 78 0001
121940 - -
121941 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121942 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121943 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121945 -  ..
121946 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121947 - Little wobbly walking around.  At 2030 BP dropped to 93 55, and HD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121948 - down to 76, see above. ref SDS 0 4T4I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121950 -  ..
121951 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121952 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121953 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121955 -  ..
121956 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121957 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121958 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121959 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121960 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121962 -  ..
121963 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121964 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121966 -  ..
121967 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121968 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121969 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121971 -  ..
121972 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121973 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121974 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121975 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121976 - ref SDS 77 SM4M  After hike on 200725, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121977 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121978 - ref SDS 0 FF6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121980 -  ..
121981 - Lafayette Reservoir 7-mile route - hiked .25 mile up steep hill from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121982 - park entrance; hiked .75 mile very slow with Kathy around North end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121983 - reservoir - then hiked rest of 3 mile loop.  Then hiked 2nd loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121984 - around the reservoir.  Handled numberous short hills well breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121985 - through nose all the way, except on initial steep hill into the park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121986 - breathed through mouth for last 30% of way to the top.  Did not have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121987 - to stop and rest, as occurered last week on 200721, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121988 - ref SDS 0 PSPV  Made Killer Ridge 7% grade with good pace, and did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121989 - have to breath through mouth at top of hill for 100 yards, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121990 - previously.  Passed numerous hikers.  On 2nd loop was passed by one                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121991 - group - a guy and 2 girls.  Increased speed but never caught up with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121992 - them.  No chest pain and no stomach pain, possible bloating due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121993 - colitis.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121995 -  ..
121996 - Kardia recorded HR 73 at 0607 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121999 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200725-ecg-060754_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122002 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122004 -  ..
122005 - EKG seems perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122008 -  ..
122009 - Polar HR GPS study during 7-mile hike shows HR profile that rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122010 - falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122013 -       Date      200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 200505 20  
122014 -       Miles         7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0      3       
122015 -       HR AVG      118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no      75    1  
122016 -         MAX       139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    119    1  
122017 -         Min        83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65            42       
122018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122020 -  ..
122021 - HR profile showing average 118 and max 139 with temperature 81, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122022 - no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122023 - ref SDS 94 244I  Pace okay, and did not shuffle feet and not wobbly at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122024 - any time without taking naproxen and oxycodone, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122025 - FF6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122027 -              https://flow.polar.com/training/analysis/4933662166                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122031 -   
122032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122035 -  ..
122036 - EKG 30 minutes after hiking 7 miles HR 97 - Kardia shows normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122039 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200725-ecg-131113_mile_07.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122042 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122044 -  ..
122045 - EKG chart looks very good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122048 -  ..
122049 - EKG 90 minutes after hiking 7 miles HR 80 - Kardia shows Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122054 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200725-ecg-140657_mile_07.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122057 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122077 -  ..
122078 - Breakfast - cheerios peach milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122079 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122080 - Dinner - pizza, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122082 -  ..
122083 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122089 -         ..
122090 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122091 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122092 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122093 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122094 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122095 -  208.  200726 0625............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122096 -               0630....BP HR..................................................... 128  69  53  Kardia ECG reports HR Unclassfied; looks normal, see below. ref SDS 0 QUTV                                                                                                                                                                                                                                                                                                                                                                                                                                          
122097 -               0635....BP HR..................................................... 128  73  52  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122098 -               0640....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122099 -               0640... 20 975940 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122100 -               0640... 80 196720 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122101 -               0640... 05 1730 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122102 -               0640... 75 3000 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122103 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
122104 -               1000... Gabapentin 300MG  19400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122105 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122106 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122107 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122108 -               1000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122109 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122110 -               1023....miles...........   7.0  36.0  116   597 minutes  temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122111 -               1315....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122112 -               1320....BP HR..................................................... 114  68  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122113 -               1325....BP HR..................................................... 106  72  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122114 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122115 -               1700... 40 59760 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
122116 -             1 0000............ 10 13970  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122117 -             1 0000............ 10 13560  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122118 -               1950... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122119 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122120 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122121 -               2100... 40 39740 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122122 -               2130... 1000  876000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122123 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122124 -               0000....Tramadol 50 1900 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122125 -               2150... 05 1735 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122126 -           **  2150... 25   1225.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122127 -               2200... 80 196800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122128 -               2230... Simethicone 80  1840 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122129 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122131 -  ..
122132 - ** Metoprolol Succinct - on 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122133 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122134 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122135 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122136 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122137 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122138 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122139 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122140 - distances in combination with 4 coronary medical procedures in past 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122141 - months (2 at end of January, and 2 last month), reported on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122142 - 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122144 -  ..
122145 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122147 -  ..
122148 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122149 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122150 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122152 -  ..
122153 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122154 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122156 -  ..
122157 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122159 -  ..
122160 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122161 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122163 -  ..
122164 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122166 -  ..
122167 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122168 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122170 -  ..
122171 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122172 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122173 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122174 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122175 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122176 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122177 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122178 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122179 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122180 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122181 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122182 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122183 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122185 -  ..
122186 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122187 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122189 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122190 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122191 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122192 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122193 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122194 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122195 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122196 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122197 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122198 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122199 -        Knee left skin lesions left side.............   0        100  diclofenac omitted today due to rising lesions adverse reactions                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122200 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122201 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122202 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122203 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122204 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122205 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122206 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122207 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122208 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122209 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122210 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122211 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122212 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122213 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122214 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122215 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122216 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122217 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122218 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122219 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122220 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122221 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122222 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122223 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122224 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122225 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122226 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122227 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122228 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122229 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122230 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122232 -  ..
122233 - Body feels okay, little weak after hiking 7 miles of hills at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122234 - Lafayette reservoir in 82 degrees at good speed, following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122235 - 191009 1500, ref SDS 78 0001
122237 - -
122238 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122239 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122240 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122242 -  ..
122243 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122244 - Little wobbly walking around.  At 2030 BP dropped to 93 55, and HD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122245 - down to 76, see above. ref SDS 0 4T4I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122247 -  ..
122248 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122249 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122250 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122252 -  ..
122253 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122254 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122255 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122256 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122257 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122259 -  ..
122260 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122261 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122263 -  ..
122264 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122265 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122266 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122268 -  ..
122269 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122270 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122271 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122272 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122273 - ref SDS 77 SM4M  After hike on 200726, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122274 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122275 - ref SDS 0 L17H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122277 -  ..
122278 - Lafayette Reservoir 7-mile route - hiked .25 mile up steep hill from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122279 - park entrance; hiked .75 mile very slow with Kathy around North end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122280 - reservoir - then hiked rest of 3 mile loop.  Then hiked 2nd loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122281 - around the reservoir.  Handled numberous short hills well breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122282 - through nose all the way, except on initial steep hill into the park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122283 - breathed through mouth for last 20% of way to the top.  Did not have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122284 - to stop and rest, as occurered last week on 200721, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122285 - ref SDS 0 PSPV  Made Killer Ridge 7% grade with good pace; had to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122286 - breath through mouth at top of hill for 100 yards, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122287 - previously.  Passed numerous hikers.  On 2nd loop was passed by 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122288 - girls.  Increased speed but never caught up.  No chest pain and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122289 - stomach pain, possible bloating due to colitis.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122291 -  ..
122292 - Kardia recorded HR 57 at 0645 - Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122295 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200726-ecg-064424_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122298 - ...and says:  Atrial fibrillation was not detected and your EKG does                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122299 - not fall under the algorithmic classifications of Normal, Braydcardia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122300 - or Tachcardia.  This may be caused by otehr arrhythmias, unusually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122301 - fast or slow heart rates, or poor quality recordings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122303 -  ..
122304 - EKG seems perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122307 -  ..
122308 - Polar HR GPS study during 7-mile hike shows HR profile that rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122309 - falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122312 -       Date      200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 200506 20  
122313 -       Miles         7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15      0       
122314 -       HR AVG      116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    no        
122315 -         MAX       137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hike    1  
122316 -         Min        83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65              
122317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122319 -  ..
122320 - HR profile showing average 116 and max 137 with temperature 82, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122321 - no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122322 - ref SDS 94 244I  Pace okay, and did not shuffle feet and not wobbly at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122323 - any time without taking naproxen and oxycodone, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122324 - L17H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122326 -              https://flow.polar.com/training/analysis/4937702821                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122330 -   
122331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122334 -  ..
122335 - EKG 30 minutes after hiking 7 miles HR 80 - Kardia shows normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122338 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200726-ecg-130256_mile_07.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122341 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122343 -  ..
122344 - EKG chart looks very good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122347 -  ..
122348 - EKG 90 minutes after hiking 7 miles HR 80 - Kardia shows Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122351 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200725-ecg-140657_mile_07.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122354 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122358 -  ..
122359 - HR profile post-hike beginning 1600 until next day OA 0630 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122360 - mostly steady heart beat 67 +/-.  Max HR 129 and minimum HR 42 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122361 - with indoor activity; few small spikes may not indicate atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122362 - fibrillatin (AF), while recovering from ablation procedures.  This may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122363 - decrease exposure to ischemic colitis, reported on 200612 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122364 - ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122367 -              https://flow.polar.com/training/analysis/4939847296                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122371 -   
122372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122374 -  ..
122375 - Breakfast - cheerios peach milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122376 - Lunch - sandwich tuna                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122377 - Dinner - rice hamburger asparagus cheese onion mushrooms, ice cream                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122379 -  ..
122380 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122386 -         ..
122387 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122388 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122389 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122390 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122391 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122392 -  209.  200727 0645............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122393 -               0650....BP HR..................................................... 123  72  58  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 QXTS                                                                                                                                                                                                                                                                                                                                                                                                                                               
122394 -               0655....BP HR..................................................... 124  75  61  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122395 -               0710....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122396 -               0710... 20 975960 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122397 -               0710... 80 196880 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122398 -               0710... 05 1740 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122399 -               0710... 75 3075 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122400 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
122401 -               1000... Gabapentin 300MG  22300MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122402 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122403 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122404 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122405 -               1000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122406 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122407 -               1024....miles...........  10.0  10.0  169   169 minutes  temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122408 -               1255... Simethicone 80  1920 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122409 -               1405....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122410 -               1425....BP HR..................................................... 103  64  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122411 -               1430....BP HR..................................................... 105  71  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122412 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122413 -               1700... 40 59800 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
122414 -               1830............ 10 13980  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122415 -               1830............ 10 13570  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122416 -               2020... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122417 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122418 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122419 -               2100... 40 39780 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122420 -               2130... 1000  877000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122421 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122422 -               0000....Tramadol 50 1900 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122423 -               2150... 05 1745 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122424 -           **  2150... 25   1250.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122425 -               2200... 80 196960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122426 -               2340... Simethicone 80  2000 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122427 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122429 -  ..
122430 - ** Metoprolol Succinct - on 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122431 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122432 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122433 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122434 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122435 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122436 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122437 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122438 - distances in combination with 4 coronary medical procedures in past 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122439 - months (2 at end of January, and 2 last month), reported on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122440 - 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122442 -  ..
122443 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122445 -  ..
122446 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122447 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122448 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122450 -  ..
122451 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122452 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122454 -  ..
122455 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122457 -  ..
122458 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122459 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122461 -  ..
122462 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122464 -  ..
122465 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122466 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122468 -  ..
122469 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122470 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122471 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122472 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122473 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122474 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122475 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122476 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122477 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122478 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122479 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122480 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122481 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122483 -  ..
122484 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122485 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122487 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122488 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122489 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122490 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122491 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122492 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122493 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122494 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122495 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122496 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122497 -        Knee left skin lesions left side.............   0        100  diclofenac omitted today due to rising lesions adverse reactions                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122498 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122499 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122500 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122501 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122502 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122503 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122504 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122505 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122506 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122507 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122508 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122509 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122510 -        Tailor's Bunion left foot.. PRP 190612.......   2          5  feel toes pressing on front of shoes going downhill 3rd lap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122511 -        Tailor's Bunion right foot..PRP 190816.......   2          5  feel toes pressing on front of shoes going downhill 3rd lap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122512 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122513 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122514 -        Metatarsalgia left foot...PRP 191009.........   1          3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122515 -        Metatarsalgia right foot..PRP 191009.........   1          3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122516 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122517 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122518 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122519 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122520 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122521 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122522 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122523 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122524 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122525 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122526 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122527 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122528 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122530 -  ..
122531 - Body feels okay, seem stronger than yesterday after hiking 10 miles of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122532 - hills (3 laps) at Lafayette reservoir in 82 degrees at good speed,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122533 - following PRP on 191009 1500, ref SDS 78 0001
122535 - -
122536 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122537 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122538 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122540 -  ..
122541 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122542 - Little wobbly walking around.  At 2030 BP dropped to 93 55, and HD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122543 - down to 76, see above. ref SDS 0 4T4I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122545 -  ..
122546 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122547 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122548 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122550 -  ..
122551 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122552 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122553 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122554 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122555 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122557 -  ..
122558 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122559 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122561 -  ..
122562 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122563 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122564 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122566 -  ..
122567 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122568 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122569 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122570 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122571 - ref SDS 77 SM4M  After hike on 200727, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122572 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122573 - ref SDS 0 927F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122575 -  ..
122576 - Lafayette Reservoir 10-mile route - hiked .25 mile up steep hill from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122577 - park entrance; hiked .75 mile very slow with Kathy around North end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122578 - reservoir - then hiked rest of 3 mile loop.  Then hiked 2 more loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122579 - around the reservoir.  Drank water from fountain before 2nd and 3rd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122580 - laps.  Handled numberous short hills well breathing through nose all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122581 - the way, except on initial steep hill into the park breathed through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122582 - mouth for last 20% of way to the top.  Did not have to stop and rest,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122583 - as occurered last week on 200721, per above. ref SDS 0 PSPV  Made                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122584 - Killer Ridge 7% grade with good pace; had to breath through mouth at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122585 - top of hill for 100 yards only once on 2nd lap, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122586 - previously.  Passed numerous hikers.  No chest pain and no stomach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122587 - pain, possible bloating due to colitis, treated with simethicone on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122588 - 3rd lap.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122590 -  ..
122591 - Kardia recorded HR 61 at 0644 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122594 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200727-ecg-064437_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122597 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122599 -  ..
122600 - EKG seems perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122603 -  ..
122604 - Polar HR GPS study during 10-mile hike shows HR profile that rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122605 - falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122608 -       Date      200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 200507 20  
122609 -       Miles        10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2     15       
122610 -       HR AVG      120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    107    n  
122611 -         MAX       144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    136   hi  
122612 -         Min        79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65     65       
122613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122615 -  ..
122616 - HR profile showing average 120 and max 144 with temperature 82, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122617 - no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122618 - ref SDS 94 244I  Pace okay, and did not shuffle feet and not wobbly at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122619 - any time without taking naproxen and oxycodone, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122620 - 927F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122623 -              https://flow.polar.com/training/analysis/4941707261                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122627 -   
122628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122631 -  ..
122632 - EKG 2 minutes after hiking 10 miles HR 119 - Kardia shows Tacycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122635 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200727-ecg-131917_mile_10.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122638 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122640 -  ..
122641 - EKG chart looks very good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122644 -  ..
122645 - EKG 90 minutes after hiking 10 miles HR 89 - Kardia shows Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122648 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200727-ecg-144012_mile_10.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122651 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122653 -  ..
122654 - EKG chart looks very good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122657 -  ..
122658 - HR profile post-hike beginning 1506 until next day OA 0600 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122659 - mostly steady heart beat 68 +/-.  Max HR 114 and minimum HR 45 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122660 - with indoor activity; multiple small spikes may not indicate atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122661 - fibrillatin (AF), while recovering from ablation procedures.  This may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122662 - decrease exposure to ischemic colitis, reported on 200612 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122663 - ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122666 -              https://flow.polar.com/training/analysis/4943628041                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122670 -   
122671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122673 -  ..
122674 - Breakfast - cheerios peach milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122675 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122676 - Dinner - rice hamburger asparagus cheese onion mushrooms olives,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122677 - chips, cookie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122679 -  ..
122680 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122686 -         ..
122687 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122688 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122689 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122690 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122691 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122692 -  210.  200728 0600............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122693 -               0610....BP HR..................................................... 131  70  57  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 RQTT                                                                                                                                                                                                                                                                                                                                                                                                                                               
122694 -               0615....BP HR..................................................... 132  74  70  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122695 -               0620....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122696 -               0620... 20 975980 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122697 -               0620... 80 200040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122698 -               0620... 05 1750 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122699 -               0620... 75 3150 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122700 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
122701 -               1000... Gabapentin 300MG  22600MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122702 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122703 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122704 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122705 -               1000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122706 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122707 -               0930....miles...........   7.0  17.0  118   287 minutes  temp  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122708 -               1255... Simethicone 80  1920 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122709 -               1210....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122710 -               1240....BP HR..................................................... 111  70  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122711 -               1245....BP HR..................................................... 112  73  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122712 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122713 -               1700... 40 59840 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
122714 -             1 0000............ 10 13980  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122715 -             1 0000............ 10 13570  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122716 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122717 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122718 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122719 -               2100... 40 39820 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122720 -               2130... 1000  878000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122721 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122722 -               0000....Tramadol 50 1900 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122723 -               2150... 05 1755 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122724 -           **  2150... 25   1275.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122725 -               2200... 80 200120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122726 -               2310... Simethicone 80  2000 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122727 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122729 -  ..
122730 - ** Metoprolol Succinct - on 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122731 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122732 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122733 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122734 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122735 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122736 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122737 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122738 - distances in combination with 4 coronary medical procedures in past 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122739 - months (2 at end of January, and 2 last month), reported on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122740 - 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122742 -  ..
122743 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122745 -  ..
122746 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122747 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122748 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122750 -  ..
122751 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122752 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122754 -  ..
122755 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122757 -  ..
122758 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122759 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122761 -  ..
122762 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122764 -  ..
122765 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122766 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122768 -  ..
122769 - Pain medication - see study above. ref SDS 83 QPYX  Try Gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122770 - received on 191107 1338. ref SDS 80 888O  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122771 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122772 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122773 - Naproxen inhibits PRP and apixaban.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122774 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122775 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122776 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122777 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122778 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122779 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122780 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122781 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122783 -  ..
122784 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122785 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122787 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122788 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122789 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122790 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122791 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122792 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122793 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122794 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122795 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122796 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122797 -        Knee left skin lesions left side.............   0        100  diclofenac omitted today due to rising lesions adverse reactions                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122798 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122799 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122800 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122801 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122802 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122803 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122804 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122805 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122806 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122807 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122808 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122809 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122810 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122811 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122812 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122813 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122814 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122815 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122816 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122817 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122818 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122819 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122820 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122821 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122822 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122823 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122824 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122825 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122826 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122827 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122828 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122830 -  ..
122831 - Body feels okay, after hiking 7 miles of hills (2 laps) at Lafayette                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122832 - reservoir in 73 degrees at good speed, following PRP on 191009 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122833 - ref SDS 78 0001
122835 - -
122836 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122837 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122838 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122840 -  ..
122841 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122842 - Little wobbly walking around.  At 2030 BP dropped to 93 55, and HD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122843 - down to 76, see above. ref SDS 0 4T4I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122845 -  ..
122846 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122847 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122848 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122850 -  ..
122851 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122852 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122853 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122854 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122855 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122857 -  ..
122858 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122859 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122861 -  ..
122862 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122863 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122864 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122866 -  ..
122867 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122868 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122869 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122870 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122871 - ref SDS 77 SM4M  After hike on 200726, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122872 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122873 - ref SDS 0 L17H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122875 -  ..
122876 - Lafayette Reservoir 7-mile route - hiked .25 mile up steep hill from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122877 - park entrance; hiked 1-mile very slow with Kathy around North end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122878 - reservoir - then hiked rest of 3 mile loop - total time 63 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122879 - Hiked another loop around the reservoir - time 47 minutes.  Drank                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122880 - water from fountain before 2nd lap.  Handled numberous short hills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122881 - well breathing through nose all the way, except on initial steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122882 - into the park breathed through mouth for last 20% of way to the top.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122883 - Did not have to stop and rest, as occurered last week on 200721, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122884 - above. ref SDS 0 PSPV  Made Killer Ridge 7% grade with good pace; had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122885 - to breath through mouth at top of hill for 100 yards only on both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122886 - laps, as occurred previously.  Passed numerous hikers.  No chest pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122887 - and no stomach pain, possible bloating due to colitis, treated with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122888 - simethicone on 3rd lap.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122890 -  ..
122891 - Kardia recorded HR 68 at 0559 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122894 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200728-ecg-055943_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122897 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122899 -  ..
122900 - EKG seems perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122903 -  ..
122904 - Polar HR GPS study during 7-mile hike shows HR profile that rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122905 - falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122908 -       Date      200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 200508 20  
122909 -       Miles         7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0      2       
122910 -       HR AVG      117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     107    1  
122911 -         MAX       134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    136    1  
122912 -         Min        90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                      65       
122913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122915 -  ..
122916 - HR profile showing average 117 and max 134 with temperature 73, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122917 - no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122918 - ref SDS 94 244I  Pace okay, and did not shuffle feet and not wobbly at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122919 - any time without taking naproxen and oxycodone, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122920 - 1G7F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122923 -              https://flow.polar.com/training/analysis/4945157361                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122927 -   
122928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122930 -  ..
122931 - EKG 20 minutes after hiking 10 miles HR 92 - Kardia shows Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122934 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200728-ecg-115834_mile_07.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122937 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122939 -  ..
122940 - EKG chart looks very good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122943 -  ..
122944 - HR profile post-hike beginning 1540 until next day OA 0610 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122945 - mostly steady heart beat 70 +/-.  Max HR 134 and minimum HR 40 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122946 - with indoor activity; multiple small spikes may not indicate atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122947 - fibrillatin (AF), while recovering from ablation procedures.  This may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122948 - decrease exposure to ischemic colitis, reported on 200612 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122949 - ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122952 -              https://flow.polar.com/training/analysis/4947561221                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122956 -   
122957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122959 -  ..
122960 - Breakfast - cheerios peach milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122961 - Lunch - half sandwich balogna tomato onion cheese, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122962 - Dinner - rice hamburger onion cheese asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122964 -  ..
122965 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122971 -         ..
122972 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122973 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122974 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122975 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122976 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122977 -  211.  200729 0610............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122978 -               0620....BP HR..................................................... 122  73  66  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 RTSR                                                                                                                                                                                                                                                                                                                                                                                                                                               
122979 -               0625....BP HR..................................................... 113  72  60  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122980 -               0630....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122981 -               0630... 20 976000 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122982 -               0630... 80 200200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122983 -               0630... 05 1760 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122984 -               0630... 75 3225 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122985 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
122986 -               1000... Gabapentin 300MG  22900MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122987 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122988 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122989 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122990 -               1000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122991 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122992 -               1015....miles...........  11.0  28.0  181   468 minutes  temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122993 -               1210... Simethicone 80  2080 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122994 -               1330....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122995 -               1350....BP HR..................................................... 111  74 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122996 -               1355....BP HR..................................................... 114  68 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122997 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122998 -               1700... 40 59920 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
122999 -               1830............ 10 13990  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123000 -               1830............ 10 13580  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123001 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123002 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123003 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123004 -               2100... 40 39860 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123005 -               2130... 1000  879000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123006 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123007 -               0000....Tramadol 50 1900 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123008 -               2150... 05 1765 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123009 -           **  2150... 25   1300.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123010 -               2200... 80 200280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123011 -               2210... Simethicone 80  2160 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123012 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123014 -  ..
123015 - ** Metoprolol Succinct - on 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123016 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123017 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123018 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123019 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123020 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123021 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123022 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123023 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123024 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123025 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123027 -  ..
123028 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123030 -  ..
123031 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123032 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123033 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123035 -  ..
123036 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123037 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123039 -  ..
123040 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123042 -  ..
123043 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123044 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123046 -  ..
123047 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123049 -  ..
123050 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123051 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123053 -  ..
123054 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123055 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123056 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123057 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123058 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123059 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123060 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123061 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123062 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123063 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123064 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123065 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123066 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123067 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123069 -  ..
123070 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123071 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123073 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123074 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123075 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123076 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123077 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123078 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123079 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123080 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123081 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123082 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123083 -        Knee left skin lesions left side.............   0        100  diclofenac omitted today due to rising lesions adverse reactions                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123084 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123085 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123086 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123087 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123088 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123089 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123090 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123091 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123092 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123093 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123094 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123095 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123096 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123097 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123098 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123099 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123100 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123101 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123102 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123103 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123104 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123105 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123106 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123107 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123108 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123109 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123110 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123111 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123112 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123113 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123114 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123116 -  ..
123117 - Body feels very tired after hiking 11 miles of hills (3 laps) at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123118 - Lafayette reservoir in 82 degrees at good speed, following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123119 - 191009 1500, ref SDS 78 0001
123121 - -
123122 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123123 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123124 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123126 -  ..
123127 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123128 - Little wobbly walking around.  At 2030 BP dropped to 93 55, and HD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123129 - down to 76, see above. ref SDS 0 4T4I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123131 -  ..
123132 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123133 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123134 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123136 -  ..
123137 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123138 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123139 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123140 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123141 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123143 -  ..
123144 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123145 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123147 -  ..
123148 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123149 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123150 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123152 -  ..
123153 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123154 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123155 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123156 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123157 - ref SDS 77 SM4M  After hike on 200726, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123158 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123159 - ref SDS 0 L17H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123161 -  ..
123162 - Lafayette Reservoir 11-mile route - parked on Mount Diablo Boulevard                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123163 - .5 mile from entry to park.  Hiked to entry, and then hiked .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123164 - up steep hill to Lafayette reservoir.  Hiked .25 mile South on the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123165 - dam, then turned and hiked 3 loops around the reservoir.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123166 - another loop around the reservoir - time 47 minutes.  Drank water from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123167 - fountain before 2nd and 3rd laps.  Handled numberous short hills well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123168 - breathing through nose all the way, except on initial steep hill into                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123169 - the park breathed through mouth for last 20% of way to the top.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123170 - not have to stop and rest, as occurered last week on 200721, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123171 - above. ref SDS 0 PSPV  Made Killer Ridge 7% grade with good pace; had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123172 - to breath through mouth at top of hill for 100 yards on 1st and 3rd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123173 - laps, as occurred previously.  Passed numerous hikers.  No chest pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123174 - Bloating on 2nd lap due to colitis, so took simethicone.  Stomach pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123175 - about 30% into 3rd lap, so ended hike, rather than go for 4th lap.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123177 -  ..
123178 - Kardia recorded HR 59 at 0623 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123181 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200729-ecg-062342_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123184 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123186 -  ..
123187 - EKG seems perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123190 -  ..
123191 - Polar HR GPS study during 11-mile hike shows HR profile that rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123192 - falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123195 -       Date      200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 200509 20  
123196 -       Miles        11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0      0       
123197 -       HR AVG      126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     no     1  
123198 -         MAX       148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hike    1  
123199 -         Min        79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                        
123200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123202 -  ..
123203 - HR profile showing average 126 and max 148 with temperature 82, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123204 - no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123205 - ref SDS 94 244I  Pace okay, and did not shuffle feet and not wobbly at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123206 - any time without taking naproxen and oxycodone, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123207 - 1G7F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123210 -              https://flow.polar.com/training/analysis/4949419606                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123214 -   
123215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123217 -  ..
123218 - EKG 2 minute after hiking 11 miles HR 119 - Kardia shows Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123221 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200729-ecg-125919_mile_11.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123223 -  ..
123224 - EKG chart looks very good, very consistent.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123243 -  ..
123244 - Breakfast - cheerios peach milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123245 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123246 - Dinner - half sandwich balogna tomato onion cheese tuna, chips ice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123247 - cream jello                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123249 -  ..
123250 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123255 -        ..
123256 -                                                                                                                                                              <212.  200730 0620............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123263 -               0640....BP HR..................................................... 124  69  58  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 RWRP                                                                                                                                                                                                                                                                                                                                                                                                                                               
123264 -               0645....BP HR..................................................... 126  72  58  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123265 -               0650....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123266 -               0650... 20 976020 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123267 -               0650... 80 200360 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123268 -               0650... 05 1770 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123269 -               0650... 75 3300 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123270 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
123271 -               1000... Gabapentin 300MG  23200MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123272 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123273 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123274 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123275 -               1000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123276 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123277 -               1015....miles...........  11.0  39.0  176   644 minutes  temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123278 -               1230... Simethicone 80  2240 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123279 -               1350....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123280 -               1355....BP HR.....................................................  96  69  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123281 -               1355....BP HR.....................................................  95  67  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123282 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123283 -               1700... 40 59960 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
123284 -             1 0000............ 10 13990  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123285 -             1 0000............ 10 13580  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123286 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123287 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123288 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123289 -               2100... 40 39900 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123290 -               2130... 1000  880000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123291 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123292 -               0000....Tramadol 50 1900 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123293 -               2150... 05 1775 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123294 -           **  2150... 25   1325.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123295 -               2200... 80 200440 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123296 -               0000... Simethicone 80  2160 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123297 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123299 -  ..
123300 - ** Metoprolol Succinct - on 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123301 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123302 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123303 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123304 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123305 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123306 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123307 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123308 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123309 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123310 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123312 -  ..
123313 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123315 -  ..
123316 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123317 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123318 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123320 -  ..
123321 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123322 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123324 -  ..
123325 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123327 -  ..
123328 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123329 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123331 -  ..
123332 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123334 -  ..
123335 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123336 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123338 -  ..
123339 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123340 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123341 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123342 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123343 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123344 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123345 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123346 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123347 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123348 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123349 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123350 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123351 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123352 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123354 -  ..
123355 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123356 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123358 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123359 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123360 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123361 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123362 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123363 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123364 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123365 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123366 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123367 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123368 -        Knee left skin lesions left side.............   0        100  diclofenac omitted today due to rising lesions adverse reactions                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123369 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123370 -        Knee left patalla...PRP 191009...............   1          5  hiking downhill on campus drive about .3 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123371 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123372 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123373 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123374 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123375 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123376 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123377 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123378 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123379 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123380 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123381 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123382 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123383 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123384 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123385 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123386 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123387 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123388 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123389 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123390 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123391 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123392 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123393 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123394 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123395 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123396 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123397 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123398 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123399 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123401 -  ..
123402 - Body feels okay, after hiking 11 miles Concord route in 82 degrees at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123403 - good speed, following PRP on 191009 1500, ref SDS 78 0001
123405 - -
123406 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123407 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123408 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123410 -  ..
123411 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123412 - Little wobbly walking around.  At 2030 BP dropped to 93 55, and HD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123413 - down to 76, see above. ref SDS 0 4T4I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123415 -  ..
123416 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123417 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123418 - QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123420 -  ..
123421 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123422 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123423 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123424 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123425 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123427 -  ..
123428 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123429 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123431 -  ..
123432 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123433 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123434 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123436 -  ..
123437 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123438 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123439 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123440 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123441 - ref SDS 77 SM4M  After hike on 200726, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123442 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123443 - ref SDS 0 L17H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123445 -  ..
123446 - Concord 11 mile route - Starting energy okay today, Wearing Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123447 - 6 shoes received on 190927 1110, ref SDS 77 SM4M; and wore 2-pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123448 - double-ply Wright socks received on 191010 1344, ref SDS 79 SM4M, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123449 - prevent blisters.  Took Metoprolol last night to manage HR during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123450 - and minimize ARDS shortness of breath, and blurred vision side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123451 - effects.  Hiked from Cuneo uphill to Treat.  Breathed easily through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123452 - nose entire hike.  Continued normal pace on Treat hiking East 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123453 - to Clayton.  Time 40 minutes at mile 2.25 turned corner.  Hiking South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123454 - on Clayton 2 miles at normal pace, mostly on flat concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123455 - At mile 4.75, turned West onto Ygnacio Valley Road hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123456 - sidewalk another .5 mile.  About mile 5, crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123457 - Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123458 - traffic.  At mile 6, stopped at Texaco gas station - HR 106 EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123459 - reported Tachycardia - see below. ref SDS 0 WTQU  Continued hike to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123460 - Pine Hollow, then took Campus Road .75-mile uphill to California Sate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123461 - University visitor parking.  Legs strong going uphill, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123462 - vasodilation activated.  Did 1-loop of about 2 miles through adjoining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123463 - Faculty and Student Parking lots, including sub-loop uphill .5 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123464 - the cross street between upper and lower areas.  At mile 9 took Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123465 - Road North .25 mile downhill to Ygnacio Valley Road - left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123466 - patella pain level 0 at all times, despite not taking naproxen.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123467 - West .5 miles past Crystal Ranch Road and uphill past Cowell.  Noticed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123468 - not stumbling nor wobbly, as occurred past few hikes, and possibly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123469 - because did not take naproxen pain medication, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123470 - VP8H  At mile 9 crossed from South side of Ygnacio Valley Road to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123471 - North side in order to avoid severely sloped shoulder on South Side.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123472 - On North side continued West over the summit and past concrete traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123473 - seperation bariars.  At mile 10.5 reversed direction.  Hiked East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123474 - Ygnacio Valley Road 1 mile to Cowell.  Turned and hiked on Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123475 - North 1 mile to Treat, then home for 12 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123477 -  ..
123478 - Kardia recorded HR 61 at 0631 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123481 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200730-ecg-063152_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123484 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123486 -  ..
123487 - EKG seems perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123490 -  ..
123491 - Polar HR GPS study during 11-mile hike shows HR profile that rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123492 - falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123495 -       Date      200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 200511 200510 20  
123496 -       Miles        11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3      2      0       
123497 -       HR AVG      112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  ablation  no     n  
123498 -         MAX       127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R atrial bike   hi  
123499 -         Min        75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                                 
123500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123502 -  ..
123503 - HR profile showing average 112 and max 127 with temperature 82, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123504 - no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123505 - ref SDS 94 244I  Pace okay, and did not shuffle feet and not wobbly at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123506 - any time without taking naproxen and oxycodone, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123507 - 1G7F  Vitals less today for 11 miles, because yesterday hiked 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123508 - of continuous steep hills at Lafayette reservoir, and today hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123509 - Concord route with no steep hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123512 -              https://flow.polar.com/training/analysis/4953166376                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123516 -   
123517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123519 -  ..
123520 - EKG after hiking 5 miles HR 104 - Kardia shows Tacycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123523 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200730-ecg-112906_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123526 -  ..
123527 - EKG chart after 5 miles looks consistent.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123531 -  ..
123532 - EKG 30 minutes after hiking 11 miles HR 95 - Kardia shows Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123535 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200730-ecg-135711_mile_11.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123538 - ...and says:  Atrial fibrillation was not detected and your EKG does                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123539 - not fall under the algorithmic classifications of Normal, Braydcardia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123540 - or Tachcardia.  This may be caused by otehr arrhythmias, unusually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123541 - fast or slow heart rates, or poor quality recordings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123543 -  ..
123544 - EKG chart looks very good, very consistent.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123563 -  ..
123564 - Breakfast - cheerios banana chia seeds milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123565 - Lunch - half sandwich balonga onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123566 - Dinner - eggs pancake                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123568 -  ..
123569 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123575 -        ..
123576 -                                                                                                                                                              <213.  200731 0610............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123583 -               0640....BP HR..................................................... 125  73  59  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 SPUV                                                                                                                                                                                                                                                                                                                                                                                                                                               
123584 -               0645....BP HR..................................................... 112  73  62  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123585 -               0650....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123586 -               0650... 20 976040 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123587 -               0650... 80 200520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123588 -               0650... 05 1780 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123589 -               0650... 75 3375 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123590 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
123591 -               0000... Gabapentin 300MG  23200MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123592 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123593 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123594 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123595 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123596 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123597 -               1700... 40 60000 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
123598 -               1830............ 10 14000  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123599 -               1830............ 10 13590  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123600 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123601 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123602 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123603 -               2100... 40 39940 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123604 -               2130... 1000  881000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123605 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123606 -               0000....Tramadol 50 1900 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123607 -               2150... 05 1785 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123608 -           **  2150... 25   1350.0 Metoprolol Succinct - switched from Tartrate on 200528, ordered by Doctor Pellegrini on 200527 0930. ref SDS 97 MU4H                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123609 -               2200... 80 200600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123610 -               0000... Simethicone 80  2160 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123611 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123613 -  ..
123614 - ** Metoprolol Succinct - on 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123615 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123616 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123617 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123618 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123619 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123620 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123621 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123622 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123623 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123624 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123626 -  ..
123627 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123629 -  ..
123630 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123631 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123632 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123634 -  ..
123635 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123636 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123638 -  ..
123639 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123641 -  ..
123642 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123643 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123645 -  ..
123646 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123648 -  ..
123649 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123650 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123652 -  ..
123653 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123654 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123655 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123656 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123657 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123658 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123659 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123660 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123661 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123662 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123663 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123664 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123665 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123666 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123668 -  ..
123669 - Kardia recorded HR 60 at 0620 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123672 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200731-ecg-062047_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123675 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123677 -  ..
123678 - EKG seems perfect, except last 4 beats are erratic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123681 -  ..
123682 - HR profile post-hike beginning 1500 until next day OA 0600 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123683 - mostly steady heart beat 64 +/-.  Max HR 136 and minimum HR 44 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123684 - with indoor activity; few small spikes may not indicate atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123685 - fibrillatin (AF), while recovering from ablation procedures.  There                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123686 - was one momentary spike to 136, which seems like AF breakthrough, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123687 - thereafter HR was calm.  This may decrease exposure to ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123688 - colitis, reported on 200612 0700. ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123691 -              https://flow.polar.com/training/analysis/4958465681                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123695 -   
123696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123698 -  ..
123699 - Breakfast - cheerios banana chia seeds milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123700 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123701 - Dinner - steak cut into small pieces broccoli onion cheese toast, ice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123702 - cream                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123704 -  ..
123705 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123710 -        ..
123711 -                                                                                                                                                              <214.  200801 0550............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123718 -               0610....BP HR..................................................... 124  74  59  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 SSWY                                                                                                                                                                                                                                                                                                                                                                                                                                               
123719 -               0615....BP HR..................................................... 126  79  61  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123720 -               0620....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123721 -               0620... 20 976060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123722 -               0620... 80 200680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123723 -               0620... 05 1790 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123724 -               0620... 75 3450 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123725 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
123726 -               0910... Gabapentin 300MG  23500MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123727 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123728 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123729 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123730 -               0910....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123731 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123732 -               0940....miles...........  13.0  52.0  215   859 minutes  temp  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123733 -               1350... Simethicone 80  2240 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123734 -               1520....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123735 -               1525....BP HR.....................................................  97  58 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123736 -               1530....BP HR..................................................... 101  63  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123737 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123738 -               1700... 40 60040 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
123739 -             1 0000............ 10 14000  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123740 -             1 0000............ 10 13590  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123741 -               1950... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 SSSX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123742 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123743 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123744 -               2100... 40 39980 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123745 -               2130... 1000  882000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123746 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123747 -               2140....Tramadol 50 1950 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123748 -               2150... 05 1775 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123749 -           **  2150... 25   1375.0 Metoprolol Tartrate - switched from Succinct on 200801, because out of Succinct until refill received from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123750 -               2200... 80 200760 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123751 -               2310... Simethicone 80  2320 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123752 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123754 -  ..
123755 - ** Metoprolol Tartrate - on 200801 out of Succinct until refill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123756 - ordered by Doctor Simpson is delivered.  On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123757 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123758 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123759 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123760 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123761 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123762 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123763 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123764 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123765 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123766 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123767 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123769 -  ..
123770 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123772 -  ..
123773 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123774 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123775 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123777 -  ..
123778 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123779 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123781 -  ..
123782 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123784 -  ..
123785 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123786 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123788 -  ..
123789 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123791 -  ..
123792 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123793 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123795 -  ..
123796 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123797 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123798 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123799 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123800 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123801 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123802 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123803 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123804 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123805 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123806 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123807 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123808 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123809 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123811 -  ..
123812 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123813 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123815 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123816 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123817 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123818 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123819 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123820 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123821 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123822 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123823 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123824 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123825 -        Knee left skin lesions left side.............   0        100  diclofenac omitted today due to rising lesions adverse reactions                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123826 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123827 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123828 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123829 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123830 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123831 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123832 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123833 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123834 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123835 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123836 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123837 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123838 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123839 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123840 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123841 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123842 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123843 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123844 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123845 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123846 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123847 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123848 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123849 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123850 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123851 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123852 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123853 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123854 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123855 -        Restless legs................................   2        100  late at night took Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123856 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123858 -  ..
123859 - Body feels okay, after hiking 13 miles Concord route in 92 degrees at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123860 - good speed, following PRP on 191009 1500, ref SDS 78 0001
123862 - -
123863 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123864 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123865 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123867 -  ..
123868 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123869 - Little wobbly walking around.  At 2030 BP dropped to 93 55, and HD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123870 - down to 76, see above. ref SDS 0 4T4I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123872 -  ..
123873 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123874 - pain level 0; took Tramadol - see study above. ref SDS 0 QA9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123876 -  ..
123877 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123878 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123879 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123880 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123881 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123883 -  ..
123884 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123885 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123887 -  ..
123888 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123889 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123890 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123892 -  ..
123893 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123894 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123895 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123896 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123897 - ref SDS 77 SM4M  After hike on 200801, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123898 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123899 - ref SDS 0 TZ8M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123901 -  ..
123902 - Concord 9 mile route then Lafayette reservoir 4 miles - after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123903 - Concord route, Kathy visiting from Sacramento picked me up on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123904 - Valley Road and drove us to Lafayette reservoir.  Initially hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123905 - Treat to Clayton, then to Texaco gas station.  At mile 5, HR 107 shown                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123906 - in EKG chart, which seems like AF, but is reported as Tachycardia, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123907 - below. ref SDS 0 STRQ  Hiked up Campus Drive to the Cal State Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123908 - college.  Forgot to restart Polar HR monitor at gas station, so there                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123909 - is about a mile gap in the recording.  Hiked through parking lots then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123910 - back down Campus Drive to Ygancio Valley Road.  Hiked up to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123911 - summit.  Kathy picked me up at after hiking 9 miles.  Drove to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123912 - Lafayette Reseroir.  Hiked first mile with Kathy at slow rate.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123913 - is a significant achievement for her; she had a mental block about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123914 - hiking beyond .75 miles for sevral weeks, but last few hikes she made                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123915 - the 1 mile mark, so her hike will be at least 2 miles to get back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123916 - the car.  She turned back and I continued.  About mile 1.2, heard                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123917 - footsteps of another hiker coming from behind.  Incresed pace, making                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123918 - it a race.  He passed me about mile 1.4, and opened a lead of 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123919 - yards.  He slowed ascending Killer Ridge going up steep 7% grade.  I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123920 - maintained pace, and so caught up at mile 1.75.  Before I could pass                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123921 - him, he stepped off the trail and headed for some folks at a picnic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123922 - table, seeming to end the race.  Continued hiking around a big curve.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123923 - The other guy actually took a short cut and came back on the trail                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123924 - about 40 yards ahead.  I caught him again on the last major uphill at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123925 - mile 2.25.  Continued around the South end of the grass area.  The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123926 - other guy cut across again and wound up 20 yards ahead.  Caught him on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123927 - the dam about mile 2.5 - so it was quite a race.  Felt stomach pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123928 - level 1 about mile 1.75, but it went away as speed increased,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123929 - counterintuitive.  Hiked to North end of dam and got water from the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123930 - fountain.  Hiked South on the Dam to where the car was parked.  Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123931 - was not there.  Continued South on the dam.  Near the end, called                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123932 - Kathy on cell phone to see if she was further South near the childrens                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123933 - playground.  She was actually stopped and resting at the North end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123934 - the dam at the Ranger station.  Hiked down the dam to the North.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123935 - Encountered Kathy coming around the North end of the reservoir.  We                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123936 - walked together South on the dam to the car, making 13 mile hike for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123937 - me.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123939 -  ..
123940 - Kardia recorded HR 58 at 0605 - Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123943 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200801-ecg-060526_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123946 - ...and says:  Atrial fibrillation was not detected and your EKG does                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123947 - not fall under the algorithmic classifications of Normal, Braydcardia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123948 - or Tachcardia.  This may be caused by otehr arrhythmias, unusually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123949 - fast or slow heart rates, or poor quality recordings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123951 -  ..
123952 - EKG seems perfect, well organized with normal p wave.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123955 -  ..
123956 - Polar HR GPS study for composite 13-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123957 - rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123960 -       Date      200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 200512 20  
123961 -       Miles        13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0      3       
123962 -       HR AVG      125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     no  abla  
123963 -         MAX       149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   data R at  
123964 -         Min        93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                                   
123965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123967 -  ..
123968 - HR profile showing average 125 and max 149 with temperature 92, while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123969 - racing another hiker at Lafayette for 1.5 miles shows evident erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123970 - beats, so likely no AF and no atrial flutter, following ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123971 - 200511 0546. ref SDS 94 244I  Pace okay, and did not shuffle feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123972 - not wobbly at any time without taking naproxen and oxycodone, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123973 - above. ref SDS 0 1G7F  Vitals less today for 11 miles, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123974 - yesterday hiked 11 miles of continuous steep hills at Lafayette                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123975 - reservoir, and today hiked Concord route with no steep hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123977 -  ..
123978 - Concord route Polar HR and GPS study...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123981 -              https://flow.polar.com/training/analysis/4960255706                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123985 -   
123986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123988 -  ..
123989 - Lafayette reservoir hike Polar HR and GPS study...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123991 -              https://flow.polar.com/training/analysis/4960255901                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123995 -   
123996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123998 -  ..
123999 - EKG after hiking 5 miles HR 107 - Kardia shows Tacycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124002 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200801-ecg-110214_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124005 -  ..
124006 - EKG chart after 5 miles looks very erratic first few beats with 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124007 - steeply elevated beats; then consistently mildly erratic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124011 -  ..
124012 - EKG 180 minutes after hiking 13 miles HR 62 - Kardia shows Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124015 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200801-ecg-193408_mile_13.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124018 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124020 -  ..
124021 - EKG chart 1st few beats little erratic, then looks very good, very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124022 - consistent.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124025 -  ..
124026 - HR profile post-hike beginning 1812 until next day OA 0630 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124027 - mostly steady heart beat 63 +/-.  Max HR 128 and minimum HR 41 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124028 - with indoor activity; few small spikes may not indicate atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124029 - fibrillatin (AF), while recovering from ablation procedures.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124030 - Momentary spikes correlate to going up and down stairs; overnight very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124031 - calm.  This may decrease exposure to ischemic colitis, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124032 - 200612 0700. ref SDS A2 RK6F  Selected "Other outdoor" rather than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124033 - "Other indoor", so system recorded GPS unnecessarily...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124036 -              https://flow.polar.com/training/analysis/4962421211                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124040 -   
124041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124043 -  ..
124044 - Breakfast - cheerios banana chia seeds milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124045 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124046 - Dinner - lettuce onion tomato salmon avocado mushrooms olives cucumber                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124048 -  ..
124049 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124055 -         ..
124056 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124057 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124058 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124059 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124060 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124061 -  215.  200802 0530............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124062 -               0650....BP HR..................................................... 123  72  59  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 SUTT                                                                                                                                                                                                                                                                                                                                                                                                                                               
124063 -               0655....BP HR..................................................... 115  72  55  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124064 -               0700....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124065 -               0700... 20 976080 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124066 -               0700... 80 200840 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124067 -               0700... 05 1800 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124068 -               0700... 75 3525 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124069 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
124070 -               1000... Gabapentin 300MG  23800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124071 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124072 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124073 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124074 -               1000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124075 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124076 -               0930....miles...........   7.0  59.0  110   969 minutes  temp  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124077 -               1220....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124078 -               1225....BP HR..................................................... 107  58 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124079 -               1230....BP HR..................................................... 103  63  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124080 -               1400... Simethicone 80  2260 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124081 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124082 -               1700... 40 60080 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
124083 -               1830............ 10 14010  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124084 -               1830............ 10 13600  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124085 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124086 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124087 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124088 -               2100... 40 40020 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124089 -               2130... 1000  883000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124090 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124091 -               0000....Tramadol 50 1950 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124092 -               2150... 05 1785 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124093 -           **  2150... 25   1400.0 Metoprolol Tartrate - switched from Succinct on 200801, because out of Succinct until refill received from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124094 -               2200... 80 200960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124095 -               0000... Simethicone 80  2320 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124096 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124098 -  ..
124099 - ** Metoprolol Tartrate - on 200801 out of Succinct until refill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124100 - ordered by Doctor Simpson is delivered.  On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124101 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124102 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124103 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124104 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124105 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124106 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124107 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124108 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124109 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124110 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124111 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124113 -  ..
124114 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124116 -  ..
124117 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124118 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124119 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124121 -  ..
124122 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124123 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124125 -  ..
124126 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124128 -  ..
124129 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124130 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124132 -  ..
124133 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124135 -  ..
124136 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124137 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124139 -  ..
124140 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124141 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124142 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124143 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124144 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124145 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124146 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124147 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124148 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124149 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124150 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124151 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124152 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124153 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124155 -  ..
124156 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124157 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124159 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124160 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124161 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124162 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124163 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124164 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124165 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124166 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124167 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124168 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124169 -        Knee left skin lesions left side.............   0        100  diclofenac omitted today due to rising lesions adverse reactions                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124170 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124171 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124172 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124173 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124174 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124175 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124176 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124177 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124178 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124179 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124180 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124181 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124182 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124183 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124184 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124185 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124186 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124187 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124188 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124189 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124190 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124191 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124192 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124193 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124194 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124195 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124196 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124197 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124198 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124199 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124200 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124202 -  ..
124203 - Body feels okay, after hiking 7 miles Lafayette reservoir route in 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124204 - degrees at good speed, following PRP on 191009 1500, ref SDS 78 0001
124206 - -
124207 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124208 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124209 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124211 -  ..
124212 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124213 - Little wobbly walking around.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124215 -  ..
124216 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124217 - pain level 0, so took Tramadol - see study above. ref SDS 0 LS4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124219 -  ..
124220 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124221 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124222 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124223 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124224 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124226 -  ..
124227 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124228 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124230 -  ..
124231 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124232 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124233 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124235 -  ..
124236 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124237 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124238 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124239 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124240 - ref SDS 77 SM4M  After hike on 200801, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124241 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124242 - ref SDS 0 TZ8M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124244 -  ..
124245 - Lafayette reservoir 7 mile course - Kathy stopped at the entrance to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124246 - the park, so I could get out and hike .25 mile up to the dam.  This is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124247 - steep .8% grade at places.  Met Kathy after she parked the car.  We                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124248 - hiked together around the North end of the dam, and on up the 1st                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124249 - steep hill on the course 7% grade.  We continued to the 1 mile mark,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124250 - where Kathy turned back.  I continued on around the 3-mile course.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124251 - Handled uphills well.  Back at the dam, met Kathy returning from the 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124252 - mile mark.  She continued South, and I did another loop around the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124253 - reservoir, making a 7 mile hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124255 -  ..
124256 - Kardia recorded HR 57 at 0652 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124259 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200802-ecg-065208_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124262 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124264 -  ..
124265 - EKG seems perfect, well organized with normal p wave.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124268 -  ..
124269 - Polar HR GPS study for composite 7-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124270 - rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124273 -       Date      200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 200514 200513 20  
124274 -       Miles         7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0      0      0       
124275 -       HR AVG      115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    no     no     n  
124276 -         MAX       134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hike   hike   da  
124277 -         Min        81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84                            
124278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124280 -  ..
124281 - HR profile showing average 115 and max 134 with temperature 74, while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124282 - other hikers over multiple hills, shows expected HR changes, so likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124283 - no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124284 - ref SDS 94 244I  Pace okay, and did not shuffle feet and not wobbly at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124285 - any time without taking naproxen and oxycodone, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124286 - LS4K 1G7F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124289 -              https://flow.polar.com/training/analysis/4963978616                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124293 -   
124294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124296 -  ..
124297 - EKG after hiking 7 miles HR 102 - Kardia shows Tacycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124300 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200802-ecg-113359_mile_07.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124303 -  ..
124304 - EKG chart after 7 miles looks consistent, seems excellent.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124308 -  ..
124309 - EKG 180 minutes after hiking 7 miles HR 83 - Kardia shows Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124312 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200802-ecg-140005_mile_07.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124315 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124317 -  ..
124318 - EKG chart seems erratic and inconsistent most of 30 second test.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124321 -  ..
124322 - HR profile post-hike beginning 1722 until next day OA 0650 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124323 - mostly steady heart beat 61 +/-.  Max HR 139 and minimum HR 44 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124324 - with indoor activity; more spikes before sleep may indicate going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124325 - and down stairs or possibly atrial fibrillatin (AF), while recovering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124326 - from ablation procedures.  Few momentary spikes overnight, may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124327 - indicate REM sleep. stairs, since mainly very calm.  This may increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124328 - exposure to ischemic colitis, reported on 200612 0700. ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124331 -              https://flow.polar.com/training/analysis/4966173516                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124335 -   
124336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124338 -  ..
124339 - Breakfast - cheerios banana chia seeds milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124340 - Lunch - half hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124341 - Dinner - lettuce onion tomato salmon avocado mushrooms olives cucumber                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124343 -  ..
124344 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124349 -         ..
124350 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124351 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124352 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124353 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124354 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124355 -  216.  200803 0610............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124356 -               0710....BP HR..................................................... 131  74  56  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 SXQR                                                                                                                                                                                                                                                                                                                                                                                                                                               
124357 -               0715....BP HR..................................................... 129  78  59  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124358 -               0720....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124359 -               0720... 20 976100 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124360 -               0720... 80 201040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124361 -               0720... 05 1810 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124362 -               0720... 75 3600 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124363 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
124364 -               1000... Gabapentin 300MG  24100MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124365 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124366 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124367 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124368 -               1000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124369 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124370 -               1700... 40 60120 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
124371 -             1 0000............ 10 14010  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124372 -             1 0000............ 10 13600  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124373 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124374 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124375 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124376 -               2100... 40 40060 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124377 -               2130... 1000  884000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124378 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124379 -               0000....Tramadol 50 1950 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124380 -               2150... 05 1795 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124381 -           **  2150... 25   1425.0 Metoprolol Tartrate - switched from Succinct on 200801, because out of Succinct until refill received from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124382 -               2200... 80 201120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124383 -               2310... Simethicone 80  2400 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124384 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124386 -  ..
124387 - ** Metoprolol Tartrate - on 200801 out of Succinct until refill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124388 - ordered by Doctor Simpson is delivered.  On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124389 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124390 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124391 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124392 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124393 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124394 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124395 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124396 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124397 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124398 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124399 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124401 -  ..
124402 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124404 -  ..
124405 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124406 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124407 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124409 -  ..
124410 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124411 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124413 -  ..
124414 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124416 -  ..
124417 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124418 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124420 -  ..
124421 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124423 -  ..
124424 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124425 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124427 -  ..
124428 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124429 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124430 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124431 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124432 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124433 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124434 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124435 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124436 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124437 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124438 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124439 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124440 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124441 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124443 -  ..
124444 - Hiking - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124446 -  ..
124447 - Kardia recorded HR 55 at 0726 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124450 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200803-ecg-072639_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124453 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124455 -  ..
124456 - EKG seems perfect, well organized with normal p wave.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124458 -  ..
124459 - HR profile post-hike beginning 1736 until next day OA 0630 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124460 - mostly steady heart beat 65 +/-.  Max HR 145 and minimum HR 43 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124461 - with indoor activity; few small spikes above 130 may indicate some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124462 - atrial fibrillatin (AF), while recovering from ablation procedures.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124463 - Momentary spikes correlate to going up and down stairs; overnight very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124464 - calm.  This may decrease exposure to ischemic colitis, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124465 - 200612 0700. ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124468 -              https://flow.polar.com/training/analysis/4969913841                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124472 -   
124473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124475 -  ..
124476 - Breakfast - cheerios peach chia seeds milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124477 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124478 - Dinner - lettuce onion tomato salmon avocado mushrooms olives cucumber                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124480 -  ..
124481 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124487 -         ..
124488 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124489 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124490 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124491 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124492 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124493 -  217.  200804 0640............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124494 -               0650....BP HR..................................................... 130  69  54  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 SYUP                                                                                                                                                                                                                                                                                                                                                                                                                                               
124495 -               0655....BP HR..................................................... 130  77  57  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124496 -               0720....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124497 -               0720... 20 976100 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124498 -               0720... 80 201040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124499 -               0720... 05 1810 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124500 -               0720... 75 3600 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124501 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
124502 -               1000... Gabapentin 300MG  24100MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124503 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124504 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124505 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124506 -               1000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124507 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124508 -          * cr 0940....miles...........  17.0  17.0  273   273 minutes  temp  78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124509 -               1510....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124510 -               1520....BP HR.....................................................  90  66 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124511 -               1525....BP HR.....................................................  99  67 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124512 -               0000... Simethicone 80  2400 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124513 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124514 -               1700... 40 60120 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
124515 -               1830............ 10 14010  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124516 -               1830............ 10 13600  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124517 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124518 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124519 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124520 -               2100... 40 40060 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124521 -               2130... 1000  884000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124522 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124523 -               0000....Tramadol 50 1950 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124524 -               2150... 05 1795 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124525 -           **  2150... 25   1425.0 Metoprolol Tartrate - switched from Succinct on 200801, because out of Succinct until refill received from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124526 -               2200... 80 201120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124527 -               0000... Simethicone 80  2320 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124528 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124530 -  ..
124531 - * cr - hiked Crystal Ranch Road 8-mile loop with 6 major hills, 1st                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124532 - time since 200701, per above. ref SDS 0 DG9N  On 181029, 1st time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124533 - hiking 4 in a row Crystal Ranch Road 4-mile loops, as part of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124534 - hike. ref SDS 55 E55K   On 191004 changed route going up and coming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124535 - down .5 miles very steep end of Crystal Ranch Road where it deadends                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124536 - at top of mountain. ref SDS 69 2T9L  Also added route using access                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124537 - road to Cal State College and back to Ygnacio Valley Road - makes 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124538 - mile loop with 6 major hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124540 -  ..
124541 - ** Metoprolol Tartrate - on 200801 out of Succinct until refill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124542 - ordered by Doctor Simpson is delivered.  On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124543 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124544 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124545 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124546 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124547 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124548 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124549 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124550 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124551 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124552 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124553 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124555 -  ..
124556 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124558 -  ..
124559 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124560 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124561 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124563 -  ..
124564 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124565 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124567 -  ..
124568 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124570 -  ..
124571 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124572 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124574 -  ..
124575 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124577 -  ..
124578 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124579 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124581 -  ..
124582 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124583 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124584 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124585 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124586 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124587 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124588 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124589 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124590 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124591 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124592 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124593 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124594 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124595 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124597 -  ..
124598 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124599 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124601 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124602 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124603 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124604 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124605 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124606 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124607 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124608 -        Bicep tendon strain across elbow right arm...   1        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124609 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124610 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124611 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124612 -        Knee left skin lesions left side.............   0        100  diclofenac omitted today due to rising lesions adverse reactions                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124613 -        Knee left meniscus...PRP 191009..............   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124614 -        Knee left patalla...PRP 191009...............   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124615 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124616 -        Knee left cruciate ligaments back of knee....   2          3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124617 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124618 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124619 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124620 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124621 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124622 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124623 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124624 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124625 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124626 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124627 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124628 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124629 -        Metatarsalgia left foot...PRP 191009.........   2          8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124630 -        Metatarsalgia right foot..PRP 191009.........   2          8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124631 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124632 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124633 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124634 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124635 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124636 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124637 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124638 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124639 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124640 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124641 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124642 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124643 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124645 -  ..
124646 - Body feels okay, after hiking 17 miles Concord route in 78 degrees at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124647 - good speed, following PRP on 191009 1500, ref SDS 78 0001
124649 - -
124650 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124651 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124652 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124654 -  ..
124655 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124656 - Little wobbly walking around.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124658 -  ..
124659 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124660 - pain level 0, so took Tramadol - see study above. ref SDS 0 LS4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124662 -  ..
124663 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124664 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124665 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124666 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124667 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124669 -  ..
124670 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124671 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124673 -  ..
124674 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124675 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124676 - reported on 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124678 -  ..
124679 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124680 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124681 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124682 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124683 - ref SDS 77 SM4M  After hike on 200801, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124684 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124685 - ref SDS 0 TZ8M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124687 -  ..
124688 - Concord 17 mile route - Starting energy okay today.  Wearing Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124689 - Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M; and wore                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124690 - 2-pair double-ply Wright socks received on 191010 1344, ref SDS 79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124691 - SM4M, to prevent blisters.  Took Metoprolol 1 pill 25 mg last night to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124692 - manage HR during hike and minimize blurred vision side effects while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124693 - working today.  Hiked from Cuneo uphill to Treat.  Breathed easily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124694 - through nose entire hike.  Temperature reached 80, but cool breeze, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124695 - did not feel hot.  Continued normal pace on Treat hiking East 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124696 - to Clayton.  Time 20 minutes at mile 1.25 turned corner.  Hiking South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124697 - on Clayton 2 miles at normal pace, mostly on flat concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124698 - At mile 3.50, turned West onto Ygnacio Valley Road hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124699 - sidewalk another .5 mile.  About mile 4, crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124700 - Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124701 - traffic.  At mile 5, stopped at Texaco gas station - HR 100 EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124702 - reported Tachycardia - see below. ref SDS 0 SXUS  Continued hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124703 - Ygnacio Valley Road to Pine Hollow; turned left and hiked about 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124704 - yards.  Took Campus Road .75-mile West against strong Westerly wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124705 - and uphill to California Sate University visitor parking.  Legs strong                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124706 - going uphill, indicating vasodilation activated.  Did 1-loop of about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124707 - 2 miles through adjoining Faculty and Student Parking lots.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124708 - include sub-loop uphill .5 mile on the cross street between upper and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124709 - lower areas.  At mile 7 back at Visitor Parking, took Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124710 - North .25 mile downhill to Ygnacio Valley Road - left knee patella                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124711 - pain level 2, while not taking naproxen.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124712 - Valley Road and hiked West against strong wind .5 miles.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124713 - onto Crystal Ranch Road and hiked South uphill, steep 5% grade for 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124714 - mile.  Handled this better than expected, breating through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124715 - without struggling all the way.  Reflects recent high intensity hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124716 - Lafayette Reservoir entry path from the traffic road uphill steep 8%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124717 - grade to the reservoir dam, reported on 200802, above, ref SDS 0 SUPW,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124718 - including 3 laps around the reservoir doing continuous hills, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124719 - Killer Ridge with 7% grade, reported last week on 200729. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124720 - RTQW  Today, on reaching summit on Crystal Ranch Road hiked 1 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124721 - flat asphalt roadway, then downhill .25 mile.  Stayed on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124722 - Road past Rolling Woods Way and uphill, steep 5% grade .5 mile to top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124723 - of mountain.  Breathed through nose easily entire distance, showing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124724 - again improved conditioning, since doing this a month ago on 200531.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124725 - Hiked North back downhill .5 mile.  Turned right heading East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124726 - Rolling Woods Way hiking up very steep 5% grade hill .33 mile, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124727 - breathig through nose all the way.  At summit, hiked .66 mile downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124728 - and turned left hiking North on Pine Hollow.  Hiked 1 mile to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124729 - Valley Road.  Stopped at Texaco gas station - mile 12 in the hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124730 - EKG reported HR 120 and Tachcardia, see below. ref SDS 0 SN8H  Bought                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124731 - softdrink and drank 40% for energy, and to hydrate for treating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124732 - colitis, per telecon with Doctor Lee on 200716. ref SDS A4 N88N  Threw                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124733 - rest away.  Also bought banana.  Did not seem to feel bloated, so did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124734 - not take Simethicone to treat possible ischemic colitis.  Hiked West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124735 - on Ygnacio Valley Road .25 mile to Pine Holow.  Hiked 50 yards and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124736 - turned West and hiked Campus Road again .75-mile uphill to California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124737 - Sate University visitor parking.  Hiked through faculty parking to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124738 - Student parking, then turned and hiked back to Visitor Parking.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124739 - mile 13 in hike took Campus Road North downhill .25 mile to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124740 - Valley Road.  Turned left and hiked West 1 mile past Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124741 - Road and uphill past Cowell.  At mile 14 crossed from South side of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124742 - Ygnacio Valley Road to the North side in order to avoid severely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124743 - sloped shoulder on South Side.  On North side continued West over the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124744 - summit and past concrete traffic seperation bariars.  At mile 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124745 - turned around and hiked back downhill to Cowell.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124746 - Cowell and hiked North 1 mile to Treat.  Hiked West on Treat to Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124747 - and home.  Continued through Cowell Terrace parking roadways another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124748 - .5 mile for 17 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124750 -  ..
124751 - Kardia recorded HR 60 at 0651 - Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124754 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200804-ecg-065148_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124757 - ...and says:  Atrial fibrillation was not detected and your EKG does                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124758 - not fall under the algorithmic classifications of Normal, Braydcardia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124759 - or Tachcardia.  This may be caused by otehr arrhythmias, unusually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124760 - fast or slow heart rates, or poor quality recordings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124762 -  ..
124763 - EKG seems erratic throughout.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124766 -  ..
124767 - Polar HR GPS study for 17-mile hike shows HR profile that rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124768 - falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124771 -       Date      200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 200516 200515 20  
124772 -       Miles        17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14     12      0       
124773 -       HR AVG      119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    100     no    n  
124774 -         MAX       141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    115    hike  hi  
124775 -         Min        81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60     84              
124776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124778 -  ..
124779 - HR profile showing average 119 and max 141 with temperature 78, over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124780 - multiple some long, steep hills, shows expected HR changes, so likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124781 - no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124782 - ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124785 -              https://flow.polar.com/training/analysis/4971987351                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124789 -   
124790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124793 -  ..
124794 - EKG after hiking 5 miles HR 100 - Kardia shows Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124797 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200804-ecg-110049_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124800 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124802 -  ..
124803 - EKG chart after 5 miles looks consistent, seems excellent.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124807 -  ..
124808 - EKG after hiking 12 miles HR 120 - Kardia shows Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124811 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200804-ecg-131523_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124813 -  ..
124814 - EKG chart after 12 miles looks consistently, mildly erratic; one beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124815 - at about 20 seconds appears very erratic, like AF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124819 -  ..
124820 - EKG after hiking 17 miles HR 116 - Kardia shows Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124824 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200804-ecg-150744_mile_17.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124827 -  ..
124828 - EKG chart after 17 miles looks consistent - very good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124849 -  ..
124850 - Breakfast - toast ensure with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124851 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124852 - Dinner - lettuce asparagus onion avocado cucumber tomato, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124854 -  ..
124855 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124861 -         ..
124862 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124863 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124864 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124865 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124866 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124867 -  218.  200805 0620............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124868 -               0650....BP HR..................................................... 117  70  52  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 TSXV                                                                                                                                                                                                                                                                                                                                                                                                                                               
124869 -               0655....BP HR..................................................... 118  71  54  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124870 -               0700....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124871 -               0700... 20 976120 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124872 -               0700... 80 201200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124873 -               0700... 05 1820 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124874 -               0700... 75 3675 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124875 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
124876 -               0000... Gabapentin 300MG  24100MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124877 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124878 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124879 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124880 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124881 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124882 -               1700... 40 60160 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
124883 -             1 0000............ 10 14010  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124884 -             1 0000............ 10 13600  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124885 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124886 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124887 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124888 -               2100... 40 40100 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124889 -               2130... 1000  885000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124890 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124891 -               2140....Tramadol 50 2000 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124892 -               2150... 05 1805 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124893 -           **  2150... 25   1450.0 Metoprolol Succinct - switched from Tartrate on 200805, because received refill from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124894 -               2200... 80 201280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124895 -               2250... Simethicone 80  2480 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124896 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124898 -  ..
124899 - ** Metoprolol Succinct - on 200805 received refill.  On 200724 Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124900 - Simpson recommended taking Metoprolol at night, rather than in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124901 - morning, and if HR is below 60, then skip taking the pill. ref SDS A9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124902 - WA5O Doctor Pellegrini switchted from Tartrate, reported on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124903 - 0930. ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124904 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124905 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124906 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124907 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124908 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124909 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124910 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124912 -  ..
124913 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124915 -  ..
124916 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124917 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124918 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124920 -  ..
124921 - Dizzy - not noticably wobbly today, after BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124922 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124924 -  ..
124925 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124927 -  ..
124928 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124929 - days, so will continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124931 -  ..
124932 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124934 -  ..
124935 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124936 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124938 -  ..
124939 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124940 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124941 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124942 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124943 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124944 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124945 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124946 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124947 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124948 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124949 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124950 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124951 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124952 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124954 -  ..
124955 - Kardia recorded HR 54 at 0642 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124958 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200805-ecg-064239_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124961 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124964 -  ..
124965 - EKG chart seems perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124968 -  ..
124969 - HR profile post-hike beginning 1220 until next day OA 0600 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124970 - mostly steady heart beat 71 +/-.  Max HR 148 and minimum HR 41 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124971 - with indoor activity; few spikes above 130 may indicate some atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124972 - fibrillatin (AF), while recovering from ablation procedures.  This may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124973 - increase exposure to ischemic colitis, reported on 200612 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124974 - ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124977 -              https://flow.polar.com/training/analysis/4977870556                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124981 -   
124982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124984 -  ..
124985 - Breakfast - cream of wheat rasins with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124986 - Lunch - half sandwich balogna onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124987 - Dinner - macaroni cheese onion hamburger mushroom broccoli.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124989 -  ..
124990 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124996 -         ..
124997 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124998 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124999 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125000 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125001 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125002 -  219.  200806 0710............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125003 -               0650....BP HR..................................................... 133  74  62  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 TWSY                                                                                                                                                                                                                                                                                                                                                                                                                                               
125004 -               0655....BP HR..................................................... 124  76  56  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125005 -               0700....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125006 -               0700... 20 976140 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125007 -               0700... 80 201360 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125008 -               0700... 05 1830 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125009 -               0700... 75 3750 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125010 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
125011 -               1000... Gabapentin 300MG  24400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125012 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125013 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125014 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125015 -               1000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125016 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125017 -          * cr 0935....miles...........  19.0  36.0  317   595 minutes  temp  83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125018 -               1430... Simethicone 80  2560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125019 -               1605....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125020 -               1615....BP HR.....................................................  89  61  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125021 -               1620....BP HR..................................................... 107  65  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125022 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125023 -               1700... 40 60160 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
125024 -               1830............ 10 14010  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125025 -               1830............ 10 13600  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125026 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125027 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125028 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125029 -               2100... 40 40100 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125030 -               2130... 1000  885000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125031 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125032 -               0000....Tramadol 50 1950 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125033 -               2150... 05 1805 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125034 -           **  2150... 25   1450.0 Metoprolol Succinct - switched from Tartrate on 200805, because received refill from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125035 -               2200... 80 201280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125036 -               0000... Simethicone 80  2560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125037 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125039 -  ..
125040 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills, 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125041 - time since 200701, per above. ref SDS 0 DG9N  On 181029, 1st time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125042 - hiking 4 in a row Crystal Ranch Road 4-mile loops, as part of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125043 - hike. ref SDS 55 E55K   On 191004 changed route going up and coming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125044 - down .5 miles very steep 5% grade to end of Crystal Ranch Road at top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125045 - of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125046 - hiking 1 mile uphill to Cal State East Bay college, with 2 miles of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125047 - loops through Visitor, faculty and student parking, and back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125048 - Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125050 -  ..
125051 - ** Metoprolol Succinct - on 200805 received refill.  On 200724 Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125052 - Simpson recommended taking Metoprolol at night, rather than in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125053 - morning, and if HR is below 60, then skip taking the pill. ref SDS A9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125054 - WA5O Doctor Pellegrini switchted from Tartrate, reported on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125055 - 0930. ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125056 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125057 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125058 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125059 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125060 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125061 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125062 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125064 -  ..
125065 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125067 -  ..
125068 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125069 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125070 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125072 -  ..
125073 - Dizzy - noticably wobbly beginning about mile 12, but due to fatigue,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125074 - and not BPPV, after BPPV treatment at VAMCSF on 200527 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125075 - ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125077 -  ..
125078 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125080 -  ..
125081 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125082 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125084 -  ..
125085 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125087 -  ..
125088 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125089 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125091 -  ..
125092 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125093 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125094 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125095 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125096 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125097 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125098 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125099 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125100 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125101 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125102 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125103 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125104 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125105 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125107 -  ..
125108 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125109 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125111 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125112 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125113 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125114 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125115 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125116 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125117 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125118 -        Bicep tendon strain across elbow right arm...   1        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125119 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125120 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125121 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125122 -        Knee left skin lesions left side.............   0        100  diclofenac omitted today due to rising lesions adverse reactions                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125123 -        Knee left meniscus...PRP 191009..............   2          5  left side intra-articular going downhill on Campus Road and later going downhill on Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125124 -        Knee left patalla...PRP 191009...............   2          5  below knee cap going downhill on Campus Road and later going downhill on Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125125 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125126 -        Knee left cruciate ligaments back of knee....   2          3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125127 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125128 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125129 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125130 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125131 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125132 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125133 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125134 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125135 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125136 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125137 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125138 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125139 -        Metatarsalgia left foot...PRP 191009.........   1          3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125140 -        Metatarsalgia right foot..PRP 191009.........   1          3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125141 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125142 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125143 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125144 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125145 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125146 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125147 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125148 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125149 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125150 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125151 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125152 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125153 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125155 -  ..
125156 - Body feels tired, light headed (sleepy) after hiking 19 miles Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125157 - route in 82 degrees at good speed, following PRP on 191009 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125158 - ref SDS 78 0001
125160 - -
125161 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125162 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125163 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125165 -  ..
125166 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125167 - Little wobbly walking around.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125169 -  ..
125170 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125171 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125172 - LS4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125174 -  ..
125175 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125176 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125177 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125178 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125179 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125181 -  ..
125182 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125183 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125185 -  ..
125186 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125187 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125188 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125190 -  ..
125191 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125192 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125193 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125194 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125195 - ref SDS 77 SM4M  After hike on 200801, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125196 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125197 - ref SDS 0 TZ8M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125199 -  ..
125200 - Concord 19 mile route - Starting energy good today, pressaging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125201 - improved cardiac function 3 months after ablation procedures.  Wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125202 - Hoka Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M, that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125203 - prevent feet and knee injuries.  Wore 2-pair double-ply Wright socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125204 - received on 191010 1344, ref SDS 79 SM4M, to prevent blisters.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125205 - Metoprolol 1 pill 25 mg last night to prevent elevated HR during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125206 - today.  This further minimizes blurred vision side effects while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125207 - working during the day.  Hiked from Cuneo uphill to Treat.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125208 - easily through nose entire hike.  Temperature reached 84, but cool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125209 - breeze prevented getting dehydrated from being too hot.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125210 - normal pace on Treat hiking East 1 mile to Clayton.  Took 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125211 - to reach mile 1.25.  Turned corner hiking South on Clayton 2 miles at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125212 - normal pace, mostly on flat concrete sidewalk.  At mile 3.50, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125213 - West onto Ygnacio Valley Road hiking on concrete sidewalk another .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125214 - mile.  About mile 4, crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125215 - West on asphalt shoulder aganist East bound traffic.  At mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125216 - stopped at Texaco gas station - EKG reported Normal HR 97 - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125217 - ref SDS 0 RX8L  Continued hike on Ygnacio Valley Road to Pine Hollow;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125218 - turned left and hiked about 50 yards.  Turned right onto Campus Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125219 - Hiked 1-mile West against wind and uphill to California Sate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125220 - University East Bay campus.  Legs strong going uphill, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125221 - vasodilation.  Noticed on reaching campus Visitor Parking that Polar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125222 - monitor showed HR 92, well below normal HR 115+ at this point in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125223 - hike.  Indicates heart working efficiently - aligns with feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125224 - increased power today, that may signal recovery from reduced cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125225 - function following 2-ablation procedures ending on 200511.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125226 - 1-loop of about 2 miles through adjoining Faculty and Student Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125227 - lots.  In Faculty parking saw a woman walking dogs.  Have seen her                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125228 - previously.  Today, she introduced herself, Lisa, and explained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125229 - walking 16 dogs.  Quite a sight.  We passed several times going in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125230 - opposite directions on different levels of Student Parking.  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125231 - did not include sub-loops uphill .5 mile on the cross street between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125232 - upper and lower parking areas.  At mile 7 back at Visitor Parking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125233 - took Campus Drive North .33 mile downhill to Ygnacio Valley Road -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125234 - left knee meniscus and patella pain level 2, while not taking naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125235 - due to side effects of colitis, nor PRP injection treatments for feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125236 - and knees, since 191009.  Turned left onto Ygnacio Valley Road and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125237 - hiked West against wind .5 miles.  At mile 7.5, turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125238 - Crystal Ranch Road and hiked South uphill, steep at times 5% grade for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125239 - 1 mile.  Passed a jogger coming down Crystal Ranch road.  Handled this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125240 - high intensity endurance part of the hike much better today, than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125241 - expected, breathing through nose with no sense of struggling all the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125242 - way to summit.  Felt similar to hiking in December, prior to onset of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125243 - paroxysmal atrial fibrillation (PAF).  Until PAF struck, felt like "I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125244 - owned Crystal Ranch Road."  After PAF, have reluctant to attempt this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125245 - strenuous hike.  Improvement today, reflects stronger cardiovascular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125246 - conditioning from recent high intensity hiking Lafayette Reservoir                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125247 - footpath rather than driving up to the dam.  The footpath is about .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125248 - mile uphill with 8% grade to reach the reservoir dam, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125249 - 200802, above. ref SDS 0 SUPW  On 4 days in a row hiked 3 laps racing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125250 - other hikers for 3-miles around the reservoir doing continuous short                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125251 - hills, e.g., Killer Ridge with 7% grade, reported last week on 200729.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125252 - ref SDS 0 RTQW  Today, on reaching summit of Crystal Ranch Road hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125253 - 1 mile on flat asphalt roadway through residential area, then downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125254 - .25 mile.  Stayed on Crystal Ranch Road hiking past Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125255 - and uphill, steep 5% grade .5 mile to top of mountain.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125256 - through nose easily entire distance, further showing improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125257 - conditioning, since doing this hike a month ago on 200531.  Very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125258 - satisfying not feeling distressed nor struggling, which has been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125259 - occurring on this part of the route, since December, when atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125260 - fibrillation first occurred, reported on 191222, see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125261 - 190101 0730, ref SDS 69 QXQV  Hiked North back downhill .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125262 - Encountered guy walking uphill, who was jogging downhill earlier, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125263 - above.  He asked how far I hike, saying, like many, that he sees me                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125264 - all over town.  Explained daily hikes vary from 11 - 20 miles.  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125265 - feeling good, so may go for 20.  Turned right heading East on Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125266 - Woods Way hiking easily uphill on steep 5% grade for .33 mile, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125267 - breathing through nose all the way.  At summit, hiked .66 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125268 - downhill.  Turned left hiking North on Pine Hollow for 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125269 - Ygnacio Valley Road.  Stopped at Texaco gas station again - mile 12 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125270 - the hike.  EKG reported HR 108 and Tachycardia, see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125271 - TWYT  Bought softdrink and drank 60% for energy, and to hydrate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125272 - treating colitis, per telecon with Doctor Lee on 200716. ref SDS A4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125273 - N88N  Also bought banana.  There was slight bloated feeling, so took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125274 - Simethicone to treat possible ischemic colitis symptom.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125275 - Ygnacio Valley Road .25 mile to Pine Hollow.  Hiked 50 yards and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125276 - turned West.  Hiked uphill on Campus Road again 1-mile to California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125277 - Sate University East Bay campus.  Hiked normal loop 2-miles through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125278 - faculty and Student parking, then back to Visitor Parking.  Beginning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125279 - to feel fatigue and becoming wobbly.  This is not BPPV, so possibly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125280 - further vasodilation now drawing blood from brain.  At mile 14 in hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125281 - took Campus Road North downhill .25 mile to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125282 - Turned left and hiked West 1 mile past Crystal Ranch Road and uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125283 - past Cowell.  At mile 16 crossed from South side of Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125284 - Road to the North side in order to avoid severely sloped shoulder on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125285 - South Side.  On North side continued West over the summit and past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125286 - concrete traffic seperation barriars.  At mile 17 turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125287 - hiked East back downhill 1-mile to Cowell.  Turned left and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125288 - North on Cowell 1 mile to Treat.  Hiked West on Treat .25 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125289 - Cuneo then into the Cowell Terrace complex and home.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125290 - through Cowell Terrace parking roadways another .5 mile for 19 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125291 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125293 -  ..
125294 - Kardia recorded HR 56 at 0759 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125297 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200806-ecg-075933_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125300 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125303 -  ..
125304 - EKG chart seems perfect, except for 1st beat but may be incomplete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125305 - data.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125308 -  ..
125309 - Polar HR GPS study for 19-mile hike shows HR profile that rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125310 - falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125313 -       Date      200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 200517 20  
125314 -       Miles        19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0     14       
125315 -       HR AVG      110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no     98    1  
125316 -         MAX       128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   122    1  
125317 -         Min        81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75            60       
125318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125320 -  ..
125321 - HR profile showing average 110 and max 128 with temperature 83, over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125322 - multiple long, steep hills, shows expected HR changes, so likely no AF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125323 - and no atrial flutter, following ablation on 200511 0546. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125324 - 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125327 -              https://flow.polar.com/training/analysis/4979777946                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125331 -   
125332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125335 -  ..
125336 - EKG after hiking 5 miles HR 97 - Kardia shows Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125339 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200806-ecg-105535_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125342 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125344 -  ..
125345 - EKG chart after 5 miles looks consistent, seems excellent.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125349 -  ..
125350 - EKG after hiking 19 miles HR 108 - Kardia shows Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125353 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200806-ecg-131739_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125355 -  ..
125356 - EKG chart after 19 miles looks consistently, mildly erratic; no sign                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125357 - of AF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125361 -  ..
125362 - EKG 20 minutes after hiking 19 miles HR 105 - Kardia shows Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125366 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200806-ecg-155329_mile_19.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125369 -  ..
125370 - EKG chart after 19 miles looks consistent - very good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125374 -  ..
125375 - HR profile post-hike beginning 1604 until next day OA 0600 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125376 - mostly steady heart beat 66 +/-.  Max HR 129 and minimum HR 37 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125377 - with indoor activity; 0 spikes above 130 may indicate no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125378 - fibrillatin (AF), while recovering from ablation procedures.  This may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125379 - decrease exposure to ischemic colitis, reported on 200612 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125380 - ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125383 -              https://flow.polar.com/training/analysis/4981507556                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125387 -   
125388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125390 -  ..
125391 - Breakfast - cream of wheat rasins (few bites) with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125392 - Lunch - half sandwich balogna onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125393 - Dinner - macaroni cheese onion hamburger mushroom broccoli.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125395 -  ..
125396 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125402 -         ..
125403 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125404 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125405 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125406 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125407 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125408 -  220.  200807 0550............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125409 -               0810....BP HR..................................................... 129  75  56  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 TYSW                                                                                                                                                                                                                                                                                                                                                                                                                                               
125410 -               0815....BP HR..................................................... 122  79  55  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125411 -               0820....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125412 -               0820... 20 976180 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125413 -               0820... 80 201360 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125414 -               0820... 05 1840 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125415 -               0820... 75 3825 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125416 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
125417 -               1000... Gabapentin 300MG  24700MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125418 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125419 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125420 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125421 -               1000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125422 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125423 -               0940....miles...........  11.0  47.0  181   776 minutes  temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125424 -               1130... Simethicone 80  2640 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125425 -               1320....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125426 -               1340....BP HR.....................................................  99  63  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125427 -               1345....BP HR.....................................................  97  62  78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125428 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125429 -               1700... 40 60200 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
125430 -             1 0000............ 10 14010  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125431 -             1 0000............ 10 13600  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125432 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125433 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125434 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125435 -               2100... 40 40140 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125436 -               2130... 1000  886000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125437 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125438 -               0000....Tramadol 50 1950 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125439 -               2150... 05 1815 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125440 -           **  2150... 25   1475.0 Metoprolol Succinct - switched from Tartrate on 200805, because received refill from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125441 -               2200... 80 201440 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125442 -               0000... Simethicone 80  2560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125443 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125445 -  ..
125446 - ** Metoprolol Succinct - on 200805 received refill.  On 200724 Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125447 - Simpson recommended taking Metoprolol at night, rather than in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125448 - morning, and if HR is below 60, then skip taking the pill. ref SDS A9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125449 - WA5O Doctor Pellegrini switchted from Tartrate, reported on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125450 - 0930. ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125451 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125452 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125453 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125454 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125455 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125456 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125457 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125459 -  ..
125460 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125462 -  ..
125463 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125464 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125465 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125467 -  ..
125468 - Dizzy - noticably wobbly beginning about mile 12, but due to fatigue,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125469 - and not BPPV, after BPPV treatment at VAMCSF on 200527 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125470 - ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125472 -  ..
125473 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125475 -  ..
125476 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125477 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125479 -  ..
125480 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125482 -  ..
125483 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125484 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125486 -  ..
125487 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125488 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125489 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125490 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125491 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125492 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125493 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125494 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125495 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125496 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125497 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125498 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125499 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125500 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125502 -  ..
125503 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125504 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125506 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125507 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125508 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125509 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125510 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125511 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125512 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125513 -        Bicep tendon strain across elbow right arm...   1        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125514 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125515 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125516 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125517 -        Knee left skin lesions left side.............   0        100  diclofenac omitted today due to rising lesions adverse reactions                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125518 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125519 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125520 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125521 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125522 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125523 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125524 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125525 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125526 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125527 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125528 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125529 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125530 -        Tailor's Bunion left foot.. PRP 190612.......   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125531 -        Tailor's Bunion right foot..PRP 190816.......   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125532 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125533 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125534 -        Metatarsalgia left foot...PRP 191009.........   1          7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125535 -        Metatarsalgia right foot..PRP 191009.........   1          7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125536 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125537 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125538 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125539 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125540 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125541 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125542 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125543 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125544 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125545 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125546 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125547 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125548 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125550 -  ..
125551 - Body feels tired, light headed (sleepy) after hiking 11 miles Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125552 - route in 82 degrees at good speed, following PRP on 191009 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125553 - ref SDS 78 0001
125555 - -
125556 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125557 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125558 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125560 -  ..
125561 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125562 - Little wobbly walking around.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125564 -  ..
125565 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125566 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125567 - LS4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125569 -  ..
125570 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125571 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125572 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125573 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125574 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125576 -  ..
125577 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125578 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125580 -  ..
125581 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125582 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125583 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125585 -  ..
125586 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125587 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125588 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125589 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125590 - ref SDS 77 SM4M  After hike on 200801, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125591 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125592 - ref SDS 0 TZ8M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125594 -  ..
125595 - Concord 11 mile route - Starting energy okay today, Wearing Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125596 - 6 shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125597 - and knee injuries.  Wore 2-pair double-ply Wright socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125598 - 191010 1344, ref SDS 79 SM4M, to prevent blisters.  Took Metoprolol 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125599 - pill 25 mg last night to prevent elevated HR during hike today.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125600 - further minimizes blurred vision side effects while working during the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125601 - day.  Hiked from Cuneo uphill to Treat.  Breathed easily through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125602 - entire hike.  Temperature reached 82.  Continued normal pace on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125603 - hiking East 1 mile to Clayton.  Took 19 minutes to reach mile 1.25.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125604 - Turned corner hiking South on Clayton 2 miles at normal pace, mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125605 - on flat concrete sidewalk.  At mile 3.50, turned West onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125606 - Valley Road hiking on concrete sidewalk another .5 mile.  About mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125607 - 4, crossed to South side Ygnacio Valley Road hiking West on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125608 - shoulder aganist East bound traffic.  At mile 5, stopped at Texaco gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125609 - station - EKG reported Normal HR 95 - see below. ref SDS 0 TYWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125610 - Continued hike on Ygnacio Valley Road to Pine Hollow; turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125611 - hiked about 50 yards.  Turned right onto Campus Road.  Hiked 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125612 - West against wind and uphill 3% - 4% grade to California Sate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125613 - University East Bay campus.  Legs strong going uphill, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125614 - vasodilation.  Hiked 1-loop of about 2 miles through adjoining Faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125615 - and Student Parking lots.  Today, did not include sub-loops uphill .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125616 - mile on the cross street between upper and lower parking areas.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125617 - mile 7 back at Visitor Parking, took Campus Drive North .33 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125618 - downhill to Ygnacio Valley Road - both feet blister on Tailors Bunion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125619 - pain level 2, while not taking naproxen due to side effects of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125620 - colitis, nor PRP injection treatments for feet and knees, since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125621 - 191009.  Turned left onto Ygnacio Valley Road and hiked West against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125622 - wind .5 miles.  At mile 7.5, did not turn left onto Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125623 - because body still hurting from 19-mile hike yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125624 - ref SDS 0 TVWV  Continued West on Ygnacio Valley Road uphill 2% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125625 - past Cowell.  At mile 6 crossed from South side of Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125626 - to the North side in order to avoid severely sloped shoulder on South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125627 - Side.  On North side continued West uphill 3% grade over the summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125628 - and past concrete traffic seperation barriar.  At mile 9 turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125629 - and hiked East 1-mile uphill 3% grade over the summit again, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125630 - downhill.  Turned left onto Cowell and hiked North downhill 3% grade 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125631 - mile to Treat.  Hiked West on Treat to Cuneo and home for 11 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125632 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125634 -  ..
125635 - Kardia recorded HR 54 at 0846 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125638 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200807-ecg-084540_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125641 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125644 -  ..
125645 - EKG chart seems perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125648 -  ..
125649 - Polar HR GPS study for 11-mile hike shows HR profile that rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125650 - falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125653 -       Date      200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 200518 20  
125654 -       Miles        11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12      0       
125655 -       HR AVG      107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101     no       
125656 -         MAX       123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    hike   1  
125657 -         Min        76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75              
125658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125660 -  ..
125661 - HR profile showing average 107 and max 123 with temperature 82, over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125662 - multiple long hills, shows expected HR changes, so likely no AF and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125663 - atrial flutter, following ablation on 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125666 -              https://flow.polar.com/training/analysis/4982919041                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125670 -   
125671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125674 -  ..
125675 - EKG after hiking 5 miles HR 95 - Kardia shows Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125678 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200807-ecg-105801_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125681 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125683 -  ..
125684 - EKG chart after 5 miles somewhat consistent, seems disturbed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125688 -  ..
125689 - EKG 60 minutes after hiking 11 miles HR 101 - Kardia shows Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125693 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200807-ecg-131402_mile_11.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125696 -  ..
125697 - EKG chart after 11 miles looks consistent - very good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125717 -  ..
125718 - Breakfast - cream of wheat rasins (few bites) with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125719 - Lunch - half sandwich balogna onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125720 - Dinner - macaroni cheese onion hamburger mushroom broccoli.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125722 -  ..
125723 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125729 -         ..
125730 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125731 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125732 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125733 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125734 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125735 -  221.  200808 0730............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125736 -               0730....BP HR..................................................... 126  78  58  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 URPW                                                                                                                                                                                                                                                                                                                                                                                                                                               
125737 -               0735....BP HR..................................................... 123  73  57  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125738 -               0740....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125739 -               0740... 20 976200 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125740 -               0740... 80 201520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125741 -               0740... 05 1850 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125742 -               0740... 75 3900 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125743 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
125744 -               0930... Gabapentin 300MG  25000MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125745 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125746 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125747 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125748 -               0930....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125749 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125750 -               1020....miles...........   7.0  54.0  116   892 minutes  temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125751 -               0000... Simethicone 80  2640 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125752 -               1305....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125753 -               1320....BP HR..................................................... 101  66  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125754 -               1325....BP HR..................................................... 100  66  83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125755 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125756 -               1700... 40 60240 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
125757 -               1830............ 10 14020  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125758 -               1830............ 10 13610  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125759 -               2010... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125760 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125761 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125762 -               2100... 40 40180 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125763 -               2130... 1000  887000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125764 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125765 -               2140....Tramadol 50 2000 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125766 -               2150... 05 1855 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125767 -           **  2150... 25   1500.0 Metoprolol Succinct - switched from Tartrate on 200805, because received refill from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125768 -               2200... 80 201600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125769 -               2350... Simethicone 80  2720 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125770 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125772 -  ..
125773 - ** Metoprolol Succinct - on 200805 received refill.  On 200724 Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125774 - Simpson recommended taking Metoprolol at night, rather than in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125775 - morning, and if HR is below 60, then skip taking the pill. ref SDS A9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125776 - WA5O Doctor Pellegrini switchted from Tartrate, reported on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125777 - 0930. ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125778 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125779 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125780 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125781 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125782 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125783 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125784 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125786 -  ..
125787 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125789 -  ..
125790 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125791 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125792 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125794 -  ..
125795 - Dizzy - noticably wobbly beginning about mile 12, but due to fatigue,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125796 - and not BPPV, after BPPV treatment at VAMCSF on 200527 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125797 - ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125799 -  ..
125800 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125802 -  ..
125803 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125804 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125806 -  ..
125807 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125809 -  ..
125810 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125811 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125813 -  ..
125814 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125815 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125816 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125817 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125818 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125819 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125820 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125821 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125822 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125823 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125824 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125825 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125826 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125827 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125829 -  ..
125830 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125831 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125833 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125834 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125835 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125836 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125837 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125838 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125839 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125840 -        Bicep tendon strain across elbow right arm...   1        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125841 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125842 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125843 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125844 -        Knee left skin lesions left side.............   0        100  diclofenac omitted today due to rising lesions adverse reactions                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125845 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125846 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125847 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125848 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125849 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125850 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125851 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125852 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125853 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125854 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125855 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125856 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125857 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125858 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125859 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125860 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125861 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125862 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125863 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125864 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125865 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125866 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125867 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125868 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125869 -        Blister ring toe left foot...................   3         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125870 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125871 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125872 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125873 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125874 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125875 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125877 -  ..
125878 - Body feels okay, light headed (sleepy) after hiking 7 miles Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125879 - route in 82 degrees at good speed, following PRP on 191009 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125880 - ref SDS 78 0001
125882 - -
125883 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125884 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125885 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125887 -  ..
125888 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125889 - Little wobbly walking around.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125891 -  ..
125892 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125893 - pain level 0; had restless legs, so took Tramadol - see study above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125894 - ref SDS 0 XT4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125896 -  ..
125897 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125898 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125899 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125900 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125901 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125903 -  ..
125904 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125905 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125907 -  ..
125908 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125909 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125910 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125912 -  ..
125913 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125914 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125915 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125916 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125917 - ref SDS 77 SM4M  After hike on 200808, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125918 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125919 - ref SDS 0 XT4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125921 -  ..
125922 - Lafayette Reservoir 7-mile route - Exited the car at entry on Mount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125923 - hiked and .25 mile up steep hill 8% grade to Lafayette reservoir.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125924 - Hiked .25 mile South on the dam.  Met Kathy.  We hiked slowly (20+                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125925 - minute miles) around the North end of the reservoir to mile 1.25.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125926 - Kathy turned back, and I continued at fast pace - 14 and 15 minute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125927 - miles - completing 2 loops.  Handled numberous short hills well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125928 - breathing through nose all the way, except on initial steep hill into                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125929 - the park breathed through mouth for last 20% of way to the dam.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125930 - not have to stop and rest on this 8% grade, as occurered last week on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125931 - 200721, per above. ref SDS 0 PSPV  Made Killer Ridge 7% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125932 - good pace; had to breath through mouth at top of hill for 100 yards on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125933 - both laps, as occurred previously.  Passed numerous hikers with pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125934 - 14 and 15 minute miles.  No chest pain.  No evident bloating due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125935 - colitis, so did not need simethicone.  Blister on left foot ring toe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125936 - was severe both laps, and prevented doing 3rd lap.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125938 -  ..
125939 - Kardia recorded HR 56 at 0847 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125942 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200808-ecg-084718_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125945 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125948 -  ..
125949 - EKG chart seems perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125952 -  ..
125953 - Polar HR GPS study for 7-mile hike shows HR profile that rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125954 - falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125957 -       Date      200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 200519 20  
125958 -       Miles         7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14     12       
125959 -       HR AVG      118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    101       
125960 -         MAX       137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    122    h  
125961 -         Min        87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72     75       
125962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125964 -  ..
125965 - HR profile showing average 118 and max 137 with temperature 80, over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125966 - multiple hills at Lafayette Reservoir, shows expected HR changes, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125967 - likely no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125968 - ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125971 -              https://flow.polar.com/training/analysis/4986337486                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125975 -   
125976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125979 -  ..
125980 - EKG 5 minutes after hiking 7 miles HR 107 at 1221 - Kardia shows tackycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125983 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200808-ecg-122109_mile_07.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125986 -  ..
125987 - EKG chart after 7 miles somewhat consistent - 3 beats seem disrupted.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125990 -  ..
125991 - HR profile post-hike beginning 1746 until next day OA 0610 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125992 - mostly steady heart beat 68 +/-.  Max HR 130 and minimum HR 45 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125993 - with indoor activity; 0 spikes above 130 may indicate no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125994 - fibrillatin (AF), while recovering from ablation procedures.  This may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125995 - decrease exposure to ischemic colitis, reported on 200612 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125996 - ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125999 -              https://flow.polar.com/training/analysis/4988681356                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126003 -   
126004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126006 -  ..
126007 - Breakfast - cream of wheat rasins (few bites) with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126008 - Lunch - half sandwich bologna onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126009 - Dinner - lettuce cumcumber onion tomato avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126011 -  ..
126012 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126018 -         ..
126019 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126020 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126021 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126022 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126023 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126024 -  222.  200809 0610............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126025 -               0630....BP HR..................................................... 119  74  51  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 UTWY                                                                                                                                                                                                                                                                                                                                                                                                                                               
126026 -               0635....BP HR..................................................... 117  72  50  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126027 -               0640....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126028 -               0640... 20 976220 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126029 -               0640... 80 201680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126030 -               0640... 05 1860 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126031 -               0640... 75 3975 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126032 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
126033 -               0910... Gabapentin 300MG  25300MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126034 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126035 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126036 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126037 -               0910....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126038 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126039 -               0935....miles...........   7.0  61.0  113  1005 minutes  temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126040 -               0000... Simethicone 80  2720 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126041 -               1230....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126042 -               1250....BP HR..................................................... 107  63  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126043 -               1255....BP HR..................................................... 103  60  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126044 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126045 -               1700... 40 60280 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
126046 -             1 0000............ 10 14020  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126047 -             1 0000............ 10 13610  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126048 -               1940... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 SS8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126049 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126050 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126051 -               2100... 40 40220 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126052 -               2130... 1000  888000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126053 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126054 -               0000....Tramadol 50 2000 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126055 -               2150... 05 1865 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126056 -           **  2150... 25   1525.0 Metoprolol Succinct - switched from Tartrate on 200805, because received refill from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126057 -               2200... 80 201760 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126058 -               2210... Simethicone 80  2800 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126059 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126061 -  ..
126062 - ** Metoprolol Succinct - on 200805 received refill.  On 200724 Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126063 - Simpson recommended taking Metoprolol at night, rather than in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126064 - morning, and if HR is below 60, then skip taking the pill. ref SDS A9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126065 - WA5O Doctor Pellegrini switchted from Tartrate, reported on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126066 - 0930. ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126067 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126068 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126069 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126070 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126071 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126072 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126073 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126075 -  ..
126076 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126078 -  ..
126079 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126080 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126081 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126083 -  ..
126084 - Dizzy - noticably wobbly beginning about mile 12, but due to fatigue,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126085 - and not BPPV, after BPPV treatment at VAMCSF on 200527 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126086 - ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126088 -  ..
126089 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126091 -  ..
126092 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126093 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126095 -  ..
126096 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126098 -  ..
126099 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126100 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126102 -  ..
126103 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126104 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126105 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126106 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126107 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126108 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126109 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126110 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126111 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126112 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126113 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126114 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126115 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126116 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126118 -  ..
126119 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126120 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126122 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126123 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126124 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126125 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126126 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126127 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126128 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126129 -        Bicep tendon strain across elbow right arm...   1        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126130 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126131 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126132 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126133 -        Knee left skin lesions left side.............   0        100  diclofenac omitted today due to rising lesions adverse reactions                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126134 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126135 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126136 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126137 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126138 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126139 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126140 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126141 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126142 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126143 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126144 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126145 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126146 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126147 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126148 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126149 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126150 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126151 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126152 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126153 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126154 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126155 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126156 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126157 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126158 -        Blister ring toe left foot...................   2         80  blister turned to a bubble                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126159 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126160 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126161 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126162 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126163 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126164 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126166 -  ..
126167 - Body feels okay, light headed (sleepy) after hiking 7 miles Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126168 - route in 82 degrees at good speed, following PRP on 191009 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126169 - ref SDS 78 0001
126171 - -
126172 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126173 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126174 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126176 -  ..
126177 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126178 - Little wobbly walking around.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126180 -  ..
126181 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126182 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126183 - LS4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126185 -  ..
126186 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126187 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126188 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126189 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126190 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126192 -  ..
126193 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126194 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126196 -  ..
126197 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126198 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126199 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126201 -  ..
126202 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126203 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126204 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126205 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126206 - ref SDS 77 SM4M  After hike on 200809, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126207 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126208 - ref SDS 0 TG4F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126210 -  ..
126211 - Lafayette Reservoir 7-mile route - Exited the car at entry on Mount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126212 - hiked and .25 mile up steep hill 8% grade to Lafayette reservoir.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126213 - Hiked .25 mile South on the dam.  Met Kathy.  We hiked slowly (20+                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126214 - minute miles) around the North end of the reservoir to mile .8, Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126215 - rested on a bench, then turned back.  I continued at fast pace - 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126216 - and 15 minute miles - completing 2 loops.  Handled numberous short                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126217 - hills well breathing through nose all the way, except on initial steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126218 - hill into the park breathed through mouth for last 20% of way to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126219 - dam.  Did not have to stop and rest on this 8% grade, as occurered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126220 - last week on 200721, per above. ref SDS 0 PSPV  Made Killer Ridge 7%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126221 - grade with good pace; had to breath through mouth at top of hill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126222 - 100 yards on both laps, as occurred previously.  Passed numerous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126223 - hikers with pace 14 and 15 minute miles.  No chest pain.  No evident                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126224 - bloating due to colitis, so did not need simethicone.  Blister on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126225 - foot ring toe was severe both laps, and prevented doing 3rd lap.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126227 -  ..
126228 - Kardia recorded HR 52 at 0629 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126231 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200809-ecg-062901_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126234 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126237 -  ..
126238 - EKG chart seems perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126241 -  ..
126242 - Polar HR GPS study for 7-mile hike shows HR profile that rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126243 - falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126246 -       Date      200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 200520 20  
126247 -       Miles         7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10     14       
126248 -       HR AVG      111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    109    1  
126249 -         MAX       131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    135    1  
126250 -         Min        64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72     72       
126251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126253 -  ..
126254 - HR profile showing average 111 and max 131 with temperature 80, over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126255 - multiple hills at Lafayette Reservoir, shows expected HR changes, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126256 - likely no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126257 - ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126260 -              https://flow.polar.com/training/analysis/4990094126                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126264 -   
126265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126268 -  ..
126269 - EKG 5 minutes after hiking 7 miles HR 93 at 1140 - Kardia shows Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126272 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200809-ecg-114024_mile_07.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126275 -  ..
126276 - EKG chart after 7 miles seems like 30% of beats erratric                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126279 -  ..
126280 - EKG 90 minutes after hiking 7 miles HR 63 at 1301 - Kardia shows Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126283 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200809-ecg-130136_mile_07.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126286 -  ..
126287 - EKG chart seem perfect - a thing of beauty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126290 -  ..
126291 - HR profile post-hike beginning 1451 until next day OA 0630 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126292 - mostly steady heart beat 60 +/-.  Max HR 118 and minimum HR 41 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126293 - with indoor activity; 0 spikes above 130 may indicate no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126294 - fibrillatin (AF), while recovering from ablation procedures.  This may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126295 - decrease exposure to ischemic colitis, reported on 200612 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126296 - ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126299 -              https://flow.polar.com/training/analysis/4992347551                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126303 -   
126304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126306 -  ..
126307 - Breakfast - cream of wheat rasins (few bites) with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126308 - Lunch - half sandwich balogna onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126309 - Dinner - meatloaf potatoes asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126311 -  ..
126312 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126319 -         ..
126320 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126321 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126322 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126323 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126324 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126325 -  223.  200810 0630............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126326 -               0640....BP HR..................................................... 120  75  59  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 UWXP                                                                                                                                                                                                                                                                                                                                                                                                                                               
126327 -               0645....BP HR..................................................... 118  78  57  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126328 -               0650....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126329 -               0650... 20 976240 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126330 -               0650... 80 201840 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126331 -               0650... 05 1870 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126332 -               0650... 75 4050 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126333 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
126334 -               0910... Gabapentin 300MG  25600MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126335 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126336 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126337 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126338 -               0910....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126339 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126340 -               0944....miles...........  11.0  11.0  176   176 minutes  temp  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126341 -               0000... Simethicone 80  2800 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126342 -               1340....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126343 -               1355....BP HR..................................................... 100  62  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126344 -               1400....BP HR..................................................... 103  58  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126345 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126346 -               1700... 40 60320 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
126347 -               1830............ 10 14030  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126348 -               1830............ 10 13620  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126349 -               1950... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126350 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126351 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126352 -               2100... 40 40260 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126353 -               2130... 1000  889000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126354 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126355 -               0000....Tramadol 50 2000 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126356 -               2150... 05 1875 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126357 -           **  2150... 25   1550.0 Metoprolol Succinct - switched from Tartrate on 200805, because received refill from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126358 -               2200... 80 201920 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126359 -               0000... Simethicone 80  2800 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126360 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126362 -  ..
126363 - ** Metoprolol Succinct - on 200805 received refill.  On 200724 Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126364 - Simpson recommended taking Metoprolol at night, rather than in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126365 - morning, and if HR is below 60, then skip taking the pill. ref SDS A9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126366 - WA5O Doctor Pellegrini switchted from Tartrate, reported on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126367 - 0930. ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126368 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126369 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126370 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126371 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126372 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126373 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126374 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126376 -  ..
126377 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126379 -  ..
126380 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126381 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126382 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126384 -  ..
126385 - Dizzy - noticably wobbly beginning about mile 12, but due to fatigue,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126386 - and not BPPV, after BPPV treatment at VAMCSF on 200527 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126387 - ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126389 -  ..
126390 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126392 -  ..
126393 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126394 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126396 -  ..
126397 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126399 -  ..
126400 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126401 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126403 -  ..
126404 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126405 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126406 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126407 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126408 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126409 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126410 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126411 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126412 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126413 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126414 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126415 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126416 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126417 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126419 -  ..
126420 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126421 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126423 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126424 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126425 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126426 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126427 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126428 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126429 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126430 -        Bicep tendon strain across elbow right arm...   1        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126431 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126432 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126433 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126434 -        Knee left skin lesions left side.............   0        100  diclofenac omitted today due to rising lesions adverse reactions                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126435 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126436 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126437 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126438 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126439 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126440 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126441 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126442 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126443 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126444 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126445 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126446 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126447 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126448 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126449 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126450 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126451 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126452 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126453 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126454 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126455 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126456 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126457 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126458 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126459 -        Blister ring toe left foot...................   1         40  blister bubble did not recur                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126460 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126461 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126462 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126463 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126464 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126465 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126467 -  ..
126468 - Body feels okay, light headed (sleepy) after hiking 11 miles Lafayette                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126469 - Reservoir route in 80 degrees at good speed, following PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126470 - 1500, ref SDS 78 0001
126472 - -
126473 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126474 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126475 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126477 -  ..
126478 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126479 - Little wobbly walking around.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126481 -  ..
126482 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126483 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126484 - LS4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126486 -  ..
126487 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126488 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126489 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126490 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126491 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126493 -  ..
126494 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126495 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126497 -  ..
126498 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126499 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126500 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126502 -  ..
126503 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126504 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126505 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126506 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126507 - ref SDS 77 SM4M  After hike on 200810, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126508 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126509 - ref SDS 0 QQ4G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126511 -  ..
126512 - Lafayette Reservoir 7-mile route - Exited the car at entry on Mount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126513 - Diablo Boulevard; hiked and .25 mile up steep hill 8% - 9% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126514 - Lafayette reservoir.  Hiked .25 mile South on the dam.  Met Kathy.  We                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126515 - hiked slowly (20+ minute miles) around the North end of the reservoir                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126516 - the up the steep hill and past mile .8, where she turned back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126517 - yesterday.  Today, we continued up and down hills to mile 1.25.  Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126518 - rested on a bench, then turned back.  I continued at fast pace - 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126519 - and 17 minute miles - completing 3 loops.  Handled numberous short                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126520 - hills well breathing through nose all the way, except on initial steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126521 - hill into the park breathed through mouth for last 20% of way to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126522 - dam.  Did not have to stop and rest on this 8% grade, as occurered on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126523 - 200721, per above. ref SDS 0 PSPV  Made Killer Ridge 7% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126524 - good pace; had to breath through mouth at top of hill for 100 yards                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126525 - each of the 3 laps, as occurred previously.  Passed numerous hikers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126526 - with pace 15 and 17 minute miles.  No chest pain.  No evident bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126527 - due to colitis, so did not need simethicone.  Blister on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126528 - ring toe was less severe today, wrapped with white tape, and so did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126529 - not prevent doing 3rd lap, as occurred yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126531 -  ..
126532 - Kardia recorded HR 55 at 0638 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126535 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200810-ecg-063802_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126538 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126541 -  ..
126542 - EKG chart seems perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126545 -  ..
126546 - Polar HR GPS study for 11-mile hike shows HR profile that rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126547 - falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126550 -       Date      200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 200521 20  
126551 -       Miles        11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16     10       
126552 -       HR AVG      114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    103    1  
126553 -         MAX       134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    122    1  
126554 -         Min        90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72     72       
126555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126557 -  ..
126558 - HR profile showing average 114 and max 134 with temperature 80, over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126559 - multiple hills at Lafayette Reservoir, shows expected HR changes, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126560 - likely no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126561 - ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126564 -              https://flow.polar.com/training/analysis/4994051541#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126568 -   
126569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126572 -  ..
126573 - EKG 2 minutes after hiking 11 miles HR 107 at 1244 - Kardia shows Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126576 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200810-ecg-124410_mile_11.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126579 -  ..
126580 - EKG chart after 11 miles seems like only 1 erratric heart beat,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126581 - everything else consistent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126584 -  ..
126585 - EKG 90 minutes after hiking 11 miles HR 80 at 1435 - Kardia shows Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126588 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200810-ecg-143559_mile_11.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126590 -  ..
126591 - EKG chart seems little erratic on some beats.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126594 -  ..
126595 - HR profile post-hike beginning 1508 until next day OA 0555 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126596 - mostly steady heart beat 62 +/-.  Max HR 125 and minimum HR 41 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126597 - with indoor activity; 0 spikes above 130 may indicate no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126598 - fibrillatin (AF), while recovering from ablation procedures.  This may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126599 - decrease exposure to ischemic colitis, reported on 200612 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126600 - ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126603 -              https://flow.polar.com/training/analysis/4996119041                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126607 -   
126608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126610 -  ..
126611 - Breakfast - cream of wheat rasins (few bites) with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126612 - Lunch - macaroni cheese asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126613 - Dinner - meatloaf broccoli lettuce tomatoes onion avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126615 -  ..
126616 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126622 -         ..
126623 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126624 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126625 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126626 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126627 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126628 -  224.  200811 0555............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126629 -               0610....BP HR..................................................... 124  73  54  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 VPXV                                                                                                                                                                                                                                                                                                                                                                                                                                               
126630 -               0615....BP HR..................................................... 126  75  55  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126631 -               0620....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126632 -               0620... 20 976260 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126633 -               0620... 80 202000 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126634 -               0620... 05 1880 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126635 -               0620... 75 4125 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126636 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
126637 -               0830... Gabapentin 300MG  25900MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126638 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126639 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126640 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126641 -               0830....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126642 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126643 -               0900....miles...........  11.0  22.0  173   349 minutes  temp  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126644 -               0000... Simethicone 80  2800 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126645 -               1310....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126646 -               1320....BP HR..................................................... 105  65  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126647 -               1325....BP HR..................................................... 100  68  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126648 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126649 -               1700... 40 60360 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
126650 -             1 0000............ 10 14030  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126651 -             1 0000............ 10 13620  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126652 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126653 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126654 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126655 -               2100... 40 40300 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126656 -               2130... 1000  890000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126657 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126658 -               0000....Tramadol 50 2000 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126659 -               2150... 05 1885 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126660 -           **  2150... 25   1575.0 Metoprolol Succinct - switched from Tartrate on 200805, because received refill from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126661 -               2200... 80 202080 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126662 -               2250... Simethicone 80  2880 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126663 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126665 -  ..
126666 - ** Metoprolol Succinct - on 200805 received refill.  On 200724 Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126667 - Simpson recommended taking Metoprolol at night, rather than in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126668 - morning, and if HR is below 60, then skip taking the pill. ref SDS A9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126669 - WA5O Doctor Pellegrini switchted from Tartrate, reported on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126670 - 0930. ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126671 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126672 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126673 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126674 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126675 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126676 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126677 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126679 -  ..
126680 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126682 -  ..
126683 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126684 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126685 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126687 -  ..
126688 - Dizzy - noticably wobbly beginning about mile 12, but due to fatigue,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126689 - and not BPPV, after BPPV treatment at VAMCSF on 200527 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126690 - ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126692 -  ..
126693 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126695 -  ..
126696 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126697 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126699 -  ..
126700 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126702 -  ..
126703 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126704 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126706 -  ..
126707 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126708 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126709 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126710 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126711 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126712 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126713 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126714 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126715 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126716 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126717 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126718 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126719 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126720 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126722 -  ..
126723 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126724 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126726 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126727 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126728 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126729 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126730 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126731 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126732 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126733 -        Bicep tendon strain across elbow right arm...   1        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126734 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126735 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126736 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126737 -        Knee left skin lesions left side.............   0        100  diclofenac omitted today due to rising lesions adverse reactions                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126738 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126739 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126740 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126741 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126742 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126743 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126744 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126745 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126746 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126747 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126748 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126749 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126750 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126751 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126752 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126753 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126754 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126755 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126756 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126757 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126758 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126759 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126760 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126761 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126762 -        Blister ring toe left foot...................   0        100  blister no pain with white tape wrap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126763 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126764 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126765 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126766 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126767 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126768 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126770 -  ..
126771 - Body feels okay, wobbly, light headed (sleepy) after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126772 - Lafayette Reservoir route in 75 degrees at good speed racing other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126773 - hikers, following PRP on 191009 1500, ref SDS 78 0001
126775 - -
126776 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126777 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126778 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126780 -  ..
126781 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126782 - Little wobbly walking around.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126784 -  ..
126785 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126786 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126787 - LS4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126789 -  ..
126790 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126791 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126792 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126793 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126794 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126796 -  ..
126797 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126798 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126800 -  ..
126801 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126802 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126803 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126805 -  ..
126806 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126807 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126808 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126809 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126810 - ref SDS 77 SM4M  After hike on 200809, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126811 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126812 - ref SDS 0 TG4F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126814 -  ..
126815 - Lafayette Reservoir 11-mile route - Exited the car at entry on Mount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126816 - Diablo Boulevard; hiked and .25 mile up steep hill 8% - 9% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126817 - Lafayette reservoir.  Hiked .25 mile South on the dam.  Met Kathy.  We                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126818 - hiked slowly (20+ minute miles) around the North end of the reservoir                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126819 - and the up the 1st steep hill, then past mile 1 to about mile 1.2 at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126820 - water fountain.  Kathy rested on a bench, then turned back.  I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126821 - continued at fast pace - 14 and 17 minute miles - completing 3 loops.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126822 - Handled numberous short hills well breathing through nose all the way,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126823 - except on initial steep hill into the park breathed through mouth for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126824 - last 20% of way to the dam.  Did not have to stop and rest on this 8%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126825 - grade, as occurered on 200721, per above. ref SDS 0 PSPV  Made Killer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126826 - Ridge 7% grade with good pace; had to breath through mouth at top of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126827 - hill for 100 yards each of the 3 laps, as occurred previously.  Passed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126828 - numerous hikers with pace 15 and 17 minute miles.  No chest pain.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126829 - evident bloating due to colitis, so did not need simethicone.  Blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126830 - on left foot ring toe was less severe today, wrapped with white tape,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126831 - and so did not prevent doing 3rd lap, as occurred yesterday.  On 1st                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126832 - lap after leaving Kathy, heard other hikers gaining on me, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126833 - increased pace for about .5 mile to Killer Ridge.  The hikers were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126834 - unable to pass on this steep ascent.  At the top a man and a woman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126835 - both sped by on flatter terrain, while I slowed for breathing time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126836 - Tried to keep up hiking 14 -15 minute miles, but fell further behind.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126837 - Began catching up on the last steep hill about mile 2.25.  Over last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126838 - .5 mile closed the gap until they stopped after reaching the end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126839 - their hike in the middle of the dam.  It was a good challenge.  I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126840 - congratulated them on a good race.  Continued on 2nd lap.  Passed a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126841 - lot of hikers, but no racing.  On 3rd lap fell in behind a woman at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126842 - the North end of the dam.  She was coming from the entry trail I took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126843 - this morning from Mount Diablo Boulevard.  Thought I would pass her                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126844 - quickly, but she actually pulled further ahead.  Increased pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126845 - up 1st steep hill 7% grade.  The woman was further ahead at the top of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126846 - the hill.  Finally caught up about mile 1.2, when the she pulled off                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126847 - the trail at the drinking fountain.  Continued hike at slower pace 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126848 - - 16 minute miles.  The woman caught up and passed at mile 1.5 going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126849 - up a hill.  I increased pace but fell 30 yards behind.  Caught up to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126850 - within 2 feet going up Killer Ridge 7% grade about mile 1.6.  At the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126851 - top, she maintained fast pace, and I fell further behind again.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126852 - mile 2 began to slowly catch up.  Ran up the last long steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126853 - about mile 2.25, and closed the gap.  She passed another woman nearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126854 - the top of this last steep hill.  This second woman increased her pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126855 - to also race the first woman, who now had two (2) hikers racing her.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126856 - This trio continued for .5 miles through the park and childrens                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126857 - playground.  On the last dowhill leading to the South end of the dam,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126858 - there was a log jam of people coming up and us three going down.  I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126859 - took off running around everyone, thus passing the 2 women.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126860 - running to the Dam and then continued hiking.  About half way down the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126861 - dam, called Kathy to report completing the 3rd lap.  While talking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126862 - the woman passed me again.  Tried to say something complimentary to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126863 - her, like she was phenomenal; she must have won the Olympics.  She                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126864 - laughed and seemed pleased.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126867 -  ..
126868 - Kardia recorded HR 57 at 0638 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126871 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200811-ecg-060205_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126874 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126877 -  ..
126878 - EKG chart seems perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126881 -  ..
126882 - Polar HR GPS study for 11-mile hike shows HR profile that rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126883 - falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126886 -       Date      200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 200523 200522 20  
126887 -       Miles        11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0      5     16       
126888 -       HR AVG      118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no     98    105    1  
126889 -         MAX       148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   106    134    1  
126890 -         Min        80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                          67     72       
126891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126893 -  ..
126894 - HR profile showing average 118 and max 148 with temperature 75, over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126895 - multiple hills at Lafayette Reservoir, shows expected HR changes, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126896 - likely no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126897 - ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126900 -              https://flow.polar.com/training/analysis/4997890691                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126904 -   
126905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126908 -  ..
126909 - EKG 30 minutes after hiking 11 miles HR 102 at 1224 - Kardia shows Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126912 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200811-ecg-122416_mile_11.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126915 -  ..
126916 - EKG chart after 11 miles seems like only 2 erratric heart beats,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126917 - everything else consistent.  However, 1st beat looks troubling for p                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126918 - wave.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126921 -  ..
126922 - EKG 120 minutes after hiking 11 miles HR 89 at 1417 - Kardia shows Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126925 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200811-ecg-141713_mile_11.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126927 -  ..
126928 - EKG chart looks very good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126947 -  ..
126948 - Breakfast - cream of wheat rasins (few bites) with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126949 - Lunch - half hamburger and some fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126950 - Dinner - tuna cottage cheese tomato rest of fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126952 -  ..
126953 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126959 -         ..
126960 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126961 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126962 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126963 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126964 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126965 -  225.  200812 0710............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126966 -               0710....BP HR..................................................... 136  78  59  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 VTUV                                                                                                                                                                                                                                                                                                                                                                                                                                               
126967 -               0715....BP HR..................................................... 128  73  53  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126968 -               0720....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126969 -               0720... 20 976280 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126970 -               0720... 80 202160 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126971 -               0720... 05 1890 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126972 -               0720... 75 4200 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126973 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
126974 -               0000... Gabapentin 300MG  25900MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126975 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126976 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126977 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126978 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126979 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126980 -               1700... 40 60400 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
126981 -               1830............ 10 14040  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126982 -               1830............ 10 13630  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126983 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126984 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126985 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126986 -               2100... 40 40340 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126987 -               2130... 1000  891000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126988 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126989 -               0000....Tramadol 50 2000 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126990 -               2150... 05 1895 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126991 -   forgot  **  0000... 25   1575.0 Metoprolol Succinct - switched from Tartrate on 200805, because received refill from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126992 -               2200... 80 202240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126993 -               2250... Simethicone 80  2960 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126994 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126996 -  ..
126997 - ** Metoprolol Succinct - on 200805 received refill.  On 200724 Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126998 - Simpson recommended taking Metoprolol at night, rather than in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126999 - morning, and if HR is below 60, then skip taking the pill. ref SDS A9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127000 - WA5O Doctor Pellegrini switchted from Tartrate, reported on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127001 - 0930. ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127002 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127003 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127004 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127005 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127006 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127007 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127008 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127010 -  ..
127011 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127013 -  ..
127014 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127015 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127016 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127018 -  ..
127019 - Dizzy - noticably wobbly beginning about mile 12, but due to fatigue,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127020 - and not BPPV, after BPPV treatment at VAMCSF on 200527 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127021 - ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127023 -  ..
127024 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127026 -  ..
127027 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127028 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127030 -  ..
127031 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127033 -  ..
127034 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127035 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127037 -  ..
127038 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127039 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127040 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127041 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127042 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127043 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127044 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127045 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127046 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127047 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127048 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127049 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127050 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127051 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127053 -  ..
127054 - Kardia recorded HR 61 at 0712 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127057 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200812-ecg-071255_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127060 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127063 -  ..
127064 - EKG chart initial beat erratic, rest very good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127067 -  ..
127068 - HR profile post-hike beginning 1511 until next day OA 0540 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127069 - mostly steady heart beat 69 +/-.  Max HR 107 and minimum HR 44 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127070 - with indoor activity; 0 spikes above 130 may indicate no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127071 - fibrillatin (AF), while recovering from ablation procedures.  This may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127072 - decrease exposure to ischemic colitis, reported on 200612 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127073 - ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127075 -  ..
127076 - Forgot to take Metoprolol Succinct last night, and this did not cause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127077 - HR to elevate; actually last night was one of lowest max HR nights in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127078 - weeks...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127081 -              https://flow.polar.com/training/analysis/5003731956                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127085 -   
127086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127088 -  ..
127089 - Breakfast - cream of wheat rasins (few bites) with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127090 - Lunch - sandwich balogna tomato onion cheese, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127091 - Dinner - meatloaf potatoes tuna cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127093 -  ..
127094 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127100 -         ..
127101 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127102 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127103 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127104 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127105 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127106 -  226.  200813 0540............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127107 -               0550....BP HR..................................................... 128  77  60  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 VWYS                                                                                                                                                                                                                                                                                                                                                                                                                                               
127108 -               0555....BP HR..................................................... 126  78  57  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127109 -               0600....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127110 -               0600... 20 976300 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127111 -               0600... 80 202240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127112 -               0600... 05 1900 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127113 -               0600... 75 4275 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127114 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
127115 -               0940... Gabapentin 300MG  26200MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127116 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127117 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127118 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127119 -               0940....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127120 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127121 -               1030....miles...........  12.0  34.0  197   546 minutes  temp 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127122 -               1240... Simethicone 80  3040 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127123 -               1440....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127124 -               1455....BP HR.....................................................  90  62 112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127125 -               1500....BP HR.....................................................  94  61 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127126 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127127 -               1700... 40 60440 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
127128 -             1 0000............ 10 14040  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127129 -             1 0000............ 10 13630  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127130 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127131 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127132 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127133 -               2100... 40 40380 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127134 -               2130... 1000  892000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127135 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127136 -               0000....Tramadol 50 2000 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127137 -               2150... 05 1905 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127138 -           **  2150... 25   1600.0 Metoprolol Succinct - switched from Tartrate on 200805, because received refill from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127139 -               2200... 80 202240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127140 -               2310... Simethicone 80  3120 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127141 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127143 -  ..
127144 - ** Metoprolol Succinct - on 200805 received refill.  On 200724 Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127145 - Simpson recommended taking Metoprolol at night, rather than in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127146 - morning, and if HR is below 60, then skip taking the pill. ref SDS A9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127147 - WA5O Doctor Pellegrini switchted from Tartrate, reported on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127148 - 0930. ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127149 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127150 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127151 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127152 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127153 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127154 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127155 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127157 -  ..
127158 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127160 -  ..
127161 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127162 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127163 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127165 -  ..
127166 - Dizzy - noticably wobbly beginning about mile 12, but due to fatigue,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127167 - and not BPPV, after BPPV treatment at VAMCSF on 200527 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127168 - ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127170 -  ..
127171 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127173 -  ..
127174 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127175 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127177 -  ..
127178 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127180 -  ..
127181 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127182 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127184 -  ..
127185 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127186 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127187 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127188 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127189 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127190 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127191 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127192 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127193 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127194 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127195 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127196 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127197 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127198 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127200 -  ..
127201 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127202 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127204 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127205 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127206 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127207 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127208 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127209 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127210 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127211 -        Bicep tendon strain across elbow right arm...   1        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127212 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127213 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127214 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127215 -        Knee left skin lesions left side.............   0        100  diclofenac omitted today due to rising lesions adverse reactions                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127216 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127217 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127218 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127219 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127220 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127221 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127222 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127223 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127224 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127225 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127226 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127227 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127228 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127229 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127230 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127231 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127232 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127233 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127234 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127235 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127236 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127237 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127238 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127239 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127240 -        Blister ring toe left foot...................   0        100  blister no pain with white tape wrap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127241 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127242 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127243 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127244 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127245 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127246 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127248 -  ..
127249 - Body feels okay, wobbly, light headed (sleepy) after hiking 12 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127250 - Lafayette Reservoir route in 100 degrees at good speed racing other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127251 - hikers, following PRP on 191009 1500, ref SDS 78 0001
127253 - -
127254 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127255 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127256 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127258 -  ..
127259 - Several hours after hike, feet pain level 0; left leg pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127260 - Little wobbly walking around.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127262 -  ..
127263 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127264 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127265 - LS4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127267 -  ..
127268 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127269 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127270 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127271 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127272 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127274 -  ..
127275 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127276 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127278 -  ..
127279 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127280 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127281 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127283 -  ..
127284 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127285 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127286 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127287 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127288 - ref SDS 77 SM4M  After hike on 200809, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127289 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127290 - ref SDS 0 TG4F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127292 -  ..
127293 - Lafayette Reservoir 11-mile route - parked on Mount Diablo about 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127294 - mile from entry to park.  Hiked back to the entry; then .25 mile up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127295 - steep hill 8% - 9% grade to Lafayette reservoir.  Hiked .25 mile South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127296 - on the dam.  Turned and hiked 3 loops around 3 mile reservoir. Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127297 - not race anyone, because temperature 100 reduced hikers.  Hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127298 - to the car on Mount Diablo for 12 miles.  Planned on doing laps.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127299 - Heat  took a lot of energy, so could only do 3.  On 3rd lap hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127300 - back down the .6 mile dam and then back to the North end, before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127301 - leaving the park.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127303 -  ..
127304 - Kardia recorded HR 61 at 0617 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127307 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200813-ecg-061715_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127310 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127313 -  ..
127314 - EKG chart looks perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127317 -  ..
127318 - Polar HR GPS study for 12-mile hike shows HR profile that rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127319 - falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127322 -       Date      200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 200524 20  
127323 -       Miles        12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0      0       
127324 -       HR AVG      134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no     no       
127325 -         MAX       155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   hike   1  
127326 -         Min        97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                            
127327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127329 -  ..
127330 - HR profile showing average 134 and max 155 with temperature 100, over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127331 - multiple hills at Lafayette Reservoir, shows expected HR changes, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127332 - likely no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127333 - ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127336 -              https://flow.polar.com/training/analysis/5005645646                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127340 -   
127341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127344 -  ..
127345 - EKG 1 minute after hiking 12 miles HR 141 at 1400 - Kardia shows Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127348 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200813-ecg-140048_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127351 -  ..
127352 - EKG chart after 12 miles seems consistent.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127355 -  ..
127356 - EKG 90 minutes after hiking 12 miles HR 99 at 1532 - Kardia shows Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127359 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200813-ecg-153246_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127361 -  ..
127362 - EKG chart looks very good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127381 -  ..
127382 - Breakfast - cream of wheat rasins (few bites) with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127383 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127384 - Dinner - meatloaf broccoli onion tomato cottage cheese, jello                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127386 -  ..
127387 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127392 -         ..
127393 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127394 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127395 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127396 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127397 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127398 -  227.  200814 0720............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127399 -               0740....BP HR..................................................... 128  75  64  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 VXTX                                                                                                                                                                                                                                                                                                                                                                                                                                               
127400 -               0745....BP HR..................................................... 122  76  59  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127401 -               0750....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127402 -               0750... 20 976320 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127403 -               0750... 80 202320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127404 -               0750... 05 1910 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127405 -               0750... 75 4350 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127406 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
127407 -               0910... Gabapentin 300MG  26500MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127408 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127409 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127410 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127411 -               0910....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127412 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127413 -          * cr 0912....miles...........  15.0  49.0  252   798 minutes  temp 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127414 -               1310... Simethicone 80  3040 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127415 -               1415....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127416 -               1455....BP HR..................................................... 108  72 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127417 -               1500....BP HR..................................................... 110  69  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127418 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127419 -               1700... 40 60480 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
127420 -               1830............ 10 14050  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127421 -               1830............ 10 13640  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127422 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127423 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127424 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127425 -               2100... 40 40420 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127426 -               2130... 1000  893000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127427 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127428 -               0000....Tramadol 50 2000 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127429 -               2150... 05 1915 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127430 -           **  2150... 25   1625.0 Metoprolol Succinct - switched from Tartrate on 200805, because received refill from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127431 -               2200... 80 202400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127432 -               2310... Simethicone 80  3120 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127433 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127435 -  ..
127436 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  Prior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127437 - Crystal Ranch Road loop was on 200806. ref SDS 0 124M  On 181029,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127438 - hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127439 - hike. ref SDS 55 E55K   On 191004 changed route going up and coming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127440 - down .5 miles very steep 5% grade to end of Crystal Ranch Road at top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127441 - of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127442 - hiking 1 mile uphill to Cal State East Bay college, with 2 miles of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127443 - loops through Visitor, faculty and student parking, and back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127444 - Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127446 -  ..
127447 - ** Metoprolol Succinct - on 200805 received refill.  On 200724 Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127448 - Simpson recommended taking Metoprolol at night, rather than in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127449 - morning, and if HR is below 60, then skip taking the pill. ref SDS A9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127450 - WA5O Doctor Pellegrini switchted from Tartrate, reported on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127451 - 0930. ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127452 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127453 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127454 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127455 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127456 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127457 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127458 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127460 -  ..
127461 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127463 -  ..
127464 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127465 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127466 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127468 -  ..
127469 - Dizzy - noticably wobbly beginning about mile 12, but due to fatigue,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127470 - and not BPPV, after BPPV treatment at VAMCSF on 200527 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127471 - ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127473 -  ..
127474 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127476 -  ..
127477 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127478 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127480 -  ..
127481 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127483 -  ..
127484 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127485 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127487 -  ..
127488 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127489 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127490 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127491 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127492 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127493 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127494 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127495 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127496 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127497 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127498 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127499 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127500 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127501 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127503 -  ..
127504 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127505 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127507 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127508 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127509 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127510 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127511 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127512 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127513 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127514 -        Bicep tendon strain across elbow right arm...   1        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127515 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127516 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127517 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127518 -        Knee left skin lesions left side.............   0        100  diclofenac omitted today due to rising lesions adverse reactions                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127519 -        Knee left meniscus...PRP 191009..............   1          5  going downhill on Campus Drive and on Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127520 -        Knee left patalla...PRP 191009...............   1          5  going downhill on Campus Drive and on Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127521 -        Knee buckling left..PRP 191009...............   1          1  going downhill on Campus Drive and on Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127522 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127523 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127524 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127525 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127526 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127527 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127528 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127529 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127530 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127531 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127532 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127533 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127534 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127535 -        Metatarsalgia left foot...PRP 191009.........   2         10  hiking on Clayton have to use concrete sidewalk except wher there is asphalt parking next to sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                        
127536 -        Metatarsalgia right foot..PRP 191009.........   2         10  hiking on Clayton have to use concrete sidewalk except wher there is asphalt parking next to sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                        
127537 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127538 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127539 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127540 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127541 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127542 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127543 -        Blister ring toe left foot...................   0        100  blister no pain with white tape wrap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127544 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127545 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127546 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127547 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127548 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127549 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127551 -  ..
127552 - Body feels okay, wobbly, light headed (sleepy) after hiking 15 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127553 - Concord route with Crystal Ranch Road loop in 100 degrees at good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127554 - speed following PRP on 191009 1500, ref SDS 78 0001
127556 - -
127557 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127558 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127559 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127561 -  ..
127562 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127563 - Little wobbly walking around.  Getting cramps upper left and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127564 - legs, which may be related to hiking with temperature 100+.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127566 -  ..
127567 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127568 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127569 - LS4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127571 -  ..
127572 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127573 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127574 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127575 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127576 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127578 -  ..
127579 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127580 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127582 -  ..
127583 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127584 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127585 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127587 -  ..
127588 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127589 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127590 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127591 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127592 - ref SDS 77 SM4M  After hike on 200809, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127593 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127594 - ref SDS 0 TG4F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127596 -  ..
127597 - Concord 15 mile route - Starting energy good.  Wearing Hoka Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127598 - shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127599 - knee injuries.  Wore 2-pair double-ply Wright socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127600 - 1344, ref SDS 79 SM4M, to prevent blisters.  Took Metoprolol 1 pill 25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127601 - mg last night to prevent elevated HR during hike today.  This further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127602 - minimizes blurred vision side effects while working during the day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127603 - Hiked from Cuneo uphill to Treat.  Breathed easily through nose entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127604 - hike.  Temperature reached 100+, but breeze prevented getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127605 - dehydrated.  Normal pace on Treat hiking East 1 mile to Clayton.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127606 - 19 minutes to reach mile 1.25.  Turned corner hiking South on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127607 - 2 miles at normal pace, mostly on flat concrete sidewalk.  Both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127608 - pain level 2 metatarsalgia, except when possible to walk on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127609 - parking - about 20% of the way.  At mile 3.50, turned West onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127610 - Ygnacio Valley Road hiking on concrete sidewalk another .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127611 - About mile 4, crossed to South side Ygnacio Valley Road hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127612 - asphalt shoulder aganist East bound traffic.  At mile 5, stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127613 - Texaco gas station - EKG reported Tachycardia HR 103 - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127614 - ref SDS 0 VXXY  Bought softdrink for energy and to hydrte, and bought                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127615 - banana for potassium.  Continued hike on Ygnacio Valley Road to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127616 - Hollow; turned left and hiked about 50 yards.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127617 - Campus Road.  Hiked 1-mile West uphill 3% grade to California Sate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127618 - University East Bay campus.  Legs strong going uphill, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127619 - vasodilation.  Hiked 1-loop of about 2 miles through adjoining Faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127620 - and Student Parking lots.  Today, did not include sub-loops uphill .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127621 - mile on the cross street between upper and lower parking areas.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127622 - mile 7 back at Visitor Parking, took Campus Drive North .33 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127623 - downhill 4% grade to Ygnacio Valley Road - left knee meniscus and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127624 - patella pain level 1, while not taking naproxen due to side effects of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127625 - colitis, nor PRP injection treatments for feet and knees, since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127626 - 191009.  Turned left onto Ygnacio Valley Road and hiked West .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127627 - At mile 7.5, turned left onto Crystal Ranch Road and hiked South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127628 - uphill, steep at times 5% grade for 1 mile.  Handled this high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127629 - intensity endurance part of the hike well breathing through nose with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127630 - no sense of struggling all the way to summit.  High temperature 100+                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127631 - was moderated by clouds that reduced intensity of the sun.  On this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127632 - route the sun broke through at places for a few minutes, causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127633 - noticably higher intensity of heat.  Today, on reaching summit of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127634 - Crystal Ranch Road hiked 1 mile on flat asphalt roadway through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127635 - residential area, then downhill .5 mile.  Stayed on Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127636 - hiking past Rolling Woods Way and uphill, steep 5% grade .5 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127637 - top of mountain, where the road deadends.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127638 - easily entire distance, further showing improved conditioning, since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127639 - doing this hike on 200531.  Hiked North back downhill .5 mile.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127640 - right heading East on Rolling Woods Way hiking easily uphill on steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127641 - 5% grade for .33 mile, and breathing through nose all the way.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127642 - summit, hiked .66 mile downhill 5% grade.  Turned left hiking North on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127643 - Pine Hollow for 1 mile to Ygnacio Valley Road.  Stopped at Texaco gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127644 - station again - mile 12 in the hike.  EKG reported HR 122 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127645 - Tachycardia, see below. ref SDS 0 1S3H, reflecting 100+ temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127646 - Bought orange juice and some kind of vitamin drink.  Combined these                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127647 - for energy and to hydrate treating colitis, per telecon with Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127648 - Lee on 200716. ref SDS A4 N88N  Hiked West on Ygnacio Valley Road .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127649 - mile to Pine Hollow.  Hiked 50 yards and turned West.  Hiked uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127650 - Campus Road again 1-mile to California Sate University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127651 - campus.  Feeling slghtly bloated, so took Simethicone pill to treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127652 - possible ischemic colitis symptom.  On reaching Visitor Parking at the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127653 - college campus, mile 13 in the hike, feeling fatigue, weak and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127654 - becoming wobbly.  May correlte to dehydration in high temperature,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127655 - reviewed on 110705 1625. ref SDS 8 JM8F  Temperature 100+ exacerbating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127656 - vasodilation now drawing blood from brain.  So, did not hike loops in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127657 - Faculty and Student parking.  Instead, took Campus Road North downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127658 - .3 mile to Ygnacio Valley Road.  On this downhill left knee meniscus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127659 - and patella pain level 2.  Turned left and hiked West 1 mile past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127660 - Crystal Ranch Road and uphill to Cowell.  Concerned about becoming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127661 - disoriented with temperature rising above 100.  At mile 14 crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127662 - from South side of Ygnacio Valley Road.  Decided not to hike over the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127663 - summit and go for 18 - 20 miles.  Hiked North downhill 4% grade on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127664 - Cowell 1 mile to Treat.  Hiked West on Treat .25 mile to Cuneo then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127665 - into the Cowell Terrace complex and home. for 15 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127667 -  ..
127668 - Kardia recorded HR 59 at 0746 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127671 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200814-ecg-074642_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127674 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127677 -  ..
127678 - EKG chart looks perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127681 -  ..
127682 - Polar HR GPS study for 15-mile hike shows HR profile that rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127683 - falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127686 -       Date      200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 200525 20  
127687 -       Miles        15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0      0       
127688 -       HR AVG      119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no     no       
127689 -         MAX       144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   hike   h  
127690 -         Min        93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85                     
127691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127693 -  ..
127694 - HR profile showing average 119 and max 144 with temperature 100, over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127695 - long, steep (5%+ grade) hills in Concord route, shows expected HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127696 - changes, so likely no AF and no atrial flutter, following ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127697 - 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127700 -              https://flow.polar.com/training/analysis/5008982431                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127704 -   
127705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127708 -  ..
127709 - EKG 1 minute after hiking 5 miles HR 103 at 1028 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127710 - Tachycardia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127713 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200814-ecg-102845_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127716 -  ..
127717 - EKG chart after 5 miles many beats appear grossly inconsistent,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127718 - erratic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127721 -  ..
127722 - EKG 1 minute after hiking 12 miles HR 122 at 1245 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127723 - Tachycardia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127726 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200814-ecg-124556_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127729 -  ..
127730 - EKG chart after 12 miles including 1.5 miles uphill with 5% grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127731 - many beats appear consistently erratic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127735 -  ..
127736 - EKG 20 minutes after hiking 15 miles HR 115 at 1426 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127737 - Tachycardia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127740 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200814-ecg-142620_mile_15.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127743 -  ..
127744 - EKG chart after 15 miles seems consistent - very good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127748 -  ..
127749 - EKG 90 minutes after hiking 15 miles HR 81 at 1609 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127750 - Unclassified.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127753 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200814-ecg-160933_mile_15.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127755 -  ..
127756 - EKG chart looks very consistent.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127759 -  ..
127760 - HR profile post-hike beginning 1600 until next day OA 0720 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127761 - mostly steady heart beat 70 +/-.  Max HR 126 and minimum HR 47 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127762 - with indoor activity; 0 spikes above 130 may indicate no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127763 - fibrillatin (AF), while recovering from ablation procedures.  This may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127764 - decrease exposure to ischemic colitis, reported on 200612 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127765 - ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127768 -              https://flow.polar.com/training/analysis/5011002376                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127772 -   
127773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127775 -  ..
127776 - Breakfast - cream of wheat rasins (few bites) with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127777 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127778 - Dinner - hamburger broccoli onion tomato cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127780 -  ..
127781 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127787 -         ..
127788 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127789 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127790 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127791 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127792 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127793 -  228.  200815 0620............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127794 -               0630....BP HR..................................................... 128  73  60  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 WSQW                                                                                                                                                                                                                                                                                                                                                                                                                                               
127795 -               0635....BP HR..................................................... 117  71  56  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127796 -               0640....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127797 -               0640... 20 976340 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127798 -               0640... 80 202480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127799 -               0640... 05 1920 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127800 -               0640... 75 4425 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127801 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
127802 -               0810... Gabapentin 300MG  26800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127803 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127804 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127805 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127806 -               0810....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127807 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127808 -               0845....miles...........   8.0  57.0  135   933 minutes  temp  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127809 -               1005... Simethicone 80  3200 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127810 -               1150....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127811 -               1215....BP HR..................................................... 112  66  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127812 -               1220....BP HR..................................................... 111  64  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127813 -               1235....BP HR..................................................... 107  71  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127814 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127815 -               1700... 40 60520 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
127816 -           **  1800... 25   1650.0 Metoprolol Succinct - switched from Tartrate on 200805, because received refill from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127817 -             1 0000............ 10 14050  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127818 -             1 0000............ 10 13640  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127819 -               2050... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127820 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127821 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127822 -               2100... 40 40460 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127823 -               2130... 1000  894000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127824 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127825 -               0000....Tramadol 50 2000 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127826 -               2150... 05 1925 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127827 -               2200... 80 202560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127828 -               2230... Simethicone 80  3280 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127829 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127831 -  ..
127832 - ** Metoprolol Succinct - on 200805 received refill.  On 200724 Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127833 - Simpson recommended taking Metoprolol at night, rather than in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127834 - morning, and if HR is below 60, then skip taking the pill. ref SDS A9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127835 - WA5O Doctor Pellegrini switchted from Tartrate, reported on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127836 - 0930. ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127837 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127838 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127839 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127840 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127841 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127842 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127843 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127845 -  ..
127846 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127848 -  ..
127849 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127850 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127851 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127853 -  ..
127854 - Dizzy - not wobbly during 8 mile hike; BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127855 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127857 -  ..
127858 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127860 -  ..
127861 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127862 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127864 -  ..
127865 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127867 -  ..
127868 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127869 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127871 -  ..
127872 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127873 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127874 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127875 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127876 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127877 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127878 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127879 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127880 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127881 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127882 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127883 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127884 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127885 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127887 -  ..
127888 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127889 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127891 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127892 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127893 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127894 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127895 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127896 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127897 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127898 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127899 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127900 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127901 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127902 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127903 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127904 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127905 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127906 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127907 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127908 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127909 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127910 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127911 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127912 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127913 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127914 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127915 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127916 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127917 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127918 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127919 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127920 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127921 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127922 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127923 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127924 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127925 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127926 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127927 -        Blister ring toe left foot...................   0        100  blister no pain with white tape wrap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127928 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127929 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127930 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127931 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127932 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127933 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127935 -  ..
127936 - Body feels okay, light headed (sleepy) after hiking 8 miles in 90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127937 - degrees at good speed following PRP on 191009 1500, ref SDS 78 0001
127939 - -
127940 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127941 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127942 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127944 -  ..
127945 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127946 - Little wobbly walking around.  Getting cramps upper left and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127947 - legs, which may be related to hiking with temperature 100+.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127949 -  ..
127950 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127951 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127952 - LS4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127954 -  ..
127955 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127956 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127957 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127958 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127959 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127961 -  ..
127962 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127963 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127965 -  ..
127966 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127967 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127968 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127970 -  ..
127971 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127972 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127973 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127974 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127975 - ref SDS 77 SM4M  After hike on 200815, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127976 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127977 - ref SDS 0 5I7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127979 -  ..
127980 - Lafayette Reservoir 8-mile route - hiked .25 mile up steep hill 8%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127981 - grade from park entrance; hiked 1-mile very slow with Kathy around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127982 - North end of reservoir - went up 1st steep hill 7% grade with Kathy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127983 - she did this well.  Hiked on around to about .85 mile.  Kathy stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127984 - and turnd back.  Continued hiking rest of 3 mile loop - total time 68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127985 - minutes.  Hiked another loop around the reservoir - time 48 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127986 - Drank water from fountain before 2nd lap.  Handled numberous short                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127987 - hills well breathing through nose all the way, except on initial steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127988 - hill into the park breathed through mouth for last 20% of way to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127989 - top.  Did not have to stop and rest, as occurered last week on 200721,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127990 - per above. ref SDS 0 PSPV  Made Killer Ridge 7% grade with good pace;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127991 - did not have to breath through mouth at top of hill for 100 yards on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127992 - eitehr lap, as occurred previously.  Passed numerous hikers.  No chest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127993 - pain and no stomach pain, possible bloating due to colitis, treated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127994 - with simethicone on 2nd lap.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127996 -  ..
127997 - Kardia recorded HR 58 at 0618 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128000 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200815-ecg-061837_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128003 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128006 -  ..
128007 - EKG chart looks perfect, except last few heart beats.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128010 -  ..
128011 - Polar HR GPS study for 8-mile hike shows HR profile that rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128012 - falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128015 -       Date      200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 20  
128016 -       Miles         8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0       
128017 -       HR AVG      112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no       
128018 -         MAX       132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   h  
128019 -         Min        86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85              
128020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128022 -  ..
128023 - HR profile showing average 112 and max 132 with temperature 98, over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128024 - long, steep (5%+ grade) hills in Concord route, shows expected HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128025 - changes, so likely no AF and no atrial flutter, following ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128026 - 200511 0546. ref SDS 94 244I  Pace is shown as erratic, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128027 - conflicts significantly with pace for prior hikes, e.g., on 200813,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128028 - above. ref SDS 0 VUVY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128031 -              https://flow.polar.com/training/analysis/5012192301                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128035 -   
128036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128039 -  ..
128040 - EKG 1 minute after hiking 8 miles HR 116 at 1109 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128041 - Tachycardia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128044 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200815-ecg-110930_mile_08.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128047 -  ..
128048 - EKG chart after 8 miles seems mostly consistent.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128052 -  ..
128053 - EKG 90 minutes after hiking 8 miles HR 77 at 1244 - Kardia shows Normal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128056 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200815-ecg-124450_mile_08.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128058 -  ..
128059 - EKG chart looks very consistent.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128062 -  ..
128063 - HR profile post-hike beginning 1433 until next day OA 0635 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128064 - mostly steady heart beat 65 +/-.  Max HR 126 and minimum HR 45 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128065 - with indoor activity; 0 spikes above 130 may indicate no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128066 - fibrillatin (AF), while recovering from ablation procedures.  This may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128067 - decrease exposure to ischemic colitis, reported on 200612 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128068 - ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128070 -        ..
128071 -       Date      200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 200526 20  
128072 -        Hours       16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14     14     14            12      7      7     15                          16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12      0       
128073 -       HR AVG       65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63     64     72     no     75     73     75     69     no     no     no    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118     no       
128074 -         MAX       126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154    126    141  report   129     95    130    131  report report report   145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    hike   h  
128075 -         Min        45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39     37     51            56     51     47     44                          96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85              
128076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128078 -              https://flow.polar.com/training/analysis/5014838651                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128082 -   
128083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128085 -  ..
128086 - Breakfast - cheerios chia seeds banana milk with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128087 - Lunch - tuna avocado tomato onion cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128088 - Dinner - eggs sausage toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128090 -  ..
128091 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128096 -         ..
128097 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128098 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128099 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128100 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128101 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128102 -  229.  200816 0640............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128103 -               0640....BP HR..................................................... 121  73  58  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 WUUS                                                                                                                                                                                                                                                                                                                                                                                                                                               
128104 -               0645....BP HR..................................................... 116  67  57  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128105 -               0650....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128106 -               0650... 20 976360 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128107 -               0650... 80 202640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128108 -               0650... 05 1930 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128109 -               0650... 75 4500 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128110 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
128111 -               0910... Gabapentin 300MG  27100MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128112 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128113 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128114 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128115 -               0910....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128116 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128117 -               0935....miles...........  11.0  68.0  176  1109 minutes  temp  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128118 -               1310....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128119 -               1315... Simethicone 80  3360 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128120 -               1345....BP HR..................................................... 103  64  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128121 -               1350....BP HR..................................................... 112  72  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128122 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128123 -               1700... 40 60560 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
128124 -           **  1800... 25   1675.0 Metoprolol Succinct - switched from Tartrate on 200805, because received refill from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128125 -               1830............ 10 14060  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128126 -               1830............ 10 13650  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128127 -               2020... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128128 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128129 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128130 -               2100... 40 40500 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128131 -               2130... 1000  895000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128132 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128133 -               0000....Tramadol 50 2000 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128134 -               2150... 05 1935 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128135 -               2200... 80 202720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128136 -               0000... Simethicone 80  3360 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128137 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128139 -  ..
128140 - ** Metoprolol Succinct - on 200805 received refill.  On 200724 Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128141 - Simpson recommended taking Metoprolol at night, rather than in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128142 - morning, and if HR is below 60, then skip taking the pill. ref SDS A9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128143 - WA5O Doctor Pellegrini switchted from Tartrate, reported on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128144 - 0930. ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128145 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128146 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128147 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128148 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128149 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128150 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128151 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128153 -  ..
128154 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128156 -  ..
128157 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128158 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128159 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128161 -  ..
128162 - Dizzy - not wobbly during 8 mile hike; BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128163 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128165 -  ..
128166 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128168 -  ..
128169 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128170 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128172 -  ..
128173 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128175 -  ..
128176 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128177 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128179 -  ..
128180 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128181 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128182 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128183 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128184 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128185 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128186 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128187 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128188 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128189 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128190 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128191 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128192 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128193 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128195 -  ..
128196 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128197 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128199 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128200 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128201 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128202 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128203 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128204 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128205 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128206 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128207 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128208 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128209 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128210 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128211 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128212 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128213 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128214 -        Knee left cruciate ligaments back of knee....   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128215 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128216 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128217 -        Hamstring tendon left leg.PRP 191009.........   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128218 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128219 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128220 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128221 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128222 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128223 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128224 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128225 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128226 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128227 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128228 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128229 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128230 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128231 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128232 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128233 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128234 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128235 -        Blister ring toe left foot...................   0        100  blister no pain with white tape wrap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128236 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128237 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128238 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128239 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128240 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128241 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128243 -  ..
128244 - Body feels okay, light headed (sleepy) after hiking 11 miles in 80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128245 - degrees at good speed following PRP on 191009 1500, ref SDS 78 0001
128247 - -
128248 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128249 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128250 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128252 -  ..
128253 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128254 - Little wobbly walking around.  Getting cramps upper left and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128255 - legs, which may be related to hiking with temperature 100+.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128257 -  ..
128258 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128259 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128260 - LS4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128262 -  ..
128263 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128264 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128265 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128266 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128267 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128269 -  ..
128270 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128271 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128273 -  ..
128274 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128275 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128276 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128278 -  ..
128279 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128280 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128281 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128282 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128283 - ref SDS 77 SM4M  After hike on 200816, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128284 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128285 - ref SDS 0 ZV7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128287 -  ..
128288 - Lafayette Reservoir 11-mile route - hiked .25 mile up steep hill 8%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128289 - grade from park entrance; hiked 1-mile very slow with Kathy around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128290 - North end of reservoir - went up 1st steep hill 7% grade with Kathy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128291 - she did this well.  Hiked on around to about .85 mile.  Kathy stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128292 - and turnd back.  Continued hiking rest of 3 mile loop - total time 68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128293 - minutes.  Hiked another loop around the reservoir - time 46 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128294 - Hiked 3rd loop time 44 minutes.  Drank water from fountain before 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128295 - and 3rd laps.  Handled numberous short hills well breathing through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128296 - nose all the way, except on initial steep hill into the park breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128297 - through mouth for last 10% of way to the top.  This was big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128298 - improvement.  Did not have to stop and rest, as occurered last week on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128299 - 200721, per above. ref SDS 0 PSPV  Made Killer Ridge 7% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128300 - good pace; did not have to breath through mouth at top of hill for 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128301 - yards on any of the 3 laps, as occurred previously.  Passed numerous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128302 - hikers.  No chest pain and no stomach pain, possible bloating due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128303 - colitis.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128305 -  ..
128306 - Kardia recorded HR 59 at 0641 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128309 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200816-ecg-064111_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128312 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128315 -  ..
128316 - EKG chart looks perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128320 -  ..
128321 - Polar HR GPS study for 11-mile hike shows HR profile that rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128322 - falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128325 -       Date      200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 200527 20  
128326 -       Miles        11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0     12       
128327 -       HR AVG      112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    118       
128328 -         MAX       139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   145    h  
128329 -         Min        74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                   85       
128330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128332 -  ..
128333 - HR profile showing average 112 and max 139 with temperature 85, over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128334 - 3-laps around Lafayette Reservoir with short steep (7%+ grade) hills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128335 - with expected HR changes, so likely no AF and no atrial flutter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128336 - following ablation on 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128338 -  ..
128339 - Note, forgot to stop GPS reporting at end of hike, so GPS captured                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128340 - ride in car home 11 miles...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128343 -              https://flow.polar.com/training/analysis/5016488051                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128347 -   
128348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128351 -  ..
128352 - EKG 1 minute after hiking 11 miles HR 121 at 1234 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128353 - Tachycardia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128356 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200816-ecg-123412_mile_11.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128359 -  ..
128360 - EKG chart after 11 miles seems mostly consistent.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128364 -  ..
128365 - EKG 90 minutes after hiking 11 miles HR 78 at 1406 - Kardia shows Normal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128368 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200816-ecg-140658_mile_11.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128370 -  ..
128371 - EKG chart looks very consistent.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128397 -  ..
128398 - Breakfast - cream of wheat rasins few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128399 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128400 - Dinner - rice broccoli hamburger onion mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128402 -  ..
128403 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128409 -         ..
128410 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128411 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128412 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128413 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128414 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128415 -  230.  200817 0605............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128416 -               0630....BP HR..................................................... 120  71  58  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 WXWR                                                                                                                                                                                                                                                                                                                                                                                                                                               
128417 -               0635....BP HR..................................................... 113  70  54  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128418 -               0640....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128419 -               0640... 20 976380 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128420 -               0640... 80 202800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128421 -               0640... 05 1940 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128422 -               0640... 75 4575 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128423 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
128424 -               0910... Gabapentin 300MG  27400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128425 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128426 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128427 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128428 -               0910....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128429 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128430 -               0840....miles...........   7.0   7.0  115   115 minutes  temp  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128431 -               1140....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128432 -               1150....BP HR..................................................... 116  72  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128433 -               1155....BP HR..................................................... 108  67  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128434 -               1210... Simethicone 80  3440 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128435 -   at Costco   1250....miles...........   2.0   9.0   45   160 minutes  temp  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128436 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128437 -               1700... 40 60600 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
128438 -           **  1800... 25   1700.0 Metoprolol Succinct - switched from Tartrate on 200805, because received refill from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128439 -             1 0000............ 10 14060  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128440 -             1 0000............ 10 13650  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128441 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128442 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128443 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128444 -               2100... 40 40540 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128445 -               2130... 1000  896000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128446 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128447 -               0000....Tramadol 50 2000 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128448 -               2150... 05 1945 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128449 -               2200... 80 202880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128450 -               0000... Simethicone 80  3440 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128451 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128453 -  ..
128454 - ** Metoprolol Succinct - on 200805 received refill.  On 200724 Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128455 - Simpson recommended taking Metoprolol at night, rather than in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128456 - morning, and if HR is below 60, then skip taking the pill. ref SDS A9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128457 - WA5O Doctor Pellegrini switchted from Tartrate, reported on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128458 - 0930. ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128459 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128460 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128461 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128462 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128463 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128464 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128465 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128467 -  ..
128468 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128470 -  ..
128471 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128472 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128473 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128475 -  ..
128476 - Dizzy - not wobbly during 7 mile hike; BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128477 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128479 -  ..
128480 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128482 -  ..
128483 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128484 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128486 -  ..
128487 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128489 -  ..
128490 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128491 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128493 -  ..
128494 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128495 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128496 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128497 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128498 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128499 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128500 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128501 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128502 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128503 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128504 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128505 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128506 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128507 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128509 -  ..
128510 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128511 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128513 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128514 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128515 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128516 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128517 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128518 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128519 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128520 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128521 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128522 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128523 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128524 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128525 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128526 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128527 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128528 -        Knee left cruciate ligaments back of knee....   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128529 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128530 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128531 -        Hamstring tendon left leg.PRP 191009.........   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128532 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128533 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128534 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128535 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128536 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128537 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128538 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128539 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128540 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128541 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128542 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128543 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128544 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128545 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128546 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128547 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128548 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128549 -        Blister ring toe left foot...................   0        100  blister no pain with white tape wrap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128550 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128551 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128552 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128553 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128554 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128555 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128557 -  ..
128558 - Body feels okay, light headed (sleepy) after hiking 7 miles in 85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128559 - degrees at good speed racing other hikers on 2 laps, following PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128560 - 191009 1500, ref SDS 78 0001
128562 - -
128563 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128564 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128565 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128567 -  ..
128568 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128569 - Little wobbly walking around.  Getting cramps upper left and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128570 - legs, which may be related to hiking with temperature 100+.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128572 -  ..
128573 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128574 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128575 - LS4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128577 -  ..
128578 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128579 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128580 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128581 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128582 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128584 -  ..
128585 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128586 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128588 -  ..
128589 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128590 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128591 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128593 -  ..
128594 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128595 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128596 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128597 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128598 - ref SDS 77 SM4M  After hike on 200817, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128599 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128600 - ref SDS 0 ZJ9I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128602 -  ..
128603 - Lafayette Reservoir 7-mile route - hiked .25 mile up steep hill 8% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128604 - 9% grade from park entrance; hiked 1-mile very slow with Kathy around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128605 - North end of reservoir - went up 1st steep hill 7% grade with Kathy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128606 - she did this well.  Hiked on around to about 1.2 mile.  Kathy stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128607 - and turnd back.  Continued hiking rest of 3 mile loop - total time 68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128608 - minutes.  Hiked 2nd loop around the reservoir - time 46 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128609 - Drank water from fountain before 2nd lap.  Handled numerous short                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128610 - hills well breathing through nose all the way, including initial steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128611 - hill into the park - breathed through nose all the way to the top, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128612 - for the first time - a breakthrough improvement.  Previously, was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128613 - gasping for air with ARDS-like effort on 8% - 9% grade last 100 yards                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128614 - to the top.  Did not have to stop and rest, as occurered on 200721,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128615 - per above. ref SDS 0 PSPV  Made Killer Ridge 7% grade with good pace.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128616 - Raced 2 girls.  1st girl ran past, but slowed to a walk after Killer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128617 - Ridge.  She had a big lead.  Heard footsteps nearing top of Killer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128618 - Ridge, indicating someone was gaining on me.  Increased pace at the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128619 - summit.  Footsteps went away; but .25 mile further down the trail                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128620 - sound of nearing footsteps recurred, indicating the hiker caught up.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128621 - Came to steep downhill, so slowed.  The hiker behind passed - another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128622 - young woman.  She had fast pace like the first girl, so just kept up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128623 - with her about 10 yards behind for the next mile.  Surprised being                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128624 - able to maintain fast pace.  Past the Childrens Playground, leading to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128625 - the last downhill that connects with the path over the dam, ran past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128626 - the 2nd girl.  Continued running and caught up with the 1st girl, who                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128627 - had slowed nearing the end of her hike.  This was where the trail that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128628 - goes around the reservoir meets the path on top of the Dam at the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128629 - South end.  Hiked .5 mile to the North end of the Dam and drank water                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128630 - at the rest stop before doing another loop.  On 2nd loop, about the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128631 - same place at mile 1.5 a girl ran past, but slowed going up the steep,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128632 - short hill.  Gained ground hiking up the hill, but had to slow on the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128633 - downhill.  The girl then ran opening a bigger lead.  She slowed to a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128634 - walk going up Killer Ridge, allowing me to catch up a little.  Over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128635 - next 1 mile, closed the gap to maybe 200 yards.  Good exercise                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128636 - conditioning the body with racing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128638 -  ..
128639 - Costco 2 Mile Route - hiked from parking lot into Costco, then through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128640 - the isles, and pushed shopping cart back to the car.  Loaded the car.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128641 - Drove home and unloaded groceries, putting stuff away.  Samsung                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128642 - recorded this 2 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128645 -  ..
128646 - Kardia recorded HR 60 at 0622 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128649 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200817-ecg-062233_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128652 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128655 -  ..
128656 - EKG chart looks perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128660 -  ..
128661 - Polar HR GPS study for 7-mile hike shows HR profile that rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128662 - falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128665 -       Date      200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 20  
128666 -       Miles         7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0       
128667 -       HR AVG      118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    1  
128668 -         MAX       149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   1  
128669 -         Min        77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                     
128670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128672 -  ..
128673 - HR profile showing average 118 and max 149 with temperature 85, racing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128674 - other hikers over 2-laps around Lafayette Reservoir hiking short steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128675 - (7%+ grade) hills with expected HR changes, so likely no AF and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128676 - atrial flutter, following ablation on 200511 0546. ref SDS 94 244I  HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128677 - 149 occurred running 100 yards to catch another hiker in a race.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128678 - Raced twice - once on each lap, so was exerting high intensity effort                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128679 - for several miles.  Hiking from street level 100' up to the dam on 9%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128680 - grade was also high intensity effort...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128683 -              https://flow.polar.com/training/analysis/5019643841                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128687 -   
128688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128691 -  ..
128692 - EKG 1 minute after hiking 7 miles HR 115 at 1041 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128693 - Tachycardia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128697 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200817-ecg-104105_mile_07.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128700 -  ..
128701 - EKG chart after 7 miles seems very consistent - after racing other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128702 - hikers on 2 laps.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128706 -  ..
128707 - EKG 90 minutes after hiking 7 miles HR 83 at 1211 - Kardia shows Unclassified.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128710 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200817-ecg-121140_mile_07.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128712 -  ..
128713 - EKG chart looks little erratic, then consistent.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128716 -  ..
128717 - HR profile post-hike (used wrong program) beginning 1603 until next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128718 - day OA 0557 shows mostly steady heart beat 68 +/-.  Max HR 139 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128719 - minimum HR 41 aligns with indoor activity; 0 spikes above 130 may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128720 - indicate no atrial fibrillatin (AF), while recovering from ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128721 - procedures.  This may decrease exposure to ischemic colitis, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128722 - on 200612 0700. ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128724 -        ..
128725 -       Date      200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 200528 20  
128726 -        Hours       14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14     14     14            12      7      7     15                          16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0      0       
128727 -       HR AVG       68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63     64     72     no     75     73     75     69     no     no     no    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no     no    1  
128728 -         MAX       139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154    126    141  report   129     95    130    131  report report report   145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   hike   1  
128729 -         Min        41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39     37     51            56     51     47     44                          96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81                     
128730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128732 -              https://flow.polar.com/training/analysis/5022239691                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128736 -   
128737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128739 -  ..
128740 - Breakfast - ensure banana few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128741 - Lunch - cheese balogna                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128742 - Dinner - noodles (pasta) hamburger onion asparagus, ice cream                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128744 -  ..
128745 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128751 -         ..
128752 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128753 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128754 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128755 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128756 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128757 -  231.  200818 0555............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128758 -               0620....BP HR..................................................... 131  77  63  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 XRSY                                                                                                                                                                                                                                                                                                                                                                                                                                               
128759 -               0625....BP HR..................................................... 126  75  62  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128760 -               0630....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128761 -               0630... 20 976400 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128762 -               0630... 80 202960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128763 -               0630... 05 1950 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128764 -               0630... 75 4650 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128765 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
128766 -               0910... Gabapentin 300MG  27700MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128767 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128768 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128769 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128770 -               0910....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128771 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128772 -               0840....miles...........  11.0  20.0  182   342 minutes  temp 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128773 -               1220....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128774 -               1240....BP HR..................................................... 114  73  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128775 -               1245....BP HR..................................................... 116  73  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128776 -               1250... Simethicone 80  3520 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128777 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128778 -               1700... 40 60640 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
128779 -           **  1800... 25   1725.0 Metoprolol Succinct - switched from Tartrate on 200805, because received refill from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128780 -               1830............ 10 14070  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128781 -               1830............ 10 13660  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128782 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128783 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128784 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128785 -               2100... 40 40580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128786 -               2130... 1000  897000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128787 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128788 -               0000....Tramadol 50 2000 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128789 -               2150... 05 1955 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128790 -               2200... 80 203040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128791 -               0000... Simethicone 80  3520 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128792 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128794 -  ..
128795 - ** Metoprolol Succinct - on 200805 received refill.  On 200724 Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128796 - Simpson recommended taking Metoprolol at night, rather than in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128797 - morning, and if HR is below 60, then skip taking the pill. ref SDS A9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128798 - WA5O Doctor Pellegrini switchted from Tartrate, reported on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128799 - 0930. ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128800 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128801 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128802 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128803 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128804 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128805 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128806 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128808 -  ..
128809 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128811 -  ..
128812 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128813 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128814 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128816 -  ..
128817 - Dizzy - not wobbly during 7 mile hike; BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128818 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128820 -  ..
128821 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128823 -  ..
128824 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128825 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128827 -  ..
128828 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128830 -  ..
128831 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128832 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128834 -  ..
128835 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128836 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128837 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128838 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128839 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128840 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128841 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128842 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128843 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128844 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128845 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128846 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128847 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128848 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128850 -  ..
128851 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128852 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128854 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128855 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128856 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128857 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128858 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128859 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128860 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128861 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128862 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128863 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128864 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128865 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128866 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128867 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128868 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128869 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128870 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128871 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128872 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128873 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128874 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128875 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128876 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128877 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128878 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128879 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128880 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128881 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128882 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128883 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128884 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128885 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128886 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128887 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128888 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128889 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128890 -        Blister ring toe left foot...................   0        100  blister no pain with white tape wrap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128891 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128892 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128893 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128894 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128895 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128896 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128898 -  ..
128899 - Body feels okay, light headed (sleepy) after hiking 11 miles in 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128900 - degrees at good speed racing other hikers on 3 laps at Lafayette                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128901 - Reservoir, following PRP on 191009 1500, ref SDS 78 0001
128903 - -
128904 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128905 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128906 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128908 -  ..
128909 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128910 - Little wobbly walking around.  Getting cramps upper left and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128911 - legs, which may be related to hiking with temperature 100+.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128913 -  ..
128914 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128915 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128916 - LS4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128918 -  ..
128919 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128920 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128921 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128922 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128923 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128925 -  ..
128926 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128927 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128929 -  ..
128930 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128931 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128932 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128934 -  ..
128935 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128936 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128937 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128938 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128939 - ref SDS 77 SM4M  After hike on 200817, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128940 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128941 - ref SDS 0 ZJ9I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128943 -  ..
128944 - Lafayette Reservoir 11-mile route - hiked from park entrance at Mount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128945 - Diablo Boulevard .25 mile up very steep hill 8% - 9% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128946 - breathing through nose all the way to the top of the dam.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128947 - 1-mile very slow with Kathy around North end of reservoir - went up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128948 - 1st steep hill 7% grade with Kathy - she did this well.  Hiked on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128949 - around to about 1.2 mile.  Kathy stopped and turnd back.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128950 - hiking rest of 3 mile loop - total time 70 minutes.  Hiked 2nd and 3rd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128951 - loops around the reservoir with temperature reaching 104.  Drank water                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128952 - from fountain before each loop.  Handled numerous short hills well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128953 - breathing through nose all the way, Made Killer Ridge 7% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128954 - good pace.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128956 -  ..
128957 - Kardia recorded HR 62 at 0604 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128960 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200818-ecg-060427_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128963 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128966 -  ..
128967 - EKG chart some beats look erratic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128971 -  ..
128972 - Polar HR GPS study for 10-mile hike shows HR profile that rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128973 - falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128976 -       Date      200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 20  
128977 -       Miles        11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0       
128978 -       HR AVG      120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no       
128979 -         MAX       145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   h  
128980 -         Min        71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81              
128981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128983 -  ..
128984 - HR profile showing average 120 and max 145 with temperature 104,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128985 - racing other hikers over 3-laps around Lafayette Reservoir hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128986 - short steep (7%+ grade) hills with expected HR changes, so likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128987 - AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128988 - ref SDS 94 244I  Hiked less intense on 3 laps today, compared to 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128989 - laps yesterday, but temperature 10 degrees higher and minor racing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128990 - maded hike intense effort today.  Hiking from street level 100' up to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128991 - the dam on 9% grade was high intensity effort...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128994 -              https://flow.polar.com/training/analysis/5023883916                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128998 -   
128999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129002 -  ..
129003 - EKG 1 minute after hiking 11 miles HR 115 at 1135 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129004 - Tachycardia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129008 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200818-ecg-113532_mile_11.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129011 -  ..
129012 - EKG chart after 11 miles very erratic with some beats exploding - not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129013 - sure why this is not AF in 104 heat and 3 laps.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129017 -  ..
129018 - EKG 90 minutes after hiking 11 miles HR 87 at 1304 - Kardia shows Normal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129021 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200818-ecg-130412_mile_11.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129023 -  ..
129024 - EKG chart looks perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129027 -  ..
129028 - HR profile post-hike beginning 1543 until next day OA 0530 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129029 - mostly steady heart beat 72 +/-.  Max HR 172 and minimum HR 48 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129030 - with indoor activity; 0 continuous spikes above 130 may indicate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129031 - atrial fibrillatin (AF), while recovering from ablation procedures.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129032 - This may increase exposure to ischemic colitis, reported on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129033 - 0700. ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129035 -        ..
129036 -       Date      200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 200529 20  
129037 -        Hours       14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14     14     14            12      7      7     15                          16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9      0       
129038 -       HR AVG       72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63     64     72     no     75     73     75     69     no     no     no    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110     no       
129039 -         MAX       172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154    126    141  report   129     95    130    131  report report report   145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    hike   h  
129040 -         Min        48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39     37     51            56     51     47     44                          96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81              
129041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129043 -              https://flow.polar.com/training/analysis/5026133731                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129047 -   
129048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129050 -  ..
129051 - Breakfast - ensure peach few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129052 - Lunch - sandwich tuna avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129053 - Dinner - hamburger broccoli onion tomato cottage cheese, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129055 -  ..
129056 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129062 -         ..
129063 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129064 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129065 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129066 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129067 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129068 -  232.  200819 0530............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129069 -               0550....BP HR..................................................... 126  69  58  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 XURP                                                                                                                                                                                                                                                                                                                                                                                                                                               
129070 -               0555....BP HR..................................................... 118  66  56  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129071 -               0600....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129072 -               0600... 20 976420 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129073 -               0600... 80 203120 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129074 -               0600... 05 1960 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129075 -               0600... 75 4725 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129076 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
129077 -               0000... Gabapentin 300MG  27700MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129078 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129079 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129080 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129081 -               0910....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129082 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129083 -               1700... 40 60680 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
129084 -           **  1800... 25   1750.0 Metoprolol Succinct - switched from Tartrate on 200805, because received refill from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129085 -             1 0000............ 10 14070  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129086 -             1 0000............ 10 13660  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129087 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129088 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129089 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129090 -               2100... 40 40620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129091 -               2130... 1000  898000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129092 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129093 -               0000....Tramadol 50 2000 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129094 -               2150... 05 1965 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129095 -               2200... 80 203200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129096 -               2310... Simethicone 80  3600 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129097 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129099 -  ..
129100 - ** Metoprolol Succinct - on 200805 received refill.  On 200724 Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129101 - Simpson recommended taking Metoprolol at night, rather than in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129102 - morning, and if HR is below 60, then skip taking the pill. ref SDS A9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129103 - WA5O Doctor Pellegrini switchted from Tartrate, reported on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129104 - 0930. ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129105 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129106 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129107 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129108 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129109 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129110 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129111 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129113 -  ..
129114 - Peripheral neuropathy - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129116 -  ..
129117 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129118 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129119 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129121 -  ..
129122 - Dizzy - not wobbly during 7 mile hike; BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129123 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129125 -  ..
129126 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129128 -  ..
129129 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129130 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129132 -  ..
129133 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129135 -  ..
129136 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129137 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129139 -  ..
129140 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129141 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129142 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129143 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129144 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129145 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129146 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129147 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129148 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129149 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129150 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129151 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129152 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129153 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129155 -  ..
129156 - Kardia recorded HR 56 at 0548 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129159 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200819-ecg-054834_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129162 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129165 -  ..
129166 - EKG chart looks good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129169 -  ..
129170 - HR profile post-hike beginning 1522 until next day OA 0700 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129171 - mostly steady heart beat 72 +/-.  Max HR 172 and minimum HR 48 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129172 - with indoor activity; 0 continuous spikes above 130 may indicate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129173 - atrial fibrillatin (AF), while recovering from ablation procedures.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129174 - This may increase exposure to ischemic colitis, reported on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129175 - 0700. ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129177 -        ..
129178 -       Date      200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 200530 20  
129179 -        Hours       16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14     14     14            12      7      7     15                          16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20      9       
129180 -       HR AVG       66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63     64     72     no     75     73     75     69     no     no     no    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    110       
129181 -         MAX       119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154    126    141  report   129     95    130    131  report report report   145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    127    h  
129182 -         Min        43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39     37     51            56     51     47     44                          96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81     81       
129183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129185 -              https://flow.polar.com/training/analysis/5030310061                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129189 -   
129190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129192 -  ..
129193 - Breakfast - cream of wheat rasins few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129194 - Lunch - sandwich balogna cheese onion, tuna fritos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129195 - Dinner - hamburger broccoli onion tomato cottage cheese, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129197 -  ..
129198 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129204 -         ..
129205 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129206 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129207 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129208 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129209 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129210 -  233.  200820 0700............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129211 -               0710....BP HR..................................................... 134  73  60  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 XXSQ                                                                                                                                                                                                                                                                                                                                                                                                                                               
129212 -               0715....BP HR..................................................... 133  78  60  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129213 -               0720....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129214 -               0720... 20 976440 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129215 -               0720... 80 203280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129216 -               0720... 05 1970 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129217 -               0720... 75 4800 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129218 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
129219 -               1255... Gabapentin 300MG  27700MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129220 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129221 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129222 -               0000... Diclofenac applied topically left knee - omitted due to itching rash lesions on left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129223 -               1255....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129224 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129225 -               1305....miles...........  12.0  32.0  211   342 minutes  temp  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129226 -               1720....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129227 -               1725....BP HR..................................................... 106  65 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129228 -               1730....BP HR..................................................... 107  71  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129229 -               0000... Simethicone 80  3600 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129230 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129231 -               1700... 40 60720 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
129232 -           **  1800... 25   1775.0 Metoprolol Succinct - switched from Tartrate on 200805, because received refill from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129233 -               1830............ 10 14080  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129234 -               1830............ 10 13670  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129235 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129236 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129237 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129238 -               2100... 40 40660 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129239 -               2130... 1000  899000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129240 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129241 -               0000....Tramadol 50 2000 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129242 -               2150... 05 1975 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129243 -               2200... 80 203360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129244 -               0000... Simethicone 80  3600 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129245 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129247 -  ..
129248 - ** Metoprolol Succinct - on 200805 received refill.  On 200724 Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129249 - Simpson recommended taking Metoprolol at night, rather than in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129250 - morning, and if HR is below 60, then skip taking the pill. ref SDS A9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129251 - WA5O Doctor Pellegrini switchted from Tartrate, reported on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129252 - 0930. ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129253 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129254 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129255 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129256 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129257 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129258 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129259 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129261 -  ..
129262 - Peripheral neuropathy seems to be occurring this morning, first time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129263 - since 200212, ref SDS 0 UVSU, - see study on 200101 0701. ref SDS 83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129264 - PXSS  Did not feel this during hike today. ref SDS 0 XXQX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129266 -  ..
129267 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129268 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129269 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129271 -  ..
129272 - Dizzy - not wobbly during 7 mile hike; BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129273 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129275 -  ..
129276 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129278 -  ..
129279 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129280 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129282 -  ..
129283 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129285 -  ..
129286 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129287 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129289 -  ..
129290 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129291 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129292 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129293 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129294 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129295 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129296 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129297 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129298 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129299 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129300 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129301 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129302 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129303 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129305 -  ..
129306 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129307 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129309 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129310 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129311 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129312 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129313 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129314 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129315 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129316 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129317 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129318 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129319 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129320 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129321 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129322 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129323 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129324 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129325 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129326 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129327 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129328 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129329 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129330 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129331 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129332 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129333 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129334 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129335 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129336 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129337 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129338 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129339 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129340 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129341 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129342 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129343 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129344 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129345 -        Blister ring toe left foot...................   1         40  blister did not wrap with white tape wrap - hurt initially, then did not notice to end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                               
129346 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129347 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129348 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129349 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129350 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129351 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129353 -  ..
129354 - Body feels okay, only slightly light headed (sleepy) after hiking 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129355 - miles in 93 degrees at normal speed, following PRP on 191009 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129356 - ref SDS 78 0001
129358 - -
129359 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129360 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129361 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129363 -  ..
129364 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129366 -  ..
129367 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129368 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129369 - LS4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129371 -  ..
129372 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129373 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129374 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129375 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129376 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129378 -  ..
129379 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129380 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129382 -  ..
129383 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129384 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129385 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129387 -  ..
129388 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129389 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129390 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129391 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129392 - ref SDS 77 SM4M  After hike on 200817, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129393 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129394 - ref SDS 0 ZJ9I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129396 -  ..
129397 - Concord 12 mile route - Starting energy okay today, Wearing Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129398 - 6 shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129399 - and knee injuries.  Wore 2-pair double-ply Wright socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129400 - 191010 1344, ref SDS 79 SM4M, to prevent blisters.  Took Metoprolol 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129401 - pill 25 mg last night to prevent elevated HR during hike today.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129402 - further minimizes blurred vision side effects while working during the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129403 - day.  Hiked from Cuneo uphill to Treat.  Sky is very murky filled with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129404 - smoke from fire in Fairfield Vacaville area - cannot see surrounding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129405 - hills.  Smell of smoke is minimal.  Breathed easily through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129406 - entire hike.  Temperature reached 93.  Continued normal pace on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129407 - hiking East 1 mile to Clayton.  Took 19 minutes to reach mile 1.25.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129408 - Turned corner hiking South on Clayton 2 miles at normal pace, mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129409 - on flat concrete sidewalk.  At mile 3.50, turned West onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129410 - Valley Road hiking on concrete sidewalk another .5 mile.  About mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129411 - 4, crossed to South side Ygnacio Valley Road hiking West on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129412 - shoulder aganist East bound traffic.  At mile 5, stopped at Texaco gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129413 - station - EKG reported HR 111 Tachycardia - see below. ref SDS 0 8H3N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129414 - There was a long line for checkout, so did not buy anything to drink.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129415 - Continued hike on Ygnacio Valley Road to Pine Hollow; turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129416 - hiked about 50 yards.  Turned right onto Campus Road.  Hiked 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129417 - West uphill 3% - 4% grade to California Sate University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129418 - campus.  Noticable West Wind reduces effects of 93 degree temperature,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129419 - and seems to be clearing smoke from the air.  Can now see surrounding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129420 - mountains.  Legs strong going uphill, indicating vasodilation.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129421 - 1-loop of about 3 miles through adjoining Faculty and Student Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129422 - lots, and included sub-loops uphill .5 mile on the cross street                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129423 - between upper and lower parking areas.  At mile 8.5 back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129424 - Parking, took Campus Drive North .33 mile downhill to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129425 - Road.  Feet handling long downhill well.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129426 - Valley Road and hiked West 5 miles.  At mile 9, did not turn left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129427 - Crystal Ranch Road.  Continued West on Ygnacio Valley Road uphill 2%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129428 - grade past Cowell.  At mile 9.5 crossed from South side of Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129429 - Valley Road to the North side in order to avoid severely sloped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129430 - shoulder on South Side.  On North side continued West uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129431 - over the summit and past concrete traffic seperation barriar.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129432 - 10 turned around and hiked East 1-mile uphill 3% grade over the summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129433 - again, then downhill.  Turned left onto Cowell and hiked North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129434 - downhill 3% grade 1 mile to Treat.  Hiked West on Treat to Cuneo and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129435 - home for 12 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129437 -  ..
129438 - Kardia recorded HR 59 at 0711 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129441 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200820-ecg-071135_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129444 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129447 -  ..
129448 - EKG chart 1st beat looks erratic, rest look perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129452 -  ..
129453 - Polar HR GPS study for 12-mile hike shows HR profile that rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129454 - falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129457 -       Date      200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 20  
129458 -       Miles        12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20       
129459 -       HR AVG      119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    1  
129460 -         MAX       140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    1  
129461 -         Min        89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81       
129462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129464 -  ..
129465 - HR profile showing average 119 and max 140 with temperature 92, hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129466 - at Concord route long shallow hills 4% grade with expected HR changes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129467 - so likely no AF and no atrial flutter, following ablation on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129468 - 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129471 -              https://flow.polar.com/training/analysis/5032287851                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129475 -   
129476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129479 -  ..
129480 - EKG at mile 5 HR 111 - Kardia reported Tachcardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129484 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200820-ecg-142532_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129487 -  ..
129488 - EKG looks slightly erratic but organized, then perfect, then 2 beats                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129489 - very erratic, and finally perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129494 -  ..
129495 - EKG 20 minutes after hiking 12 miles HR 120 at 1652 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129496 - Tachycardia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129500 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200820-ecg-165234_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129503 -  ..
129504 - EKG chart after 12 miles well organized initally, then begins to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129505 - unravel into slightly erratic heart beats.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129509 -  ..
129510 - EKG 90 minutes after hiking 11 miles HR 87 at 1304 - Kardia shows Normal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129513 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200818-ecg-130412_mile_11.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129515 -  ..
129516 - EKG chart looks perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129519 -  ..
129520 - HR profile post-hike beginning 1812 until next day OA 0630 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129521 - mostly steady heart beat 70 +/-.  Max HR 155 and minimum HR 50 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129522 - with indoor activity; 1 continuous spikes above 130 may indicate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129523 - atrial fibrillatin (AF), while recovering from ablation procedures.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129524 - This may increase exposure to ischemic colitis, reported on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129525 - 0700. ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129527 -        ..
129528 -       Date      200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 200531 20  
129529 -        Hours       12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14     14     14            12      7      7     15                          16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13     20       
129530 -       HR AVG       70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63     64     72     no     75     73     75     69     no     no     no    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    122    1  
129531 -         MAX       155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154    126    141  report   129     95    130    131  report report report   145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    150    1  
129532 -         Min        50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39     37     51            56     51     47     44                          96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74     81       
129533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129535 -              https://flow.polar.com/training/analysis/5034010106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129539 -   
129540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129542 -  ..
129543 - Breakfast - cream of wheat rasins few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129544 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129545 - Dinner - hamburger pasta asparagus onion mushrooms avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129547 -  ..
129548 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129554 -         ..
129555 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129556 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129557 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129558 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129559 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129560 -  234.  200821 0650............................................. summary vitals, ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129561 -               0650....BP HR..................................................... 125  70  56  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 YPTV                                                                                                                                                                                                                                                                                                                                                                                                                                               
129562 -               0655....BP HR..................................................... 127  74  60  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129563 -               0710....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129564 -               0710... 20 976440 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129565 -               0710... 80 203280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129566 -               0710... 05 1970 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129567 -               0710... 75 4800 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129568 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
129569 -               0900... Gabapentin 300MG  27700MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129570 -               0000... Oxycodone HCL Plain  5  205 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129571 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129572 -               0900... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129573 -               0900....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129574 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129575 -         * cr  0910....miles...........  18.0  50.0  302   845 minutes  temp  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129576 -               1445....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129577 -               1530....BP HR..................................................... 115  68  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129578 -               1535....BP HR..................................................... 113  73  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129579 -               0000... Simethicone 80  3600 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129580 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129581 -               1700... 40 60720 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
129582 -             1 0000............ 10 14080  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129583 -             1 0000............ 10 13670  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129584 -           **  1930... 25   1775.0 Metoprolol Succinct - switched from Tartrate on 200805, because received refill from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129585 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129586 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129587 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129588 -               2100... 40 40660 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129589 -               2130... 1000  899000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129590 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129591 -               0000....Tramadol 50 2000 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129592 -               2150... 05 1975 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129593 -               2200... 80 203360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129594 -               0000... Simethicone 80  3600 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129595 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129597 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  Prior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129598 - Crystal Ranch Road loop was on 200806. ref SDS 0 124M  On 181029,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129599 - hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129600 - hike. ref SDS 55 E55K   On 191004 changed route going up and coming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129601 - down .5 miles very steep 5% grade to end of Crystal Ranch Road at top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129602 - of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129603 - hiking 1 mile uphill to Cal State East Bay college, with 2 miles of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129604 - loops through Visitor, faculty and student parking, and back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129605 - Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129607 -  ..
129608 - ** Metoprolol Succinct - on 200805 received refill.  On 200724 Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129609 - Simpson recommended taking Metoprolol at night, rather than in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129610 - morning, and if HR is below 60, then skip taking the pill. ref SDS A9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129611 - WA5O Doctor Pellegrini switchted from Tartrate, reported on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129612 - 0930. ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129613 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129614 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129615 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129616 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129617 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129618 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129619 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129621 -  ..
129622 - Peripheral neuropathy seems to be occurring this morning on 200821,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129623 - first time since 200212, - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129625 -  ..
129626 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129627 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129628 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129630 -  ..
129631 - Dizzy - not wobbly during 7 mile hike; BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129632 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129634 -  ..
129635 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129637 -  ..
129638 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129639 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129641 -  ..
129642 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129644 -  ..
129645 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129646 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129648 -  ..
129649 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129650 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129651 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129652 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129653 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129654 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129655 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129656 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129657 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129658 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129659 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129660 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129661 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129662 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129664 -  ..
129665 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129666 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129668 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129669 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129670 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129671 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129672 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129673 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129674 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129675 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129676 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129677 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129678 -        Hip right....................................   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129679 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129680 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129681 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129682 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129683 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129684 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129685 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129686 -        Hamstring tendon left leg.PRP 191009.........   0        100  Diclophenac medication managed pain during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129687 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129688 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129689 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129690 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129691 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129692 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129693 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129694 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129695 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129696 -        Metatarsalgia left foot...PRP 191009.........   2         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129697 -        Metatarsalgia right foot..PRP 191009.........   2         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129698 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129699 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129700 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129701 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129702 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129703 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129704 -        Blister ring toe left foot...................   1         40  blister did not wrap with white tape wrap - hurt initially, then did not notice to end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                               
129705 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129706 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129707 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129708 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129709 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129710 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129712 -  ..
129713 - Body feels okay, only slightly light headed (sleepy) after hiking 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129714 - miles in 93 degrees at normal speed, following PRP on 191009 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129715 - ref SDS 78 0001
129717 - -
129718 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129719 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129720 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129722 -  ..
129723 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129724 - Little wobbly walking around.  Getting cramps upper left and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129725 - legs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129727 -  ..
129728 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129729 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129730 - LS4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129732 -  ..
129733 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129734 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129735 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129736 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129737 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129739 -  ..
129740 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129741 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129743 -  ..
129744 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129745 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129746 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129748 -  ..
129749 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129750 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129751 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129752 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129753 - ref SDS 77 SM4M  After hike on 200817, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129754 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129755 - ref SDS 0 ZJ9I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129757 -  ..
129758 - Concord 18 mile route - Starting energy okay today, Wearing Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129759 - 6 shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129760 - and knee injuries.  Wore 2-pair double-ply Wright socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129761 - 191010 1344, ref SDS 79 SM4M, to prevent blisters.  Took Metoprolol 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129762 - pill 25 mg last night to prevent elevated HR during hike today.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129763 - further minimizes blurred vision side effects while working during the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129764 - day.  Hiked from Cuneo uphill to Treat.  Sky is very murky filled with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129765 - smoke from fire in Fairfield Vacaville area - cannot see surrounding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129766 - hills.  Smell of smoke is minimal.  Breathed easily through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129767 - entire hike.  Temperature reached 93.  Continued normal pace on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129768 - hiking East 1 mile to Clayton.  Feeling right hip pain level 2 - has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129769 - not occurred in a long time.  Feeling ring toe left foot pain level 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129770 - indicates white tape bandage didn't work today.  Feeling right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129771 - ankle pain level 2, favoring left foot to reduce stress on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129772 - ankle.  Took 19 minutes to reach mile 1.25.  Turned corner hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129773 - South on Clayton 2 miles at normal pace, mostly on flat concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129774 - sidewalk.  At mile 3.50, turned West onto Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129775 - on concrete sidewalk another .5 mile.  About mile 4, crossed to South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129776 - side Ygnacio Valley Road hiking West on asphalt shoulder aganist East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129777 - bound traffic.  Pain resolved left hip, right ankle, ring toe left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129778 - foot.  At mile 5, stopped at Texaco gas station - EKG reported HR 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129779 - Tachycardia - see below. ref SDS 0 YPXX  Bought softdrink to hydrate.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129780 - Continued hike on Ygnacio Valley Road to Pine Hollow; turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129781 - hiked about 50 yards.  Turned right onto Campus Road.  Hiked 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129782 - West uphill 3% - 4% grade to California Sate University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129783 - campus.  Noticable West Wind reduces effects of 93 degree temperature,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129784 - and seems to be clearing smoke from the air.  Can now see surrounding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129785 - mountains.  Legs strong going uphill, indicating vasodilation.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129786 - 1-loop of about 3 miles through adjoining Faculty and Student Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129787 - lots; omitted sub-loops uphill .5 mile on the cross street between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129788 - upper and lower parking areas.  At mile 7 back at Visitor Parking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129789 - took Campus Drive North .33 mile downhill to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129790 - Feet handling long downhill well.  Turned left onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129791 - Road and hiked West .5 miles.  At mile 7.5 turned left onto Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129792 - Ranch Road.  Hiked South uphill 5% grade for 1 mile.  Handled this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129793 - well.  Hiked another mile on flat roadway, then .5 mile downhill past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129794 - Rolling Woods Way.  Hiked uphill steep 5% grade long uphill .5 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129795 - top of mountain, where road deadends.  Hiked downhill .5 mile and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129796 - turned right onto Rolling Woods Way.  Hiked East up steep hill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129797 - grace .33 mile.  Hiked downhill .66 mile to Pine Hollow.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129798 - and hiked North on Pine Hollow 1 mile on flat roadway.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129799 - Texaco again.  ECG showed HR 109 at mile 12 in the hike. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129800 - 1F3I  Bought another softdrink to hydrate.  Bought some kine of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129801 - cupcake to eat for energy.  Ate half - it wasn't good.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129802 - on Ygnacio Valley Road to Pine Hollow; turned left and hiked about 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129803 - yards.  Turned right onto Campus Road.  Hiked 1-mile West uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129804 - 4% grade to California Sate University East Bay campus.  Hiked 1-loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129805 - of about 2 miles through adjoining Faculty and Student Parking lots;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129806 - omitted sub-loops again.  Back at Visitor Parking mile 15, took Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129807 - Drive North .33 mile downhill to Ygnacio Valley Road.  Feet hurting on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129808 - long downhill.  Turned left onto Ygnacio Valley Road and hiked West .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129809 - miles.  Continued West on Ygnacio Valley Road uphill 2% grade past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129810 - Cowell.  At mile 15.5 crossed from South side of Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129811 - to the North side in order to avoid severely sloped shoulder on South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129812 - Side.  On North side continued West uphill 3% grade over the summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129813 - and past concrete traffic seperation barriar.  At mile 16 turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129814 - around and hiked East 1-mile uphill 3% grade over the summit again,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129815 - then downhill.  Turned left onto Cowell and hiked North downhill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129816 - grade 1 mile to Treat.  Hiked West on Treat to Cuneo and home for 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129817 - mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129819 -  ..
129820 - Kardia recorded HR 59 at 0646 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129823 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200821-ecg-064612_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129826 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129829 -  ..
129830 - EKG chart 1st beat looks erratic, rest look perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129834 -  ..
129835 - Polar HR GPS study for 18-mile hike shows HR profile that rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129836 - falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129839 -       Date      200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 20  
129840 -       Miles        18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13       
129841 -       HR AVG      111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    1  
129842 -         MAX       134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    1  
129843 -         Min        74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74       
129844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129846 -  ..
129847 - HR profile showing average 119 and max 140 with temperature 95, hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129848 - Concord route long shallow hills 5% grade with expected HR changes, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129849 - likely no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129850 - ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129853 -              https://flow.polar.com/training/analysis/5035570601                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129857 -   
129858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129861 -  ..
129862 - EKG at mile 5 HR 94 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129866 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200821-ecg-103307_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129869 -  ..
129870 - EKG looks fairly well organized for 75%, then becomes slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129871 - erratic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129876 -  ..
129877 - EKG at mile 12 HR 109 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129881 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200821-ecg-125225_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129884 -  ..
129885 - EKG looks well organized.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129890 -  ..
129891 - EKG 10 minutes after hiking 18 miles HR 116 at 1456 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129892 - Tachycardia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129895 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200821-ecg-145609_mile_18.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129898 -  ..
129899 - EKG chart after 18 miles looks very good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129903 -  ..
129904 - EKG 90 minutes after hiking 11 miles HR 87 at 1304 - Kardia shows Normal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129907 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200818-ecg-130412_mile_11.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129909 -  ..
129910 - EKG chart looks perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129913 -  ..
129914 - HR profile post-hike beginning 1812 until next day OA 0630 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129915 - mostly steady heart beat 70 +/-.  Max HR 155 and minimum HR 50 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129916 - with indoor activity; 1 continuous spikes above 130 may indicate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129917 - atrial fibrillatin (AF), while recovering from ablation procedures.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129918 - This may increase exposure to ischemic colitis, reported on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129919 - 0700. ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129921 -        ..
129922 -       Date      200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 200601 20  
129923 -        Hours       14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14     14     14            12      7      7     15                          16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11     13       
129924 -       HR AVG       70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63     64     72     no     75     73     75     69     no     no     no    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    115    1  
129925 -         MAX       127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154    126    141  report   129     95    130    131  report report report   145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    130    1  
129926 -         Min        45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39     37     51            56     51     47     44                          96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91     74       
129927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129929 -              https://flow.polar.com/training/analysis/5037403956                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129933 -   
129934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129936 -  ..
129937 - Breakfast - cream of wheat rasins few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129938 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129939 - Dinner - tuna asparagus onion mushrooms avocado, eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129941 -  ..
129942 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129948 -         ..
129949 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129950 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129951 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129952 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129953 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129954 -  235.  200822 0610............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129955 -               0620....BP HR..................................................... 120  72  60  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 YTUR                                                                                                                                                                                                                                                                                                                                                                                                                                               
129956 -               0625....BP HR..................................................... 119  72  58  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129957 -               0630....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129958 -               0630... 20 976460 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129959 -               0630... 80 203440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129960 -               0630... 05 1980 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129961 -               0630... 75 4875 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129962 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
129963 -               0720... Gabapentin 300MG  28000MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129964 -               0720... Oxycodone HCL Plain  5  210 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129965 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129966 -               0800... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129967 -               0800....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129968 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129969 -         * cr  0810....miles...........  12.0  62.0  206  1051 minutes  temp  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129970 -               1240....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129971 -               1320....BP HR..................................................... 115  72  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129972 -               1325....BP HR..................................................... 120  73  70                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129973 -               0000... Simethicone 80  3600 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129974 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129975 -               1700... 40 60760 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
129976 -               1830............ 10 14090  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129977 -               1830............ 10 13680  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129978 -           **  1930... 25   1800.0 Metoprolol Succinct - switched from Tartrate on 200805, because received refill from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129979 -               2020... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129980 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129981 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129982 -               2100... 40 40700 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129983 -               2130... 1000  900000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129984 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129985 -               0000....Tramadol 50 2000 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129986 -               2150... 05 1985 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129987 -               2200... 80 203520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129988 -               2230... Simethicone 80  3680 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129989 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129991 -  ..
129992 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  First                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129993 - time this year hiking Crystal Ranch Road 2 days in a row.  On 181029,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129994 - hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129995 - hike. ref SDS 55 E55K   On 191004 changed route going up and coming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129996 - down .5 miles very steep 5% grade to end of Crystal Ranch Road at top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129997 - of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129998 - hiking 1 mile uphill to Cal State East Bay college, with 2 miles of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129999 - loops through Visitor, faculty and student parking, and back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130000 - Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130002 -  ..
130003 - ** Metoprolol Succinct - on 200805 received refill.  On 200724 Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130004 - Simpson recommended taking Metoprolol at night, rather than in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130005 - morning, and if HR is below 60, then skip taking the pill. ref SDS A9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130006 - WA5O Doctor Pellegrini switchted from Tartrate, reported on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130007 - 0930. ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130008 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130009 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130010 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130011 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130012 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130013 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130014 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130016 -  ..
130017 - Peripheral neuropathy not occurring this morning, - see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130018 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130020 -  ..
130021 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130022 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130023 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130025 -  ..
130026 - Dizzy - not wobbly during 7 mile hike; BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130027 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130029 -  ..
130030 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130032 -  ..
130033 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130034 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130036 -  ..
130037 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130039 -  ..
130040 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130041 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130043 -  ..
130044 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130045 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130046 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130047 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130048 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130049 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130050 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130051 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130052 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130053 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130054 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130055 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130056 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130057 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130059 -  ..
130060 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130061 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130063 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130064 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130065 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130066 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130067 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130068 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130069 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130070 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130071 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130072 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130073 -        Hip right....................................   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130074 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130075 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130076 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130077 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130078 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130079 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130080 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130081 -        Hamstring tendon left leg.PRP 191009.........   0        100  Diclophenac medication managed pain during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130082 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130083 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130084 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130085 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130086 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130087 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130088 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130089 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130090 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130091 -        Metatarsalgia left foot...PRP 191009.........   2         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130092 -        Metatarsalgia right foot..PRP 191009.........   2         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130093 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130094 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130095 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130096 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130097 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130098 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130099 -        Blister ring toe left foot...................   1         40  blister hurt despite wrapping with white tape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130100 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130101 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130102 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130103 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130104 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130105 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130107 -  ..
130108 - Body feels okay after hiking 12 miles in 87 degrees at normal speed,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130109 - following PRP on 191009 1500, ref SDS 78 0001
130111 - -
130112 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130113 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130114 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130116 -  ..
130117 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130118 - Little wobbly walking around.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130120 -  ..
130121 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130122 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130123 - LS4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130125 -  ..
130126 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130127 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130128 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130129 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130130 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130132 -  ..
130133 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130134 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130136 -  ..
130137 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130138 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130139 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130141 -  ..
130142 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130143 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130144 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130145 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130146 - ref SDS 77 SM4M  After hike on 200822, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130147 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130148 - ref SDS 0 2E6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130150 -  ..
130151 - Concord 12 mile route - Starting energy okay today, Wearing Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130152 - 6 shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130153 - and knee injuries.  Wore 2-pair double-ply Wright socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130154 - 191010 1344, ref SDS 79 SM4M, to prevent blisters.  Took Metoprolol 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130155 - pill 25 mg last night to prevent elevated HR during hike today.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130156 - further minimizes blurred vision side effects while working during the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130157 - day.  Hiked from Cuneo uphill to Treat.  Sky is very murky filled with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130158 - smoke from fire in Fairfield Vacaville area - cannot see surrounding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130159 - hills.  Smell of smoke is minimal.  Breathed easily through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130160 - entire hike.  Temperature reached 93.  Continued normal pace on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130161 - hiking East 1 mile to Clayton.  Feeling right hip pain level 2 - has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130162 - not occurred in a long time.  Feeling ring toe left foot pain level 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130163 - indicates white tape bandage didn't work today.  Feeling right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130164 - ankle pain level 2, favoring left foot to reduce stress on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130165 - ankle.  Took 19 minutes to reach mile 1.25.  Turned corner hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130166 - South on Clayton 2 miles at normal pace, mostly on flat concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130167 - sidewalk.  At mile 3.50, turned West onto Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130168 - on concrete sidewalk another .5 mile.  About mile 4, crossed to South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130169 - side Ygnacio Valley Road hiking West on asphalt shoulder aganist East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130170 - bound traffic.  Pain resolved left hip, right ankle, ring toe left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130171 - foot.  At mile 5, stopped at Texaco gas station - EKG reported HR 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130172 - Tachycardia - see below. ref SDS 0 YPXX  Bought softdrink to hydrate.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130173 - Continued hike on Ygnacio Valley Road to Pine Hollow; turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130174 - hiked about 50 yards.  Turned right onto Campus Road.  Hiked 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130175 - West uphill 3% - 4% grade to California Sate University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130176 - campus.  Noticable West Wind reduces effects of 93 degree temperature,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130177 - and seems to be clearing smoke from the air.  Can now see surrounding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130178 - mountains.  Legs strong going uphill, indicating vasodilation.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130179 - 1-loop of about 3 miles through adjoining Faculty and Student Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130180 - lots; omitted sub-loops uphill .5 mile on the cross street between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130181 - upper and lower parking areas.  At mile 7 back at Visitor Parking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130182 - took Campus Drive North .33 mile downhill to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130183 - Feet handling long downhill well.  Turned left onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130184 - Road and hiked West .5 miles.  At mile 7.5 turned left onto Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130185 - Ranch Road.  Hiked South uphill 5% grade for 1 mile.  Handled this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130186 - well.  Hiked another mile on flat roadway, then .5 mile downhill past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130187 - Rolling Woods Way.  Hiked uphill steep 5% grade long uphill .5 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130188 - top of mountain, where road deadends.  Hiked downhill .5 mile and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130189 - turned right onto Rolling Woods Way.  Hiked East up steep hill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130190 - grace .33 mile.  Hiked downhill .66 mile to Pine Hollow.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130191 - and hiked North on Pine Hollow 1 mile on flat roadway.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130192 - Texaco again.  ECG showed HR 109 at mile 12 in the hike. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130193 - 1F3I  Bought another softdrink to hydrate.  Bought some kind of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130194 - cupcake to eat for energy.  Ate half - it wasn't good.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130195 - on Ygnacio Valley Road to Pine Hollow; turned left and hiked about 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130196 - yards.  Turned right onto Campus Road.  Hiked 1-mile West uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130197 - 4% grade to California Sate University East Bay campus.  Hiked 1-loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130198 - of about 2 miles through adjoining Faculty and Student Parking lots;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130199 - omitted sub-loops again.  Back at Visitor Parking mile 15, took Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130200 - Drive North .33 mile downhill to Ygnacio Valley Road.  Feet hurting on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130201 - long downhill.  Turned left onto Ygnacio Valley Road and hiked West .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130202 - miles.  Continued West on Ygnacio Valley Road uphill 2% grade past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130203 - Cowell.  At mile 15.5 crossed from South side of Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130204 - to the North side in order to avoid severely sloped shoulder on South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130205 - Side.  On North side continued West uphill 3% grade over the summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130206 - and past concrete traffic seperation barriar.  At mile 16 turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130207 - around and hiked East 1-mile uphill 3% grade over the summit again,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130208 - then downhill.  Turned left onto Cowell and hiked North downhill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130209 - grade 1 mile to Treat.  Hiked West on Treat to Cuneo and home for 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130210 - mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130212 -  ..
130213 - Kardia recorded HR 62 at 0610 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130216 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200822-ecg-061051_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130219 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130222 -  ..
130223 - EKG chart looks perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130227 -  ..
130228 - Polar HR GPS study for 12-mile hike shows HR profile that rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130229 - falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130232 -       Date      200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 20  
130233 -       Miles        12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11       
130234 -       HR AVG      107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    1  
130235 -         MAX       132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    1  
130236 -         Min        76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91       
130237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130239 -  ..
130240 - HR profile showing average 107 and max 132 with temperature 87, hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130241 - Concord route long shallow hills 5% grade with expected HR changes, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130242 - likely no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130243 - ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130246 -              https://flow.polar.com/training/analysis/5038760651                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130250 -   
130251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130254 -  ..
130255 - EKG at mile 5 HR 95 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130259 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200822-ecg-092521_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130262 -  ..
130263 - EKG looks consistent.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130267 -  ..
130268 - EKG 3 minutes after hiking 12 miles HR 106 at 1140 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130269 - Tachycardia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130272 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200822-ecg-114016_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130275 -  ..
130276 - EKG chart after 12 miles looks very erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130280 -  ..
130281 - EKG 90 minutes after hiking 12 miles HR 73 at 1310 - Kardia shows Normal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130284 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200822-ecg-131002_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130287 -  ..
130288 - EKG chart looks perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130291 -  ..
130292 - HR profile post-hike beginning 1516 until next day OA 0650 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130293 - mostly steady heart beat 66 +/-.  Max HR 109 and minimum HR 50 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130294 - with indoor activity; 0 continuous spikes above 130 may indicate no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130295 - atrial fibrillatin (AF), while recovering from ablation procedures.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130296 - This may decrease exposure to ischemic colitis, reported on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130297 - 0700. ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130299 -        ..
130300 -       Date      200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 200602 20  
130301 -        Hours       16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14     14     14            12      7      7     15                          16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0     11       
130302 -       HR AVG       66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63     64     72     no     75     73     75     69     no     no     no    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    114    1  
130303 -         MAX       109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154    126    141  report   129     95    130    131  report report report   145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   134    1  
130304 -         Min        50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39     37     51            56     51     47     44                          96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                 91       
130305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130307 -              https://flow.polar.com/training/analysis/5041399671                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130311 -   
130312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130314 -  ..
130315 - Breakfast - cream of wheat rasins few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130316 - Lunch - hamburber fries milkshake                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130317 - Dinner - grilled cheese sandwich avocado cumcumber                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130319 -  ..
130320 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130326 -         ..
130327 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130328 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130329 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130330 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130331 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130332 -  236.  200823 0650............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130333 -               0730....BP HR..................................................... 134  77  60  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 YXUS                                                                                                                                                                                                                                                                                                                                                                                                                                               
130334 -               0735....BP HR..................................................... 128  78  59  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130335 -               0740....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130336 -               0740... 20 976480 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130337 -               0740... 80 203600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130338 -               0740... 05 1990 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130339 -               0740... 75 4950 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130340 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
130341 -               0800... Gabapentin 600MG  28600MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130342 -               0000... Oxycodone HCL Plain  5  210 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130343 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130344 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130345 -               0800....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130346 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130347 -         * cr  0820....miles...........  21.0  83.0  356  1407 minutes  temp  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130348 -               1510....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130349 -               1530....BP HR..................................................... 115  76  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130350 -               1535....BP HR..................................................... 116  76  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130351 -               0000... Simethicone 80  3680 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130352 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130353 -               1700... 40 60800 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
130354 -             1 0000............ 10 14090  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130355 -             1 0000............ 10 13680  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130356 -           **  1930... 25   1825.0 Metoprolol Succinct - switched from Tartrate on 200805, because received refill from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130357 -               2010... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130358 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130359 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130360 -               2100... 40 40740 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130361 -               2130... 1000  901000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130362 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130363 -               0000....Tramadol 50 2000 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130364 -               2150... 05 1995 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130365 -               2200... 80 203680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130366 -               2210... Simethicone 80  3760 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130367 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130369 -  ..
130370 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  First                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130371 - time this year hiking Crystal Ranch Road 3 days in a row.  On 181029,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130372 - hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130373 - hike. ref SDS 55 E55K   On 191004 changed route going up and coming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130374 - down .5 miles very steep 5% grade to end of Crystal Ranch Road at top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130375 - of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130376 - hiking 1 mile uphill to Cal State East Bay college, with 2 miles of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130377 - loops through Visitor, faculty and student parking, and back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130378 - Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130380 -  ..
130381 - ** Metoprolol Succinct - on 200805 received refill.  On 200724 Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130382 - Simpson recommended taking Metoprolol at night, rather than in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130383 - morning, and if HR is below 60, then skip taking the pill. ref SDS A9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130384 - WA5O Doctor Pellegrini switchted from Tartrate, reported on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130385 - 0930. ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130386 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130387 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130388 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130389 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130390 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130391 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130392 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130394 -  ..
130395 - Peripheral neuropathy seems to be occurring again this morning -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130396 - happening while sitting in chair working.  Previously, this occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130397 - while hiking. - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130399 -  ..
130400 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130401 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130402 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130404 -  ..
130405 - Dizzy - not wobbly during 7 mile hike; BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130406 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130408 -  ..
130409 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130411 -  ..
130412 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130413 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130415 -  ..
130416 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130418 -  ..
130419 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130420 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130422 -  ..
130423 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130424 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130425 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130426 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130427 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130428 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130429 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130430 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130431 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130432 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130433 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130434 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130435 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130436 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130438 -  ..
130439 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130440 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130442 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130443 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130444 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130445 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130446 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130447 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130448 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130449 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130450 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130451 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130452 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130453 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130454 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130455 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130456 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130457 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130458 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130459 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130460 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130461 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130462 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130463 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130464 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130465 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130466 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130467 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130468 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130469 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130470 -        Metatarsalgia left foot...PRP 191009.........   2         70  very difficult hike 21 miles - need PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130471 -        Metatarsalgia right foot..PRP 191009.........   2         70  very difficult hike 21 miles - need PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130472 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130473 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130474 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130475 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130476 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130477 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130478 -        Blister ring toe left foot...................   1         40  blister hurt despite wrapping with white tape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130479 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130480 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130481 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130482 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130483 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130484 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130486 -  ..
130487 - Body feels weak, tired after hiking 20 miles in 90 degrees at normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130488 - speed, following PRP on 191009 1500, ref SDS 78 0001
130490 - -
130491 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130492 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130493 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130495 -  ..
130496 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130497 - Little wobbly walking around.  Getting cramps upper left and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130498 - legs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130500 -  ..
130501 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130502 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130503 - LS4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130505 -  ..
130506 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130507 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130508 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130509 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130510 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130512 -  ..
130513 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130514 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130516 -  ..
130517 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130518 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130519 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130521 -  ..
130522 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130523 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130524 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130525 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130526 - ref SDS 77 SM4M  After hike on 200823, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130527 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130528 - ref SDS 0 TE5M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130530 -  ..
130531 - Concord 21 mile route - hiked with Kathy 1-mile very slow rehab loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130532 - around the block.  Hiked regular route on Cuneo with Kathy intending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130533 - to reach Long's Drugs on Treat near Clayton.  About mile .5 on Treat,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130534 - Kathy decided to turn back.  Starting energy okay today, Wearing Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130535 - Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M, that prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130536 - feet and knee injuries.  Wore 2-pair double-ply Wright socks received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130537 - on 191010 1344, ref SDS 79 SM4M, to prevent blisters.  Took Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130538 - 1 pill 25 mg last night to prevent elevated HR during hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130539 - This further minimizes blurred vision side effects while working                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130540 - during the day.  Hiked from Cuneo uphill to Treat.  Sky is very murky                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130541 - filled with smoke from fire in Fairfield Vacaville area - cannot see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130542 - surrounding hills.  Smell of smoke is minimal.  Breathed easily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130543 - through nose entire hike.  Temperature reached 90.  Continued normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130544 - pace on Treat hiking East 1 mile to Clayton.  Feeling ring toe left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130545 - foot pain level 2, indicates white tape bandage didn't work today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130546 - Took 19 minutes to reach mile 2.5.  Turned corner hiking South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130547 - Clayton 2 miles at normal pace, mostly on flat concrete sidewalk.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130548 - mile 4.5, turned West onto Ygnacio Valley Road hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130549 - sidewalk another .5 mile.  About mile 5, crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130550 - Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130551 - traffic.  At mile 6, stopped at Texaco gas station - EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130552 - 106 Tachycardia - see below. ref SDS 0 YXYU  Bought softdrink to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130553 - hydrate.  Continued hike on Ygnacio Valley Road to Pine Hollow; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130554 - left and hiked about 50 yards.  Turned right onto Campus Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130555 - 1-mile West uphill 3% - 4% grade to California Sate University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130556 - Bay campus.  Noticable West Wind reduces effects of 90 degree                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130557 - temperature, Legs strong going uphill, indicating vasodilation.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130558 - 1-loop of about 3 miles through adjoining Faculty and Student Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130559 - lots; omitted sub-loops uphill .5 mile on the cross street between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130560 - upper and lower parking areas.  At mile 8 back at Visitor Parking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130561 - took Campus Drive North .33 mile downhill to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130562 - Feet hurting on long downhill - endorfins helped ignore pain.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130563 - left onto Ygnacio Valley Road and hiked West .5 miles.  At mile 9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130564 - turned left onto Crystal Ranch Road.  Hiked South uphill 5% grade for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130565 - 1 mile.  Handled this well breathing through nose easily.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130566 - another mile on flat roadway, then .5 mile downhill past Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130567 - Way.  Hiked long uphill steep 5% grade .5 mile to top of mountain,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130568 - where road deadends - breathing through nose easily.  Reflects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130569 - increased lung capacity developed hiking up 8% - 9% grade on path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130570 - entering Lafayette Reservoir for .25 mile, reported 6 days ago on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130571 - 200817. ref SDS 0 WXUT  Hiked downhill .5 mile and turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130572 - Rolling Woods Way.  Hiked East up steep hill 5% grace .33 mile.  Past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130573 - summit hiked downhill .66 mile to Pine Hollow.  Turned left and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130574 - North on Pine Hollow 1 mile on flat roadway.  Stopped at Texaco again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130575 - ECG showed HR 112 at mile 14 in the hike. ref SDS 0 8S4F  Bought                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130576 - another softdrink and orange juice to hydrate.  Continued hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130577 - Ygnacio Valley Road to Pine Hollow; turned left and hiked about 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130578 - yards.  Turned right onto Campus Road.  Hiked 1-mile West uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130579 - 4% grade to California Sate University East Bay campus.  Hiked 1-loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130580 - of about 2 miles through adjoining Faculty and Student Parking lots;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130581 - omitted sub-loops again.  Back at Visitor Parking mile 15, took Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130582 - Drive North .33 mile downhill to Ygnacio Valley Road.  Feet hurting on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130583 - long downhill.  Turned left onto Ygnacio Valley Road and hiked West .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130584 - miles.  Continued West on Ygnacio Valley Road uphill 2% grade past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130585 - Cowell.  At mile 15.5 crossed from South side of Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130586 - to the North side in order to avoid severely sloped shoulder on South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130587 - Side.  On North side continued West uphill 3% grade over the summit.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130588 - At mile 17 in the hike beyond the end of concrete barriar crossed back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130589 - over to South side of Ygnacio Valley Road.  Hiked 2 miles West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130590 - downhill 3% to Oak Grove.  Feet hurting all the way.  Turned right and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130591 - hiked North on Oak Grove 1 mile to Treat, ending hike - 21 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130592 - Kathy drove us home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130594 -  ..
130595 - Kardia recorded HR 63 at 0704 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130598 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200823-ecg-070446_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130601 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130604 -  ..
130605 - EKG chart looks perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130609 -  ..
130610 - Polar HR GPS study for 21-mile hike shows HR profile that rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130611 - falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130614 -       Date      200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 20  
130615 -       Miles        21     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0       
130616 -       HR AVG      112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    1  
130617 -         MAX       134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   1  
130618 -         Min        82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                   
130619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130621 -  ..
130622 - HR profile showing average 112 and max 134 with temperature 90, hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130623 - Concord route long shallow hills 5% grade with expected HR changes, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130624 - likely no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130625 - ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130628 -              https://flow.polar.com/training/analysis/5043234411                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130632 -   
130633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130636 -  ..
130637 - EKG at mile 6 HR 106 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130641 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200823-ecg-100016_mile_06.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130644 -  ..
130645 - EKG looks consistent initially, then some erratic beats.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130649 -  ..
130650 - EKG at mile 14 HR 112 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130654 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200823-ecg-122129_mile_14.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130657 -  ..
130658 - EKG looks more consistent - no severe erratic beats that occured at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130659 - mile 6.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130663 -  ..
130664 - EKG 1 minute after hiking 21 miles HR 124 at 1430 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130665 - Tachycardia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130668 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200823-ecg-143040_mile_21.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130671 -  ..
130672 - EKG chart after 20 miles looks erratic with some consistency.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130675 -  ..
130676 - HR profile post-hike beginning 1542 until next day OA 0630 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130677 - mostly steady heart beat 66 +/-.  Max HR 129 and minimum HR 41 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130678 - with indoor activity; 0 continuous spikes above 130 may indicate no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130679 - atrial fibrillatin (AF), while recovering from ablation procedures.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130680 - This may decrease exposure to ischemic colitis, reported on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130681 - 0700. ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130683 -        ..
130684 -       Date      200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 200603 20  
130685 -        Hours       15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14     14     14            12      7      7     15                          16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0      0       
130686 -       HR AVG       66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63     64     72     no     75     73     75     69     no     no     no    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no     no    1  
130687 -         MAX       129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154    126    141  report   129     95    130    131  report report report   145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   hike   1  
130688 -         Min        41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39     37     51            56     51     47     44                          96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                                   
130689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130691 -              https://flow.polar.com/training/analysis/5044951151                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130695 -   
130696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130699 -  ..
130700 - Breakfast - cream of wheat rasins few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130701 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130702 - Dinner - lettuce rice cumcumber hamburger avocado olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130704 -  ..
130705 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130711 -         ..
130712 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130713 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130714 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130715 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130716 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130717 -  237.  200824 0630............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130718 -               0640....BP HR..................................................... 128  75  59  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 PRUQ                                                                                                                                                                                                                                                                                                                                                                                                                                               
130719 -               0645....BP HR..................................................... 127  74  58  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130720 -               0650....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130721 -               0650... 20 976500 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130722 -               0650... 80 203760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130723 -               0650... 05 2000 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130724 -               0650... 75 5025 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130725 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
130726 -               0800... Gabapentin 300MG  28900MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130727 -               0800... Oxycodone HCL Plain  5  215 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130728 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130729 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130730 -               0800....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130731 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130732 -    Lafayette  0930....miles...........   5.0   5.0   86    96 minutes  temp  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130733 -    Concord    1150....miles...........  11.0  16.0  186   272 minutes  temp  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130734 -               1530....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130735 -               1620....BP HR..................................................... 132  75  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130736 -               1625....BP HR..................................................... 124  78  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130737 -               0000... Simethicone 80  3760 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130738 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130739 -               1700... 40 60840 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
130740 -               1830............ 10 14100  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130741 -               1830............ 10 13690  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130742 -           **  1930... 25   1850.0 Metoprolol Succinct - switched from Tartrate on 200805, because received refill from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130743 -               2030... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130744 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130745 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130746 -               2100... 40 40780 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130747 -               2130... 1000  902000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130748 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130749 -               0000....Tramadol 50 2000 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130750 -               2150... 05 2005 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130751 -               2200... 80 203840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130752 -               0000... Simethicone 80  3840 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130753 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130755 -  ..
130756 - ** Metoprolol Succinct - on 200805 received refill.  On 200724 Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130757 - Simpson recommended taking Metoprolol at night, rather than in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130758 - morning, and if HR is below 60, then skip taking the pill. ref SDS A9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130759 - WA5O Doctor Pellegrini switchted from Tartrate, reported on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130760 - 0930. ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130761 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130762 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130763 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130764 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130765 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130766 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130767 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130769 -  ..
130770 - Peripheral neuropathy not occurring this morning - see study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130771 - 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130773 -  ..
130774 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130775 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130776 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130778 -  ..
130779 - Dizzy - not wobbly during 7 mile hike; BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130780 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130782 -  ..
130783 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130785 -  ..
130786 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130787 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130789 -  ..
130790 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130792 -  ..
130793 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130794 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130796 -  ..
130797 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130798 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130799 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130800 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130801 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130802 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130803 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130804 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130805 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130806 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130807 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130808 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130809 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130810 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130812 -  ..
130813 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130814 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130816 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130817 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130818 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130819 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130820 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130821 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130822 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130823 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130824 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130825 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130826 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130827 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130828 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130829 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130830 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130831 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130832 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130833 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130834 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130835 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130836 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130837 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130838 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130839 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130840 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130841 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130842 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130843 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130844 -        Metatarsalgia left foot...PRP 191009.........   2         70  very difficult hike 21 miles - need PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130845 -        Metatarsalgia right foot..PRP 191009.........   2         70  very difficult hike 21 miles - need PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130846 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130847 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130848 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130849 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130850 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130851 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130852 -        Blister ring toe left foot...................   1         80  blister hurt despite wrapping with white tape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130853 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130854 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130855 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130856 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130857 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130858 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130860 -  ..
130861 - Body feels okay after hiking 16 miles in 90 degrees at normal speed,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130862 - following PRP on 191009 1500, ref SDS 78 0001
130864 - -
130865 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130866 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130867 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130869 -  ..
130870 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130872 -  ..
130873 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130874 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130875 - LS4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130877 -  ..
130878 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130879 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130880 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130881 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130882 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130884 -  ..
130885 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130886 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130888 -  ..
130889 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130890 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130891 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130893 -  ..
130894 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130895 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130896 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130897 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130898 - ref SDS 77 SM4M  After hike on 200824, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130899 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130900 - ref SDS 0 575J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130902 -  ..
130903 - Lafayette Reservoir 5-mile route - park is closed to vehicle traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130904 - due to risk of fire.  Parked up the street .5 mile on Mount Diablo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130905 - Boulevard.  Hiked with Kathy to the path entering the park.  Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130906 - then hiked back to the car intending to go shopping in the Lafayette                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130907 - commercial complex.  Hiked .25 mile up steep hill 8% - 9% grade from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130908 - park entrance to the North end of Reservoir dam.  This was primary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130909 - purpose of hiking today, conditioning to handle steep hills for Half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130910 - Dome.  Did this well today, breathing through nose all the way up.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130911 - Sky very murky due to major brush fires in the region.  No oder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130912 - smoke in the air.  On reaching the reservoir, hiked .25 mile South to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130913 - midpoint where mile marker is shown on the dam.  Turned and hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130914 - to the North end of the Dam.  Went up 1st steep hill 7% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130915 - Continued hiking rest of 3 mile loop.  Handled numberous short hills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130916 - well breathing through nose all the way.  Made Killer Ridge 7% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130917 - with good pace; did not have to breath through mouth at top of hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130918 - for 100 yards, as occurred previously.  No chest pain and no stomach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130919 - pain due to ischemic colitis.  Back at North end of the Dam, hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130920 - down steep path back to park entrance on Mount Diablo Boulevard.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130921 - Called Kathy - she was in Long's Drugs in the Lafayette shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130922 - complex.  Hiked 1+ miles and found the car.  HR 106 shown by EKG, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130923 - below. ref SDS 0 PRYS  Polar GPS study shows no indications of AF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130924 - ref SDS 0 PRVV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130926 -  ..
130927 - Drove home; changed socks and wrapping on wound to left foot ring toe;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130928 - then did...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130930 -  ..
130931 - Concord 11 mile route - hiked with Kathy part of 1-mile very slow -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130932 - just up to Kaski then back on Cuneo.  Hiked regular route on Cuneo.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130933 - Starting energy okay today, Wearing Hoka Bondi 6 shoes received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130934 - 190927 1110, ref SDS 77 SM4M, that prevent feet and knee injuries.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130935 - Wore 2-pair double-ply Wright socks received on 191010 1344,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130936 - ref SDS 79 SM4M, to prevent blisters.  Took Metoprolol 1 pill 25 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130937 - last night to prevent elevated HR during hike today.  This further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130938 - minimizes blurred vision side effects while working during the day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130939 - Hiked from Cuneo uphill to Treat.  Sky is very murky filled with smoke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130940 - from fire in Fairfield Vacaville area - cannot see surrounding hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130941 - Smell of smoke is minimal.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130942 - Temperature reached 90.  Hiked East normal pace on Treat 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130943 - Clayton.  Feeling ring toe left foot pain level 2, indicates revised                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130944 - bandage didn't work today.  Just had to ignore pain.  Eventally                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130945 - endorfins calmed pain.  Turned corner hiking South on Clayton 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130946 - at normal pace, mostly on flat concrete sidewalk.  At mile 4.5, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130947 - West onto Ygnacio Valley Road hiking on concrete sidewalk another .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130948 - mile.  About mile 5, crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130949 - West on asphalt shoulder aganist East bound traffic.  At mile 6,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130950 - stopped at Texaco gas station - EKG reported HR 105 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130951 - below. ref SDS 0 PSPX  Bought banana and softdrink to hydrate.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130952 - Continued hike on Ygnacio Valley Road to Pine Hollow; turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130953 - hiked about 50 yards.  Turned right onto Campus Road.  Hiked 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130954 - West uphill 3% - 4% grade to California Sate University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130955 - campus.  Noticable West Wind reduces effects of 90 degree temperature,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130956 - Legs strong going uphill, indicating vasodilation.  Hiked 2-loops of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130957 - about 3 miles through adjoining Faculty and Student Parking lots;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130958 - added sub-loops uphill .5 mile on the cross street between upper and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130959 - lower parking areas.  At mile 10 back at Visitor Parking, took Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130960 - Drive North .33 mile downhill to Ygnacio Valley Road.  Feet hurting on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130961 - long downhill - endorfins helped ignore pain.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130962 - Ygnacio Valley Road and hiked West .5 miles.  At mile 10, Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130963 - arrived and we drove home for total 16 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130965 -  ..
130966 - Kardia recorded HR 61 at 0703 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130969 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200824-ecg-070329_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130972 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130975 -  ..
130976 - EKG chart looks perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130979 -  ..
130980 - Polar HR GPS study for Lafayette Reservoir 5-mile hike shows HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130981 - profile that rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130983 -                      a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130984 -       Date      200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 20  
130985 -       Miles         5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0       
130986 -       HR AVG      106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no       
130987 -         MAX       122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   h  
130988 -         Min        76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                            
130989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130991 -  ..
130992 - HR profile Lafayette Reservoir route showing average 106 and max 122                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130993 - with temperature 80, hiking short, steep hills 5% - 9% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130994 - expected HR changes, so likely no AF and no atrial flutter, following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130995 - ablation on 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130998 -              https://flow.polar.com/training/analysis/5047040596                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131002 -   
131003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131006 -  ..
131007 - EKG at mile 5 HR 106 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131011 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200824-ecg-110646_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131014 -  ..
131015 - EKG looks erratic initially, then becomes consistent.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131019 -  ..
131020 - Polar HR GPS study for Concord 11-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131021 - rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131023 -                      b      a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131024 -       Date      200824 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 20  
131025 -       Miles        11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0      
131026 -       HR AVG      107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no      
131027 -         MAX       124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  h  
131028 -         Min        86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                     
131029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131031 -  ..
131032 - HR profile Concord route showing average 107 and max 124 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131033 - temperature 90, hiking Concord route long shallow hills 5% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131034 - expected HR changes, so likely no AF and no atrial flutter, following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131035 - ablation on 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131038 -              https://flow.polar.com/training/analysis/5047040751                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131042 -   
131043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131046 -  ..
131047 - EKG at mile 10 HR 105 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131051 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200824-ecg-131730_mile_10.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131054 -  ..
131055 - EKG looks erratic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131059 -  ..
131060 - EKG 1 minute after hiking 16 miles HR 124 at 1505 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131061 - Tachycardia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131064 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200824-ecg-150528_mile_16.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131067 -  ..
131068 - EKG chart after 16 miles looks erratic with some consistency.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131071 -  ..
131072 - HR profile post-hike beginning 1725 until next day OA 0640 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131073 - mostly steady heart beat 66 +/-.  Max HR 144 and minimum HR 34 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131074 - with indoor activity; 1 continuous spikes above 130 may indicate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131075 - atrial fibrillatin (AF), while recovering from ablation procedures.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131076 - This may increase exposure to ischemic colitis, reported on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131077 - 0700. ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131079 -        ..
131080 -       Date      200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 200604 20  
131081 -        Hours       13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14     14     14            12      7      7     15                          16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0     0       
131082 -       HR AVG       66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63     64     72     no     75     73     75     69     no     no     no    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no    no       
131083 -         MAX       144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154    126    141  report   129     95    130    131  report report report   145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  hike   h  
131084 -         Min        34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39     37     51            56     51     47     44                          96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                            
131085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131087 -              https://flow.polar.com/training/analysis/5048881276                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131091 -   
131092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131095 -  ..
131096 - Breakfast - cream of wheat rasins few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131097 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131098 - Dinner - lettuce cumcumber avocado onion avocado olives, chips, ice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131099 - cream                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131101 -  ..
131102 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131109 -         ..
131110 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131111 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131112 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131113 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131114 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131115 -  238.  200825 0650............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131116 -               0710....BP HR..................................................... 124  77  61  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 PVTP                                                                                                                                                                                                                                                                                                                                                                                                                                               
131117 -               0715....BP HR..................................................... 118  74  58  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131118 -               0720....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131119 -               0720... 20 976520 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131120 -               0720... 80 203920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131121 -               0720... 05 2010 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131122 -               0720... 75 5100 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131123 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
131124 -               0800... Gabapentin 300MG  29200MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131125 -               0000... Oxycodone HCL Plain  5  215 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131126 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131127 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131128 -               0800....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131129 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131130 -          * cr 0845....miles...........  19.0  35.0  321   593 minutes  temp  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131131 -               1030... Simethicone 80  3920 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131132 -               1300... Simethicone 80  4000 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131133 -               1455....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131134 -               1510....BP HR..................................................... 113  75  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131135 -               1515....BP HR..................................................... 106  76  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131136 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131137 -               1700... 40 60880 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
131138 -             1 0000............ 10 14100  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131139 -             1 0000............ 10 13690  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131140 -           **  1930... 25   1875.0 Metoprolol Succinct - switched from Tartrate on 200805, because received refill from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131141 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131142 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131143 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131144 -               2100... 40 40820 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131145 -               2130... 1000  903000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131146 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131147 -               0000....Tramadol 50 2000 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131148 -               2150... 05 2015 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131149 -               2200... 80 204000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131150 -               0000... Simethicone 80  4000 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131151 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131153 -  ..
131154 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131155 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131156 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131157 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131158 - at top of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131159 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131160 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131161 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131163 -  ..
131164 - ** Metoprolol Succinct - on 200805 received refill.  On 200724 Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131165 - Simpson recommended taking Metoprolol at night, rather than in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131166 - morning, and if HR is below 60, then skip taking the pill. ref SDS A9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131167 - WA5O Doctor Pellegrini switchted from Tartrate, reported on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131168 - 0930. ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131169 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131170 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131171 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131172 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131173 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131174 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131175 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131177 -  ..
131178 - Peripheral neuropathy occurring this morning; not noticed during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131179 - - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131181 -  ..
131182 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131183 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131184 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131186 -  ..
131187 - Dizzy - not wobbly during 7 mile hike; BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131188 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131190 -  ..
131191 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131193 -  ..
131194 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131195 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131197 -  ..
131198 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131200 -  ..
131201 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131202 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131204 -  ..
131205 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131206 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131207 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131208 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131209 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131210 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131211 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131212 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131213 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131214 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131215 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131216 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131217 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131218 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131220 -  ..
131221 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131222 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131224 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131225 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131226 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131227 -        Stomach pain colitis.........................   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131228 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131229 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131230 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131231 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131232 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131233 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131234 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131235 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131236 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131237 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131238 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131239 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131240 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131241 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131242 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131243 -        Hamstring left leg...........................   1          2  coming down Cowell mile 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131244 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131245 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131246 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131247 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131248 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131249 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131250 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131251 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131252 -        Metatarsalgia left foot...PRP 191009.........   1         20  feet better today after amonium lactate and shaving skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131253 -        Metatarsalgia right foot..PRP 191009.........   1         20  feet better today after amonium lactate and shaving skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131254 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131255 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131256 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131257 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131258 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131259 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131260 -        Blister ring toe left foot...................   1         10  blister hurt less today placing cottom pad with tape below blood blister to reduce pressure with each step                                                                                                                                                                                                                                                                                                                                                                                                                                   
131261 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131262 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131263 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131264 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131265 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131266 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131268 -  ..
131269 - Body feels okay after hiking 19 miles in 85 degrees at normal speed,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131270 - following PRP on 191009 1500, ref SDS 78 0001
131272 - -
131273 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131274 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131275 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131277 -  ..
131278 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131279 - Little wobbly walking around.  Getting cramps upper left and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131280 - legs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131282 -  ..
131283 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131284 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131285 - LS4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131287 -  ..
131288 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131289 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131290 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131291 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131292 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131294 -  ..
131295 - Blister left foot ring toe - skin crimped have been unable to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131296 - without pain wrapping this sore.  Today, on 200825, placed cotton pad                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131297 - below the blister. Wrapped with white tape.  Intent was to elevate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131298 - the sore to prevent repetitive stress with each step.  This was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131299 - partially successful.  Hiked 19 miles with periods of no pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131301 -  ..
131302 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131303 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131305 -  ..
131306 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131307 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131308 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131310 -  ..
131311 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131312 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131313 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131314 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131315 - ref SDS 77 SM4M  After hike on 200824, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131316 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131317 - ref SDS 0 575J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131319 -  ..
131320 - Concord 19 mile route - Starting energy okay today, Wearing Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131321 - 6 shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131322 - and knee injuries.  Wore 2-pair double-ply Wright socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131323 - 191010 1344, ref SDS 79 SM4M, to prevent blisters.  Blister on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131324 - foot ring toe was isolated with cotton pad to prevent repetitive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131325 - stress.  This was partially successful.  Took Metoprolol 1 pill 25 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131326 - last night to prevent elevated HR during hike today.  This further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131327 - minimizes blurred vision side effects while working during the day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131328 - Hiked from Cuneo uphill to Treat.  Sky is very murky filled with smoke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131329 - from fire in Fairfield Vacaville area - cannot see surrounding hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131330 - Smell of smoke is minimal.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131331 - Temperature reached 85.  Hiked East normal pace on Treat 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131332 - Clayton.  Feeling ring toe left foot pain level 1, indicates revised                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131333 - bandage partially successful.  Just had to ignore pain.  Eventally                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131334 - endorfins calmed pain.  Turned corner hiking South on Clayton 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131335 - at normal pace, mostly on flat concrete sidewalk.  At mile 4.5, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131336 - West onto Ygnacio Valley Road hiking on concrete sidewalk another .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131337 - mile.  About mile 4.5 crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131338 - West on asphalt shoulder aganist East bound traffic.  At mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131339 - stopped at Texaco gas station - EKG reported HR 96 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131340 - below. ref SDS 0 PVXQ  Bought banana and softdrink to hydrate.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131341 - Continued hike on Ygnacio Valley Road to Pine Hollow; turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131342 - hiked about 50 yards.  Turned right onto Campus Road.  Hiked 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131343 - West uphill 3% - 4% grade to California Sate University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131344 - campus.  Noticable West Wind reduces effects of 85 degree temperature,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131345 - Legs strong going uphill, indicating vasodilation.  Hiked 1-loop of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131346 - about 3 miles through adjoining Faculty and Student Parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131347 - About 1030, took Simethocone pill to relieve bloating feeling.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131348 - mile 7 back at Visitor Parking hiked North downhill 3% grade .3 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131349 - to Ygnacio Valley Road.  Turned left and hiked West .5 mile on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131350 - Valley Road flat pavement.  At mile 7.5 turned South and hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131351 - up steep hill 5% grade on Crystal Ranch Road.  Hiked another mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131352 - flat pavement through residential area; then downhill .5 mile past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131353 - Rolling Woods Way, and up another steep hill 5% grade .5 mile to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131354 - end of Crystal Ranch Road.  Handled these hills well maintaining speed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131355 - and breathing easily through nose all the way.  Seems like lung                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131356 - capacity has increased in recent weeks from hiking steep hills and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131357 - racing at Lafayette Reservoir, reported on 200817, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131358 - ref SDS 0 WXUT  Hiked back downhill on Crystal Ranch Road.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131359 - East on Rolling Woods Way.  Hiked up steep hill 5% grade .33 mile,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131360 - then downhill and turned North onto Pine Hillow.  Hiked 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131361 - Ygnacio Valley Road.  Mile 13, stopped at Texaco Gas Station again -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131362 - EKG reported HR 108]^achycardia - see below. ref SDS 0 PWRQ  Bought                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131363 - another banana and softdrink to hydrate.  Continued hike on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131364 - Valley Road to Pine Hollow; turned left and hiked about 50 yards.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131365 - Turned right onto Campus Road.  Hiked 1-mile West uphill 3% - 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131366 - to California Sate University East Bay campus.  Hiked 1-loop of about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131367 - 3 miles through adjoining Faculty and Student Parking lots; added                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131368 - sub-loops of .5 mile.  About 1300, took 2nd Simethocone to relieve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131369 - bloating feeling.  Back at Visitor Parking mile 15.5, took Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131370 - Drive North .33 mile downhill to Ygnacio Valley Road.  Feet hurting on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131371 - long downhill - endorphins helped ignore pain.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131372 - Ygnacio Valley Road and hiked West .5 miles.  Continued West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131373 - Ygnacio Valley Road uphill 2% grade past Cowell.  At mile 16 crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131374 - from South side of Ygnacio Valley Road to the North side in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131375 - avoid severely sloped shoulder on South Side.  On North side continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131376 - West uphill 3% grade over the summit and past concrete traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131377 - seperation barriar.  At mile 17 turned around and hiked East 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131378 - uphill 3% grade over the summit again, then downhill.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131379 - onto Cowell and hiked North downhill 3% grade 1 mile to Treat.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131380 - West on Treat to Cuneo and home for 19 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131382 -  ..
131383 - Kardia recorded HR 58 at 0641 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131386 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200825-ecg-064116_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131389 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131392 -  ..
131393 - EKG chart looks perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131397 -  ..
131398 - Polar HR GPS study for Concord 19-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131399 - rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131401 -                             b      a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131402 -       Date      200825 200824 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 20  
131403 -       Miles        19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      
131404 -       HR AVG      110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no      
131405 -         MAX       131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike     
131406 -         Min        77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93              
131407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131409 -  ..
131410 - HR profile Concord route showing average 110 and max 131 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131411 - temperature 85, hiking Concord route long shallow hills 5% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131412 - expected HR changes, so likely no AF and no atrial flutter, following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131413 - ablation on 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131416 -              https://flow.polar.com/training/analysis/5050899331                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131420 -   
131421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131424 -  ..
131425 - EKG at mile 5 HR 96 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131428 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200825-ecg-100305_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131431 -  ..
131432 - EKG looks mostly consistent and mildly erratic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131436 -  ..
131437 - EKG at mile 13 HR 105 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131441 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200825-ecg-123114_mile_13.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131444 -  ..
131445 - EKG looks consistent - very good for 13 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131449 -  ..
131450 - EKG 1 minute after hiking 19 miles HR 112 at 1443 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131451 - Tachycardia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131454 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200825-ecg-144355_mile_19.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131457 -  ..
131458 - EKG chart after 19 miles looks erratic with some consistency.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131462 -  ..
131463 - EKG 90 minutes after hiking 19 miles HR 72 at 1621 - Kardia shows Normal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131466 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200825-ecg-162140_mile_19.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131469 -  ..
131470 - EKG chart looks perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131473 -  ..
131474 - HR profile post-hike beginning 1642 until next day OA 0240 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131475 - mostly steady heart beat 74 +/-.  Max HR 166 and minimum HR 35 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131476 - with indoor activity; 2 continuous spikes above 130 may indicate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131477 - atrial fibrillatin (AF), while recovering from ablation procedures.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131478 - This may increase exposure to ischemic colitis, reported on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131479 - 0700. ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131481 -        ..
131482 -       Date      200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 200605 20  
131483 -        Hours       10     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14     14     14            12      7      7     15                          16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      0      
131484 -       HR AVG       74     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63     64     72     no     75     73     75     69     no     no     no    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no     no      
131485 -         MAX       166    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154    126    141  report   129     95    130    131  report report report   145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike   hike  h  
131486 -         Min        35     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39     37     51            56     51     47     44                          96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93                     
131487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131489 -              https://flow.polar.com/training/analysis/5052039371                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131493 -   
131494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131496 -  ..
131497 - Breakfast - cream of wheat rasins few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131498 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131499 - Dinner - lettuce cumcumber avocado onion avocado olives, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131501 -  ..
131502 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131508 -         ..
131509 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131510 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131511 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131512 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131513 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131514 -  239.  200826 0230............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131515 -               0245....BP HR..................................................... 119  72  61  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 QPTX                                                                                                                                                                                                                                                                                                                                                                                                                                               
131516 -               0250....BP HR..................................................... 125  80  64  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131517 -               0300....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131518 -               0300... 20 976540 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131519 -               0300... Gabapentin 300MG  29500MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131520 -               0300....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131521 -               0410... Oxycodone HCL Plain  5  220 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131522 -               0830... 80 204080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131523 -               0830... 05 2020 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131524 -               0830... 75 5175 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131525 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
131526 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131527 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131528 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131529 -               0410....miles...........  13.0  48.0  215   808 minutes  temp  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131530 -               0000... Simethicone 80  3920 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131531 -               0930....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131532 -               0930....BP HR..................................................... 116  80  72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131533 -               0935....BP HR..................................................... 117  78  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131534 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131535 -               1700... 40 60940 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
131536 -               1830............ 10 14110  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131537 -               1830............ 10 13700  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131538 -           **  1930... 25   1900.0 Metoprolol Succinct - switched from Tartrate on 200805, because received refill from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131539 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131540 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131541 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131542 -               2100... 40 40860 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131543 -               2130... 1000  904000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131544 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131545 -               0000....Tramadol 50 2000 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131546 -               2150... 05 2035 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131547 -               2200... 80 204160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131548 -               0000... Simethicone 80  4000 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131549 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131551 -  ..
131552 - ** Metoprolol Succinct - on 200805 received refill.  On 200724 Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131553 - Simpson recommended taking Metoprolol at night, rather than in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131554 - morning, and if HR is below 60, then skip taking the pill. ref SDS A9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131555 - WA5O Doctor Pellegrini switchted from Tartrate, reported on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131556 - 0930. ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131557 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131558 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131559 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131560 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131561 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131562 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131563 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131565 -  ..
131566 - Peripheral neuropathy not occurring this morning - see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131567 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131569 -  ..
131570 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131571 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131572 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131574 -  ..
131575 - Dizzy - not wobbly during 7 mile hike; BPPV treatment at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131576 - 200527 0730. ref SDS 96 FR8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131578 -  ..
131579 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131581 -  ..
131582 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131583 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131585 -  ..
131586 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131588 -  ..
131589 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131590 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131592 -  ..
131593 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131594 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131595 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131596 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131597 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131598 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131599 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131600 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131601 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131602 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131603 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131604 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131605 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131606 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131608 -  ..
131609 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131610 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131612 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131613 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131614 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131615 -        Stomach pain colitis.........................   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131616 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131617 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131618 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131619 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131620 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131621 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131622 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131623 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131624 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131625 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131626 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131627 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131628 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131629 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131630 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131631 -        Hamstring left leg...........................   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131632 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131633 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131634 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131635 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131636 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131637 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131638 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131639 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131640 -        Metatarsalgia left foot...PRP 191009.........   1         10  feet better today after amonium lactate and shaving skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131641 -        Metatarsalgia right foot..PRP 191009.........   1         10  feet better today after amonium lactate and shaving skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131642 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131643 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131644 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131645 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131646 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131647 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131648 -        Blister ring toe left foot...................   0        100  styrofoam pad below blood blister protected from pressure with each step so pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131649 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131650 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131651 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131652 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131653 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131654 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131656 -  ..
131657 - Body feels good after hiking 13 miles in 58 degrees at normal speed,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131658 - following PRP on 191009 1500, ref SDS 78 0001
131660 - -
131661 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131662 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131663 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131665 -  ..
131666 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131667 - Little wobbly walking around.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131669 -  ..
131670 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131671 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131672 - LS4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131674 -  ..
131675 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131676 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131677 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131678 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131679 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131681 -  ..
131682 - Blister left foot ring toe - skin crimped have been unable to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131683 - without pain despite various schemes wrapping this sore.  Yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131684 - on 200825, placed cotton pad below the blister.  Wrapped with white                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131685 - tape.  Intent was to elevate the sore preventing repetitive stress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131686 - with each step.  This was only partially successful, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131687 - ref SDS 0 4X8M  Today, used styrofoam tube folded over to provide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131688 - cushion.  This worked perfectly during the hike, but is difficult to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131689 - secure using tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131691 -  ..
131692 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131693 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131695 -  ..
131696 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131697 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131698 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131700 -  ..
131701 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131702 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131703 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131704 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131705 - ref SDS 77 SM4M  After hike on 200824, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131706 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131707 - ref SDS 0 575J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131709 -  ..
131710 - San Francisco route #5, reported on 170519, per above. ref SDS 36 WTRS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131711 - Weather cool temperature 58, but warming up.  Sky overcast with fog                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131712 - and smoke from fires occurring in the North Bay and in Santa Cruz.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131713 - Started hike leaving parking lot at VAMCSF at 0425.  Walked slow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131714 - downhill on 42nd Street to warm up.  Tailor's Bunion on both feet pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131715 - level 0 going down hill - good signal.  Turned corner continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131716 - downhill West on Point Lobos to the Cliff House at mile 1.  Loud roar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131717 - of ocean.  Too dark to see anything.  Road bends and changes to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131718 - "Great Highway" going South along the Ocean Beach.  Fast pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131719 - ground parallel to ocean.  Seems eerie no cars in parking lot, due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131720 - restrictions for coronavirus pandemic.  At mile 2 turned onto the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131721 - Lincoln Avenue section of John F Kennedy (JFK) Drive entering Golden                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131722 - Gate Park.  Maintained fast pace going slightly uphill into the park.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131723 - Waved and said Good Morning to jogger, who is usually out very early.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131724 - Turned corner and continued East on JFK.  Passed the Buffalo compound.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131725 - Hiked past Spreckles Lake, then Lindley Meadow.  About mile 3.5 nearng                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131726 - Hellman Hollow.  Have already seen numerous bikers and runners, since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131727 - it is nearly an hour later than usually do this hike.  Hiked under                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131728 - bridge at 19th street, then past the waterfall not running at this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131729 - hour.  Continued hiking past De Young Museum at mile 4.25.  Nearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131730 - the end of JFK Drive, crossed the street to make left turn onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131731 - Stanyon at mile 5.5.  Hiked uphill on Stanyon several blocks to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131732 - Fulton.  Hiked few more blocks downhill to Paramont street across from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131733 - Koret Health and Recreation Center, part of USF.  Touched the wall at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131734 - Ann's house - time 0627 and mile 6.21.  Hiked back on Stanyon to John                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131735 - F Kennedy drive.  Hiked on South side against traffic going West.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131736 - Passing De Young Museum increased pace - feeling good.  Nice seeing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131737 - the waterfall.  Hiked under the 19th Street bridge and past Helman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131738 - Hollow.  Knee pain level 0, feeling metatarsalgia both feet pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131739 - 1, but no pain on left foot ring toe.  Hiked past Lindley Meadow to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131740 - Spreckles Lake, then past the Buffalo Compound.  Crossed over to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131741 - side of JFK going with traffic.  Turned corner from JFK onto Lincoln                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131742 - Avenue and headed toward the ocean.  Turned North onto the Great                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131743 - Highway.  Both feet pain level 1; left knee patella pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131744 - Hiked parallel to ocean toward the Cliff House and the hospital.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131745 - Maintained pace hiking up steep hill, Metatarsalgia and left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131746 - patella pain level 0.  Breathing through nose for 1.5 miles uphill all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131747 - the way to the hospital.  At the Cliff House, turned onto Point Lobos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131748 - going East; feeling strong handling uphill for 1 mile.  Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131749 - 42nd street and maintained pace going up final steep hill to the VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131750 - campus.  Arrived at 0732.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131752 -  ..
131753 - Kardia recorded HR 66 at 0242 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131756 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200826-ecg-024254_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131759 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131762 -  ..
131763 - EKG chart looks perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131767 -  ..
131768 - Polar HR GPS study for Concord 13-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131769 - rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131771 -                                    b      a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131772 -       Date      200826 200825 200824 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 20  
131773 -       Miles        13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       
131774 -       HR AVG      103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117       
131775 -         MAX       131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135       
131776 -         Min        79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93       
131777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131779 -  ..
131780 - HR profile San Francisco Golden Gate Park route showing average 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131781 - and max 131 with temperature 79, mostly flat, but long 1.5 mile 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131782 - grade at beginning and end of route, with expected HR changes, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131783 - likely no AF and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131784 - ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131787 -              https://flow.polar.com/training/analysis/5054281126                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131791 -   
131792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131796 -  ..
131797 - EKG at mile 13 HR 87 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131800 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200826-ecg-062034_mile_13.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131803 -  ..
131804 - EKG looks mostly erratic.  Not sure how this ECG was taken, since at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131805 - 0620, I was hiking; did not get back to the hospital until OA 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131809 -  ..
131810 - EKG at mile 13 HR 99 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131814 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200826-ecg-080539_mile_13.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131817 -  ..
131818 - EKG looks more consistent half hour after returning from hike; may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131819 - have been done in the lab waiting for blood draw.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131821 -  ..
131822 - HR profile post-hike beginning 1725 until next day OA 0640 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131823 - mostly steady heart beat 66 +/-.  Max HR 144 and minimum HR 34 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131824 - with indoor activity; 1 continuous spikes above 130 may indicate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131825 - atrial fibrillatin (AF), while recovering from ablation procedures.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131826 - This may increase exposure to ischemic colitis, reported on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131827 - 0700. ref SDS A2 RK6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131829 -        ..
131830 -       Date      200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 200607 200606 20  
131831 -        Hours       13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14     14     14            12      7      7     15                          16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15     14       0      
131832 -       HR AVG       72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63     64     72     no     75     73     75     69     no     no     no    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    117      no      
131833 -         MAX       144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154    126    141  report   129     95    130    131  report report report   145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    135     hike     
131834 -         Min        38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39     37     51            56     51     47     44                          96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73     93              
131835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131837 -              https://flow.polar.com/training/analysis/5056326536                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131841 -   
131842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131845 -  ..
131846 - Breakfast - chips and softdrink few bites after hike with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131847 - Lunch - half tuna sandwich                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131848 - Dinner - lettuce cumcumber avocado onion avocado olives, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131850 -  ..
131851 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131857 -         ..
131858 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131859 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131860 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131861 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131862 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131863 -  240.  200827 0610............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131864 -               0845....BP HR..................................................... 129  71  68  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 QSVY                                                                                                                                                                                                                                                                                                                                                                                                                                               
131865 -               0850....BP HR..................................................... 125  73  68  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131866 -               0900....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131867 -               0900... 20 976560 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131868 -               0900... 80 204240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131869 -               0900... 05 2030 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131870 -               0900... 75 5250 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131871 -               0000... Oxycodone HCL Plain  5  220 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131872 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
131873 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131874 -               1010... Gabapentin 300MG  29800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131875 -               1010....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131876 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131877 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131878 -               1050....miles...........  11.0  59.0  187   995 minutes  temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131879 -               1230... Simethicone 80  4080 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131880 -               1515....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131881 -               1440....BP HR..................................................... 114  68  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131882 -               1521....BP HR..................................................... 105  69  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131883 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131884 -               1700... 40 60980 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
131885 -             1 0000............ 10 14110  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131886 -             1 0000............ 10 13700  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131887 -           **  1930... 25   1925.0 Metoprolol Succinct - switched from Tartrate on 200805, because received refill from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131888 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131889 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131890 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131891 -               2100... 40 40900 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131892 -               2130... 1000  905000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131893 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131894 -               0000....Tramadol 50 2000 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131895 -               2150... 05 2045 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131896 -               2200... 80 204320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131897 -               0000... Simethicone 80  4000 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131898 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131900 -  ..
131901 - ** Metoprolol Succinct - on 200805 received refill.  On 200724 Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131902 - Simpson recommended taking Metoprolol at night, rather than in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131903 - morning, and if HR is below 60, then skip taking the pill. ref SDS A9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131904 - WA5O Doctor Pellegrini switchted from Tartrate, reported on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131905 - 0930. ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131906 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131907 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131908 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131909 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131910 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131911 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131912 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131914 -  ..
131915 - Peripheral neuropathy occurring again this morning - see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131916 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131918 -  ..
131919 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131920 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131921 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131923 -  ..
131924 - Dizzy - wobbly during 11 mile hike; BPPV treatment at VAMCSF on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131925 - 0730. ref SDS 96 FR8I  Seems associated with shingles vaccination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131926 - yesterday, reported on 200826 1058. ref SDS B0 LX4L  Seems like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131927 - severe reaction to injection.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131929 -  ..
131930 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131932 -  ..
131933 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131934 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131936 -  ..
131937 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131939 -  ..
131940 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131941 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131943 -  ..
131944 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131945 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131946 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131947 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131948 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131949 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131950 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131951 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131952 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131953 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131954 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131955 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131956 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131957 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131959 -  ..
131960 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131961 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131963 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131964 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131965 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131966 -        Stomach pain colitis.........................   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131967 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131968 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131969 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131970 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131971 -        Arm left swelled inflamed shingles shot......   2        100  shingles vaccination at VA on 200826                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131972 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131973 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131974 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131975 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131976 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131977 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131978 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131979 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131980 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131981 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131982 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131983 -        Hamstring left leg...........................   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131984 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131985 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131986 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131987 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131988 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131989 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131990 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131991 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131992 -        Metatarsalgia left foot...PRP 191009.........   1         10  feet better today after amonium lactate and shaving skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131993 -        Metatarsalgia right foot..PRP 191009.........   1         10  feet better today after amonium lactate and shaving skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131994 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131995 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131996 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131997 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131998 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131999 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132000 -        Blister ring toe left foot...................   0        100  styrofoam pad below blood blister protected from pressure with each step so pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132001 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132002 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132003 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132004 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132005 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132006 -        Wobbly disoriented staggering dizzy..........   2         80  seems like side effects of shingles vaccination yesterday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132008 -  ..
132009 - Body feels totally wasted after hiking 11 miles in 82 degrees at very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132010 - slow speed, following PRP on 191009 1500, ref SDS 78 0001  Legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132011 - tingling, face hurts.
132013 - -
132014 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132015 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132016 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132018 -  ..
132019 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132020 - Little wobbly walking around.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132022 -  ..
132023 - Legs 6 hours after hike late at night - body feeling better.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132024 - knee pain level 0, so did not take Tramadol - see study above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132025 - ref SDS 0 QRRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132027 -  ..
132028 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132029 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132030 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132031 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132032 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132034 -  ..
132035 - Blister left foot ring toe - used styrofoam tube folded over to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132036 - provide cushion.  This worked perfectly again today, but is difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132037 - to apply, because knee hurts to bend, so can barely reach the toe to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132038 - place tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132040 -  ..
132041 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132042 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132044 -  ..
132045 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132046 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132047 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132049 -  ..
132050 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132051 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132052 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132053 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132054 - ref SDS 77 SM4M  After hike on 200824, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132055 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132056 - ref SDS 0 575J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132058 -  ..
132059 - Concord 11 mile route - starting energy very low today, actually felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132060 - chills, and whole body hurts, including face and legs, likely due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132061 - shingles vaccination yesterday, reported on 200826 1058. ref SDS B0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132062 - LX4L Tiredness and muscle pain are listed as side effect of shingles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132063 - injection. ref SDS B0 RF3I  Considered not doing the hike, but decided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132064 - to go ahead hoping more blood moving might shorten recovery time from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132065 - side effects.  Also need to raise HDL 53 in the lab yesterday at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132066 - VAMCSF, above 60.  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132067 - ref SDS 77 SM4M, that prevent feet and knee injuries.  Wore 2-pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132068 - double-ply Wright socks received on 191010 1344, ref SDS 79 SM4M, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132069 - prevent blisters.  Blister on left foot ring toe was isolated with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132070 - styrofoam pad to prevent repetitive stress.  This was totally                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132071 - successful.  Took Metoprolol 1 pill 25 mg last night to prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132072 - elevated HR during hike today.  This further minimizes blurred vision                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132073 - side effects while working during the day.  Hiked from Cuneo uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132074 - Treat.  Sky is less murky with smoke from fire in Fairfield Vacaville                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132075 - area - can see surrounding hills today.  Breathed easily through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132076 - entire hike.  Temperature reached 85.  Hiked East slow pace due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132077 - side effects shingles vaccination yesterday, on Treat 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132078 - Clayton.  Wobbly hiking along roadway shoulder, another side effect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132079 - from shingles vaccination yesterday, reported on 200826 1058.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132080 - ref SDS B0 TD4T  Not feeling ring toe left foot pain, indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132081 - revised bandage successful.  Turned corner hiking South on Clayton 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132082 - miles at very slow pace, mostly on flat concrete sidewalk.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132083 - 3.5, turned West onto Ygnacio Valley Road hiking on concrete sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132084 - another .5 mile.  About mile 4 crossed to South side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132085 - Road hiking West on asphalt shoulder aganist East bound traffic.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132086 - mile 5, stopped at Texaco gas station - EKG reported HR 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132087 - Tachycardia - see below. ref SDS 0 QTQS  Considered returning home,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132088 - since next phase of hike included hills; but, decided to continue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132089 - Bought banana for energy and softdrink to hydrate.  Hiked .25 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132090 - Ygnacio Valley Road to Pine Hollow; turned left and hiked about 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132091 - yards.  Turned right onto Campus Road.  Hiked 1-mile West uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132092 - 4% grade to California Sate University East Bay campus.  Mild West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132093 - Wind reduced effects of 85 degree temperature.  Legs weak, but seem                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132094 - stronger going uphill, indicating vasodilation.  Hiked 1-loop of about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132095 - 3 miles through adjoining Faculty and Student Parking lots.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132096 - 1230, took Simethocone pill to relieve bloating feeling.  At mile 7.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132097 - back at Visitor Parking hiked North downhill 3% grade .3 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132098 - Ygnacio Valley Road.  Turned left and hiked West .5 mile on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132099 - Valley Road flat pavement.  Continued West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132100 - uphill 2% grade to Cowell.  Crossed from South side of Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132101 - Road to the North side intending to hike over the summit; but not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132102 - enough energy, so continued - staggering - North on Cowell downhill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132103 - grade 1 mile to Treat.  Could barely put one foot in front of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132104 - other.  Hiked West on Treat to Cuneo and home for 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132106 -  ..
132107 - Kardia recorded HR 70 at 0937 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132110 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200827-ecg-093730_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132113 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132116 -  ..
132117 - EKG chart looks perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132121 -  ..
132122 - Polar HR GPS study for Concord 13-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132123 - rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132125 -                                    b      a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132126 -       Date      200827 200826 200825 200824 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 200608 20  
132127 -       Miles        11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7     15       
132128 -       HR AVG      116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    110    1  
132129 -         MAX       130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    125    1  
132130 -         Min       102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72     73       
132131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132133 -  ..
132134 - HR profile Concord route showing average 116 and max 130 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132135 - temperature 85, hiking Concord route long shallow hills 4% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132136 - expected HR changes, so likely no AF and no atrial flutter, following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132137 - ablation on 200511 0546. ref SDS 94 244I  Pace very slow, reflecting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132138 - side effects shingles vaccination yesterday, reported on 200826 1058.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132139 - ref SDS B0 RF3I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132142 -              https://flow.polar.com/training/analysis/5058278521                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132146 -   
132147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132149 -  ..
132150 - EKG at mile 5 HR 108 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132153 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200827-ecg-120924_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132156 -  ..
132157 - EKG looks mostly erratic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132162 -  ..
132163 - EKG 5 minutes after hiking 11 miles HR 115 at 1412 - Kardia shows Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132167 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200827-ecg-141227_mile_11.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132170 -  ..
132171 - EKG chart after 11 miles seems very consistent.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132175 -  ..
132176 - EKG 30 minutes after hiking 11 miles HR 63 at 1301 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132177 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132180 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200827-ecg-144016_mile_11.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132183 -  ..
132184 - EKG chart initially little erratic, then perfect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132210 -  ..
132211 - Breakfast - cream of wheat rasins few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132212 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132213 - Dinner - lettuce cumcumber avocado onion hamburger chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132215 -  ..
132216 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132222 -         ..
132223 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132224 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132225 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132226 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132227 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132228 -  241.  200828 0710............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132229 -               0845....BP HR..................................................... 132  79  64  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 QWTR                                                                                                                                                                                                                                                                                                                                                                                                                                               
132230 -               0850....BP HR..................................................... 139  81  67  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132231 -               0900....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132232 -               0900... 20 976580 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132233 -               0900... 80 204400 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132234 -               0900... 05 2040 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132235 -               0900... 75 5325 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132236 -               0000... Oxycodone HCL Plain  5  220 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132237 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
132238 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132239 -               1010... Gabapentin 300MG  30100MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132240 -               1010....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132241 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132242 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132243 -          * cr 1105....miles...........  17.0  76.0  286  1281 minutes  temp  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132244 -               1230... Simethicone 80  4160 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132245 -               1450... Simethicone 80  4240 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132246 -               1645....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132247 -               1725....BP HR..................................................... 117  69 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132248 -               1730....BP HR..................................................... 120  67  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132249 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132250 -               1700... 40 61020 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
132251 -               1830............ 10 14120  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132252 -               1830............ 10 13710  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132253 -           **  1930... 25   1950.0 Metoprolol Succinct - switched from Tartrate on 200805, because received refill from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132254 -               2050... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132255 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132256 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132257 -               2100... 40 40940 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132258 -               2130... 1000  906000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132259 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132260 -               0000....Tramadol 50 2000 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132261 -               2150... 05 2045 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132262 -               2200... 80 204480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132263 -               0000... Simethicone 80  4000 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132264 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132266 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132267 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132268 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132269 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132270 - at top of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132271 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132272 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132273 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132275 -  ..
132276 - ** Metoprolol Succinct - on 200805 received refill.  On 200724 Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132277 - Simpson recommended taking Metoprolol at night, rather than in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132278 - morning, and if HR is below 60, then skip taking the pill. ref SDS A9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132279 - WA5O Doctor Pellegrini switchted from Tartrate, reported on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132280 - 0930. ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132281 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132282 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132283 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132284 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132285 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132286 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132287 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132289 -  ..
132290 - Peripheral neuropathy seems to be occurring this morning, first time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132291 - since 200212,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132292 - - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132294 -  ..
132295 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132296 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132297 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132299 -  ..
132300 - Dizzy - wobbly during 17 mile hike; BPPV treatment at VAMCSF on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132301 - 0730. ref SDS 96 FR8I  Seems associated with shingles vaccination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132302 - yesterday, reported on 200826 1058. ref SDS B0 LX4L  Seems like severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132303 - reaction to injection.  Actually, may just be fatigue hiking 17 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132304 - on hot day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132306 -  ..
132307 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132309 -  ..
132310 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132311 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132313 -  ..
132314 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132316 -  ..
132317 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132318 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132320 -  ..
132321 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132322 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132323 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132324 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132325 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132326 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132327 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132328 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132329 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132330 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132331 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132332 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132333 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132334 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132336 -  ..
132337 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132338 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132340 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132341 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132342 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132343 -        Stomach pain colitis.........................   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132344 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132345 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132346 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132347 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132348 -        Arm left swelled inflamed shingles shot......   1        100  shingles vaccination at VA on 200826                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132349 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132350 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132351 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132352 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132353 -        Knee left meniscus...PRP 191009..............   2          2   occurred last part of hike going downhill from the college, then uphill to Cowell, then downhill to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                  
132354 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132355 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132356 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132357 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132358 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132359 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132360 -        Hamstring left leg...........................   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132361 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132362 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132363 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132364 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132365 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132366 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132367 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132368 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132369 -        Metatarsalgia left foot...PRP 191009.........   2         20  feet hurt going downhill numerous times, but suprisingly this was mild - most of the time feet felt very good                                                                                                                                                                                                                                                                                                                                                                                                                                
132370 -        Metatarsalgia right foot..PRP 191009.........   2         20  feet hurt going downhill numerous times, but suprisingly this was mild - most of the time feet felt very good                                                                                                                                                                                                                                                                                                                                                                                                                                
132371 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132372 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132373 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132374 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132375 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132376 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132377 -        Blister ring toe left foot...................   0        100  styrofoam pad below blood blister protected from pressure with each step so pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132378 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132379 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132380 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132381 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132382 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132383 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132385 -  ..
132386 - Body feels totally wasted after hiking 17 miles in 85 degrees at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132387 - normal speed, following PRP on 191009 1500, ref SDS 78 0001  Could                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132388 - barely walk into the house and can barely stand at the sink to fix                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132389 - something to drink.  Conflicts with high energy starting hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132390 - bouncing out with every step.  Hour after hike both legs tingling, or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132391 - something like that.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132393 -            [...below on 200101 0702 body feels much better the next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132394 -            day after hiking 20 miles. ref SDS 0 RPSX
132396 - -
132397 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132398 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132399 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132401 -  ..
132402 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132403 - Little wobbly walking around.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132405 -  ..
132406 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132407 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132408 - QUYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132410 -  ..
132411 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132412 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132413 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132414 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132415 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132417 -  ..
132418 - Blister left foot ring toe - used styrofoam tube folded over to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132419 - provide cushion.  This worked perfectly again today, but is difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132420 - to apply, because knee hurts to bend, so can barely reach the toe to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132421 - place tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132423 -  ..
132424 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132425 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132427 -  ..
132428 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132429 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132430 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132432 -  ..
132433 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132434 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132435 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132436 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132437 - ref SDS 77 SM4M  After hike on 200828, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132438 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132439 - ref SDS 0 GA6G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132441 -  ..
132442 - Concord 17 mile route - starting energy much better than yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132443 - when shingles vaccination caused severe side effects.  Wearing Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132444 - Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M, that prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132445 - feet and knee injuries.  Wore 2-pair double-ply Wright socks received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132446 - on 191010 1344, ref SDS 79 SM4M, to prevent blisters.  Blister on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132447 - foot ring toe was isolated with styrofoam pad to prevent repetitive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132448 - stress.  Worked perfectly.  Took Metoprolol 1 pill 25 mg last night to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132449 - prevent elevated HR during hike today.  This further minimizes blurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132450 - vision side effects while working during the day.  Hiked from Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132451 - uphill to Treat.  Sky seems more murky than yesterday, with smoke from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132452 - fire in Fairfield Vacaville area - can see surrounding hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132453 - Breathed easily through nose entire hike.  Temperature reached 85.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132454 - Hiked East normal to fast pace on Treat 1 mile to Clayton.  Not wobbly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132455 - today, hiking along roadway shoulder, another side effect from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132456 - shingles vaccination yesterday, reported on 200826 1058. ref SDS B0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132457 - TD4T  Not feeling ring toe left foot pain, indicates revised bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132458 - successful.  Turned corner hiking South on Clayton 2 miles at normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132459 - to fast pace, mostly on flat concrete sidewalk.  At mile 3.5, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132460 - West onto Ygnacio Valley Road hiking on concrete sidewalk another .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132461 - mile.  About mile 4 crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132462 - West on asphalt shoulder aganist East bound traffic.  At mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132463 - stopped at Texaco gas station - EKG reported HR 108 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132464 - below. ref SDS 0 QWXU  Bought softdrink to hydrate.  Hiked .25 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132465 - Ygnacio Valley Road to Pine Hollow; turned left and hiked about 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132466 - yards.  Turned right onto Campus Road.  Hiked 1-mile West uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132467 - 4% grade to California Sate University East Bay campus.  Mild West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132468 - Wind reduced effects of 85 degree temperature.  Legs strong going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132469 - uphill, indicating vasodilation.  Hiked 1-loop of about 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132470 - through adjoining Faculty and Student Parking lots.  About 1230, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132471 - Simethocone pill to relieve bloating feeling.  At mile 7.5 back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132472 - Visitor Parking hiked North downhill 3% grade .3 mile to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132473 - Valley Road.  Turned left and hiked West .5 mile on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132474 - Road flat pavement.  At mile 7.5 turned South and hiked 1 mile up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132475 - steep hill 5% grade on Crystal Ranch Road.  Hiked another mile on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132476 - pavement through residential area; then downhill .5 mile past Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132477 - Woods Way, and up another steep hill 5% grade .5 mile to the end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132478 - Crystal Ranch Road.  Handled these hills well maintaining speed and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132479 - breathing easily through nose all the way.  Hiked back downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132480 - Crystal Ranch Road.  Turned East on Rolling Woods Way.  Hiked up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132481 - hill 5% grade .33 mile, then downhill and turned North onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132482 - Hillow.  Hiked 1 mile to Ygnacio Valley Road.  Mile 12, stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132483 - Texaco Gas Station again - EKG reported HR 117 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132484 - below. ref SDS 0 QWYX  Bought another softdrink to hydrate.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132485 - hike on Ygnacio Valley Road to Pine Hollow; turned left and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132486 - about 50 yards.  Turned right onto Campus Road.  Hiked 1-mile West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132487 - uphill 3% - 4% grade to California Sate University East Bay campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132488 - Not feeling well - seem very tired, muscles hurt, feet pain level 3 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132489 - wobbling and staggering - big change from Crystal Ranch Road loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132490 - Hiked 1-loop of about 3 miles through adjoining Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132491 - Parking lots; added sub-loops of .5 mile.  About 1500, took 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132492 - Simethocone to relieve bloating feeling.  Back at Visitor Parking mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132493 - 14.  Took Campus Drive North .33 mile downhill to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132494 - Feet hurting on long downhill - endorphins helped ignore pain.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132495 - left onto Ygnacio Valley Road and hiked West .5 miles.  Adrenalin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132496 - seemed to kick in, because able to increase pace.  Continued West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132497 - Ygnacio Valley Road uphill 2% grade past Cowell.  At mile 16 crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132498 - from South side of Ygnacio Valley Road to the North side in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132499 - avoid severely sloped shoulder on South Side.  On North side continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132500 - West uphill 3% grade over the summit and past concrete traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132501 - seperation barriar.  At mile 17 turned around and hiked East 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132502 - uphill 3% grade over the summit again, then downhill.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132503 - onto Cowell and hiked North downhill 3% grade 1 mile to Treat.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132504 - West on Treat to Cuneo and home for 17 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132507 -  ..
132508 - Kardia recorded HR 65 at 0706 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132511 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200828-ecg-070626_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132514 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132517 -  ..
132518 - EKG chart looks erratic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132521 -  ..
132522 - Polar HR GPS study for Concord 17-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132523 - rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132525 -                                    b      a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132526 -       Date      200828 200827 200826 200825 200824 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 200609 20  
132527 -       Miles        17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13      7       
132528 -       HR AVG      115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    106    1  
132529 -         MAX       138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    128    1  
132530 -         Min        73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62     72       
132531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132533 -  ..
132534 - HR profile Concord route showing average 115 and max 138 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132535 - temperature 85, hiking Concord route long shallow hills 4% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132536 - expected HR changes, so likely no AF and no atrial flutter, following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132537 - ablation on 200511 0546. ref SDS 94 244I  Pace faster than yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132538 - reflecting some recovery from side effects shingles vaccination,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132539 - reported on 200826 1058. ref SDS B0 RF3I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132542 -              https://flow.polar.com/training/analysis/5061749751                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132546 -   
132547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132549 -  ..
132550 - EKG at mile 5 HR 108 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132553 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200828-ecg-122805_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132556 -  ..
132557 - EKG looks very good - consistent.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132562 -  ..
132563 - EKG at mile 12 HR 117 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132566 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200828-ecg-145104_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132569 -  ..
132570 - EKG chart after 12 miles seems very consistent, even though patient                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132571 - struggling with distance and temperature - feet hurting.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132575 -  ..
132576 - EKG 40 minutes after hiking 17 miles HR 112 at 1708 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132577 - Tackycardia...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132580 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200828-ecg-170809_mile_17.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132583 -  ..
132584 - EKG chart looks surprisingly good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132615 -  ..
132616 - Breakfast - cream of wheat rasins few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132617 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132618 - Dinner - tomato avocado cumcumber broccoli onion - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132620 -  ..
132621 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132627 -         ..
132628 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132629 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132630 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132631 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132632 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132633 -  242.  200829 0730............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132634 -               0745....BP HR..................................................... 125  72  66  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 RQUX                                                                                                                                                                                                                                                                                                                                                                                                                                               
132635 -               0750....BP HR..................................................... 121  65  60  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132636 -               0700....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132637 -               0700... 20 976600 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132638 -               0700... 80 204560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132639 -               0700... 05 2050 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132640 -               0700... 75 5400 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132641 -               0000... Oxycodone HCL Plain  5  220 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132642 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
132643 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132644 -               1010... Gabapentin 300MG  30400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132645 -               1010....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132646 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132647 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132648 -          * cr 1000....miles...........  20.0  96.0  334  1615 minutes  temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132649 -               0000... Simethicone 80  4240 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132650 -               1650....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132651 -               1700....BP HR..................................................... 120  82  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132652 -               1705....BP HR..................................................... 111  87  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132653 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132654 -               1700... 40 61060 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
132655 -             1 0000............ 10 14120  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132656 -             1 0000............ 10 13710  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132657 -           **  1930... 25   1975.0 Metoprolol Succinct - switched from Tartrate on 200805, because received refill from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132658 -               2050... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132659 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132660 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132661 -               2100... 40 40980 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132662 -               2130... 1000  907000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132663 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132664 -               0000....Tramadol 50 2000 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132665 -               2150... 05 2055 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132666 -               2200... 80 204640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132667 -               0000... Simethicone 80  4240 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132668 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132670 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132671 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132672 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132673 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132674 - at top of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132675 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132676 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132677 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132679 -  ..
132680 - ** Metoprolol Succinct - on 200805 received refill.  On 200724 Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132681 - Simpson recommended taking Metoprolol at night, rather than in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132682 - morning, and if HR is below 60, then skip taking the pill. ref SDS A9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132683 - WA5O Doctor Pellegrini switchted from Tartrate, reported on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132684 - 0930. ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132685 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132686 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132687 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132688 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132689 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132690 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132691 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132693 -  ..
132694 - Peripheral neuropathy feeling in both feet this morning, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132695 - statins last night - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132697 -  ..
132698 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132699 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132700 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132702 -  ..
132703 - Dizzy - wobbly during 17 mile hike; BPPV treatment at VAMCSF on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132704 - 0730. ref SDS 96 FR8I  Seems associated with shingles vaccination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132705 - yesterday, reported on 200826 1058. ref SDS B0 LX4L  Seems like severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132706 - reaction to injection.  Actually, may just be fatigue hiking 17 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132707 - on hot day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132709 -  ..
132710 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132712 -  ..
132713 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132714 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132716 -  ..
132717 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132719 -  ..
132720 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132721 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132723 -  ..
132724 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132725 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132726 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132727 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132728 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132729 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132730 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132731 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132732 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132733 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132734 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132735 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132736 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132737 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132739 -  ..
132740 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132741 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132743 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132744 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132745 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132746 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132747 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132748 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132749 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132750 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132751 -        Arm left swelled inflamed shingles shot......   1        100  shingles vaccination at VA on 200826                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132752 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132753 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132754 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132755 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132756 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132757 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132758 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132759 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132760 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132761 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132762 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132763 -        Hamstring left leg...........................   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132764 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132765 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132766 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132767 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132768 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132769 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132770 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132771 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132772 -        Metatarsalgia left foot...PRP 191009.........   2         20  feet hurt going downhill numerous times, but suprisingly this was mild - most of the time feet felt very good                                                                                                                                                                                                                                                                                                                                                                                                                                
132773 -        Metatarsalgia right foot..PRP 191009.........   2         20  feet hurt going downhill numerous times, but suprisingly this was mild - most of the time feet felt very good                                                                                                                                                                                                                                                                                                                                                                                                                                
132774 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132775 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132776 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132777 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132778 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132779 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132780 -        Blister ring toe left foot...................   0        100  styrofoam pad below blood blister protected from pressure with each step so pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132781 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132782 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132783 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132784 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132785 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132786 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132788 -  ..
132789 - Body feels okay after hiking 20 miles in 82 degrees at normal speed,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132790 - following PRP on 191009 1500. ref SDS 78 0001  Feet hurt, need more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132791 - ammonium lactate this evening until next PRP treatment.  Feel much                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132792 - better today, than after hiking 17 miles yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132793 - ref SDS 0 QVTR  Could be ate little more today. ref SDS 0 RPYR
132795 - -
132796 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132797 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132798 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132800 -  ..
132801 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132802 - Little wobbly walking around.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132804 -  ..
132805 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132806 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132807 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132809 -  ..
132810 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132811 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132812 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132813 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132814 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132816 -  ..
132817 - Blister left foot ring toe - used styrofoam tube folded over to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132818 - provide cushion.  This worked perfectly again today, but is difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132819 - to apply, because knee hurts to bend, so can barely reach the toe to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132820 - place tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132822 -  ..
132823 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132824 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132826 -  ..
132827 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132828 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132829 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132831 -  ..
132832 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132833 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132834 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132835 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132836 - ref SDS 77 SM4M  After hike on 200829, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132837 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132838 - ref SDS 0 F35K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132840 -  ..
132841 - Concord 20 mile route - starting energy okay - wearing Hoka Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132842 - shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132843 - knee injuries.  Wore 2-pair double-ply Wright socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132844 - 1344, ref SDS 79 SM4M, to prevent blisters.  Blister on left foot ring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132845 - toe was isolated with styrofoam pad to prevent repetitive stress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132846 - Worked perfectly.  Took Metoprolol 1 pill 25 mg last night to prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132847 - elevated HR during hike today.  This further minimizes blurred vision                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132848 - side effects while working during the day.  Hiked from Cuneo uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132849 - Treat.  Sky seems less murky than yesterday, with smoke from fire in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132850 - Fairfield Vacaville area.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132851 - Temperature reached 82.  Hiked East normal to fast pace on Treat 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132852 - mile to Clayton.  Not feeling ring toe left foot pain, indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132853 - revised bandage successful.  Turned corner hiking South on Clayton 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132854 - miles at normal to fast pace, mostly on flat concrete sidewalk.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132855 - mile 3.5, turned West onto Ygnacio Valley Road hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132856 - sidewalk another .5 mile.  About mile 4 crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132857 - Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132858 - traffic.  At mile 5, stopped at Texaco gas station - EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132859 - 97 Normal - see below. ref SDS 0 RRPP  Bought softdrink to hydrate and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132860 - cookie for energy to hike.  Hiked .25 mile on Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132861 - Pine Hollow; turned left and hiked about 50 yards.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132862 - Campus Road.  Hiked 1-mile West uphill 3% - 4% grade to California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132863 - Sate University East Bay campus.  Legs strong going uphill, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132864 - vasodilation.  Hiked 1-loop of about 2 miles through adjoining Faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132865 - and Student Parking lots.  At mile 7, back at Visitor Parking hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132866 - North downhill 3% grade .3 mile to Ygnacio Valley Road.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132867 - and hiked West .5 mile on Ygnacio Valley Road flat pavement.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132868 - 7.5 turned South and hiked 1 mile up steep hill 5% grade on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132869 - Ranch Road.  Hiked another mile on flat pavement through residential                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132870 - area; then downhill .5 mile past Rolling Woods Way, and up another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132871 - steep hill 5% grade .5 mile to the end of Crystal Ranch Road.  Handled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132872 - these hills well maintaining speed and breathing easily through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132873 - all the way.  Hiked back downhill on Crystal Ranch Road.  Turned East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132874 - on Rolling Woods Way.  Hiked up steep hill 5% grade .33 mile, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132875 - downhill and turned North onto Pine Hillow.  Hiked 1 mile to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132876 - Valley Road.  Mile 12, stopped at Texaco Gas Station again - EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132877 - reported HR 108 Tachycardia - see below. ref SDS 0 RRQS  Bought                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132878 - another lemonade drink and chips.  Continued hike on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132879 - Road to Pine Hollow; turned left and hiked about 50 yards.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132880 - right onto Campus Road.  Hiked 1-mile West uphill 3% - 4% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132881 - California Sate University East Bay campus.  Hiked 2-loops of about 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132882 - miles through adjoining Faculty and Student Parking lots.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132883 - Visitor Parking mile 15.5.  Took Campus Drive North .33 mile downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132884 - to Ygnacio Valley Road.  Feet hurting on long downhill - endorphins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132885 - helped ignore pain.  Turned left onto Ygnacio Valley Road and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132886 - West on Ygnacio Valley Road past Crystal Ranch Road, then uphill 2%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132887 - grade past Cowell.  At mile 16.5 crossed from South side of Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132888 - Valley Road to the North side in order to avoid severely sloped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132889 - shoulder on South Side.  On North side continued West uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132890 - over the summit and past concrete traffic seperation barriar.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132891 - 17.5 turned around and hiked East 1-mile uphill 3% grade over the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132892 - summit again, then downhill.  Turned left onto Cowell and hiked North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132893 - downhill 3% grade 1 mile to Treat.  Hiked West on Treat to Cuneo and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132894 - home for 20 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132896 -  ..
132897 - Kardia recorded HR 64 at 0756 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132900 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200829-ecg-075639_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132903 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132906 -  ..
132907 - EKG chart looks little erratic initial beats, then perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132910 -  ..
132911 - Polar HR GPS study for Concord 20-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132912 - rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132915 -       Date      200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 200610 20  
132916 -       Miles        20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0     13       
132917 -       HR AVG      112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  120    1  
132918 -         MAX       135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    152    1  
132919 -         Min        74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                          62       
132920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132922 -  ..
132923 - HR profile Concord route showing average 112 and max 135 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132924 - temperature 84, hiking Concord route long shallow hills 5% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132925 - expected HR changes, so likely no AF and no atrial flutter, following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132926 - ablation on 200511 0546. ref SDS 94 244I  Pace faster than 200827,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132927 - reflecting recovery from side effects shingles vaccination, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132928 - on 200826 1058. ref SDS B0 RF3I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132931 -              https://flow.polar.com/training/analysis/5065076576                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132935 -   
132936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132938 -  ..
132939 - EKG at mile 5 HR 97 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132942 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200829-ecg-112146_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132945 -  ..
132946 - EKG looks good - consistent.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132951 -  ..
132952 - EKG at mile 12 HR 108 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132955 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200829-ecg-134739_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132958 -  ..
132959 - EKG chart after 12 miles seems consistent, except last few beats look                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132960 - erratic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132964 -  ..
132965 - EKG 2 minutes after hiking 20 miles HR 121 at 1630 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132966 - Tackycardia...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132969 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200829-ecg-163006_mile_20.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132972 -  ..
132973 - EKG chart looks surprisingly good - consistent except for 1 beat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133000 -  ..
133001 - Breakfast - cream of wheat rasins few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133002 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133003 - Dinner - tomato avocado cumcumber broccoli onion - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133004 - sandwich roast beef onion cheese - 3 bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133006 -  ..
133007 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133014 -         ..
133015 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133016 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133017 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133018 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133019 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133020 -  243.  200830 0800............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133021 -               0845....BP HR..................................................... 109  66  77  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 RUTY                                                                                                                                                                                                                                                                                                                                                                                                                                               
133022 -               0850....BP HR..................................................... 110  67  72  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133023 -               0850....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133024 -               0850... 20 976620 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133025 -               0850... 80 204720 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133026 -               0850... 05 2060 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133027 -               0850... 75 5475 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133028 -               0000... Oxycodone HCL Plain  5  220 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133029 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
133030 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133031 -               1010... Gabapentin 300MG  30700MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133032 -               1010....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133033 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133034 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133035 -               1000....miles...........  12.0 108.0  204  1819 minutes  temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133036 -               0000... Simethicone 80  4240 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133037 -               1520....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133038 -               1530....BP HR..................................................... 108  75 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133039 -               1535....BP HR..................................................... 109  80 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133040 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133041 -               1700... 40 61100 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
133042 -               1830............ 10 14130  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133043 -               1830............ 10 13720  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133044 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133045 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 XXXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133046 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133047 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133048 -               2100... 40 41020 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133049 -               2130... 1000  908000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133050 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133051 -               2150... 05 2065 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133052 -               2200... 80 204800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133053 -               2210....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133054 -               2230... Simethicone 80  4320 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133055 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133057 -  ..
133058 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133059 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133060 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133061 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133062 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133063 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133064 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133065 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133066 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133067 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133068 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133069 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133070 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133072 -  ..
133073 - Peripheral neuropathy none in the feet, after not taking statins last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133074 - night - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133076 -  ..
133077 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133078 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133079 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133081 -  ..
133082 - Dizzy - wobbly during 17 mile hike; BPPV treatment at VAMCSF on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133083 - 0730. ref SDS 96 FR8I  Seems associated with shingles vaccination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133084 - yesterday, reported on 200826 1058. ref SDS B0 LX4L  Seems like severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133085 - reaction to injection.  Actually, may just be fatigue hiking 17 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133086 - on hot day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133088 -  ..
133089 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133091 -  ..
133092 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133093 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133095 -  ..
133096 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133098 -  ..
133099 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133100 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133102 -  ..
133103 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133104 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133105 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133106 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133107 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133108 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133109 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133110 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133111 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133112 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133113 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133114 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133115 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133116 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133118 -  ..
133119 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133120 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133122 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133123 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133124 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133125 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133126 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133127 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133128 -        Trapezius right side neck/shoulder...........   8          1  occurred few times today, turning head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133129 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133130 -        Arm left swelled inflamed shingles shot......   1        100  shingles vaccination at VA on 200826                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133131 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133132 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133133 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133134 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133135 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133136 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133137 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133138 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133139 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133140 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133141 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133142 -        Hamstring left leg...........................   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133143 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133144 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133145 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133146 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133147 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133148 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133149 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133150 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133151 -        Metatarsalgia left foot...PRP 191009.........   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133152 -        Metatarsalgia right foot..PRP 191009.........   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133153 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133154 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133155 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133156 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133157 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133158 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133159 -        Blister ring toe left foot...................   0        100  styrofoam pad below blood blister protected from pressure with each step so pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133160 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133161 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133162 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133163 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133164 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133165 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133167 -  ..
133168 - Body feels very tired after hiking 12 miles in 82 degrees at normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133169 - speed, following PRP on 191009 1500. ref SDS 78 0001  Could not eat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133170 - anything, because fasting for lipid blood test; so very low energy on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133171 - hike, making this difficult.
133173 - -
133174 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133175 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133176 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133178 -  ..
133179 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133180 - Little wobbly walking around.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133182 -  ..
133183 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133184 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133185 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133187 -  ..
133188 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133189 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133190 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133191 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133192 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133194 -  ..
133195 - Blister left foot ring toe - used styrofoam tube folded over to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133196 - provide cushion.  This worked perfectly again today, but is difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133197 - to apply, because knee hurts to bend, so can barely reach the toe to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133198 - place tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133200 -  ..
133201 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133202 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133204 -  ..
133205 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133206 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133207 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133209 -  ..
133210 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133211 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133212 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133213 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133214 - ref SDS 77 SM4M  After hike on 200828, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133215 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133216 - ref SDS 0 GA6G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133218 -  ..
133219 - Concord 12 mile route - starting energy okay - wearing Hoka Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133220 - shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133221 - knee injuries.  Wore 2-pair double-ply Wright socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133222 - 1344, ref SDS 79 SM4M, to prevent blisters.  Blister on left foot ring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133223 - toe was isolated with styrofoam pad to prevent repetitive stress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133224 - Worked perfectly.  Took Metoprolol 1 pill 25 mg last night to prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133225 - elevated HR during hike today.  This further minimizes blurred vision                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133226 - side effects while working during the day.  Hiked from Cuneo uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133227 - Treat.  Sky seems less murky than yesterday, with smoke from fire in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133228 - Fairfield Vacaville area.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133229 - Temperature reached 82.  Hiked East normal to fast pace on Treat 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133230 - mile to Clayton.  Not feeling ring toe left foot pain, indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133231 - revised bandage successful.  Turned corner hiking South on Clayton 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133232 - miles at normal to fast pace, mostly on flat concrete sidewalk.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133233 - mile 3.5, turned West onto Ygnacio Valley Road hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133234 - sidewalk another .5 mile.  About mile 4 crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133235 - Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133236 - traffic.  At mile 5, stopped at Texaco gas station - EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133237 - 109 Normal - see below. ref SDS 0 RUYQ  Bought cup with ice and drank                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133238 - water to hydrate; nothing to eat because NPO for lipid lab today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133239 - Hiked .25 mile on Ygnacio Valley Road to Pine Hollow; turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133240 - hiked about 50 yards.  Turned right onto Campus Road.  Hiked 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133241 - West uphill 3% - 4% grade to California Sate University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133242 - campus.  Legs strong going uphill, indicating vasodilation.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133243 - 1-loop of about 1.5 miles through adjoining Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133244 - Parking lots.  At mile 6.5 back at Visitor Parking hiked North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133245 - downhill 3% grade .3 mile to Ygnacio Valley Road.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133246 - Ygnacio Valley Road and hiked West .5 miles past Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133247 - Continued on Ygnacio Valley Road uphill 2% grade past Cowell.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133248 - 7.5 crossed from South side of Ygnacio Valley Road to the North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133249 - in order to avoid severely sloped shoulder on South Side.  On North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133250 - side continued West uphill 3% grade over the summit.  At mile 8 in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133251 - hike beyond the end of concrete barriar crossed back over to South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133252 - side of Ygnacio Valley Road.  Hiked 2 miles West downhill 3% to Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133253 - Grove.  At mile 10 intersection traffic light, crossed Oak Grove and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133254 - continued West .25 mile on asphalt path parallel to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133255 - Road.  Turned right onto Via Monte.  Hiked North .25 mile around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133256 - Safeway shopping complex.  Turned right and hiked East on Shadelands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133257 - .25 mile back to Oak Grove.  Turned left and continued North on Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133258 - Grove 1 mile to Treat, ending hike - 12 miles.  Kathy drove us home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133260 -  ..
133261 - Kardia recorded HR 77 at 0843 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133264 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200830-ecg-084324_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133267 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133270 -  ..
133271 - EKG chart looks inconsistent with some beats extended.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133274 -  ..
133275 - Polar HR GPS study for Concord 12-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133276 - rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133279 -       Date      200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 200611 20  
133280 -       Miles        12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0      0       
133281 -       HR AVG      116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  hsptl  1  
133282 -         MAX       132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA     VA    1  
133283 -         Min        80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                            
133284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133286 -  ..
133287 - HR profile Concord route showing average 116 and max 132 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133288 - temperature 82, hiking Concord route long shallow hills 4% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133289 - expected HR changes, so likely no AF and no atrial flutter, following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133290 - ablation on 200511 0546. ref SDS 94 244I  Pace slower today, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133291 - not eating to comply with fasting requirement for lipid blood test.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133294 -              https://flow.polar.com/training/analysis/5068714976                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133298 -   
133299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133301 -  ..
133302 - EKG at mile 5 HR 109 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133305 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200830-ecg-124151_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133308 -  ..
133309 - EKG looks good - consistent.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133313 -  ..
133314 - EKG 1 minutes after hiking 12 miles HR 129 at 1453 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133315 - Tackycardia...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133318 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200830-ecg-145345_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133321 -  ..
133322 - EKG chart looks surprisingly good - consistent.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133350 -  ..
133351 - Breakfast - cream of wheat rasins few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133352 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133353 - Dinner - half sandwich roast beef onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133355 -  ..
133356 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133362 -         ..
133363 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133364 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133365 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133366 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133367 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133368 -  244.  200831 0700............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133369 -               0745....BP HR..................................................... 113  71  64  Kardia ECG reports HR Normal; looks normal, see below. ref SDS 0 RXWS                                                                                                                                                                                                                                                                                                                                                                                                                                               
133370 -               0750....BP HR..................................................... 116  75  66  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133371 -               0750....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133372 -               0750... 20 976640 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133373 -               0750... 80 204880 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133374 -               0750... 05 2070 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133375 -               0750... 75 5550 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133376 -               0000... Oxycodone HCL Plain  5  220 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133377 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
133378 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133379 -               0750... Gabapentin 300MG  31000MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133380 -               1010....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133381 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133382 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133383 -               1000....miles...........   9.0   9.0  152   152 minutes  temp  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133384 -               0000... Simethicone 80  4320 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133385 -               1305....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133386 -               1410....BP HR..................................................... 126  75  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133387 -               1415....BP HR..................................................... 115  75  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133388 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133389 -               1700... 40 61140 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
133390 -             1 0000............ 10 14130  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133391 -             1 0000............ 10 13720  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133392 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133393 -               2010... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 RXRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133394 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133395 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133396 -               2100... 40 41060 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133397 -               2130... 1000  909000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133398 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133399 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133400 -               2150... 05 2075 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133401 -               2200... 80 204960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133402 -               2320... Simethicone 80  4400 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133403 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133405 -  ..
133406 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133407 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133408 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133409 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133410 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133411 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133412 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133413 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133414 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133415 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133416 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133417 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133418 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133420 -  ..
133421 - Peripheral neuropathy feeling mildly in right foot while working at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133422 - 1640, after taking statins last night, per above. ref SDS 0 KM4O - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133423 - study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133425 -  ..
133426 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133427 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133428 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133430 -  ..
133431 - Dizzy - wobbly during 8 mile hike; BPPV treatment at VAMCSF on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133432 - 0730. ref SDS 96 FR8I  Seems associated with no sleep last night.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133434 -  ..
133435 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133437 -  ..
133438 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133439 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133441 -  ..
133442 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133444 -  ..
133445 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133446 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133448 -  ..
133449 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133450 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133451 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133452 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133453 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133454 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133455 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133456 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133457 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133458 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133459 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133460 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133461 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133462 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133464 -  ..
133465 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133466 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133468 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133469 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133470 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133471 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133472 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133473 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133474 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133475 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133476 -        Arm left swelled inflamed shingles shot......   1        100  shingles vaccination at VA on 200826 inflamation less severe today                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133477 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133478 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133479 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133480 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133481 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133482 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133483 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133484 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133485 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133486 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133487 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133488 -        Hamstring left leg...........................   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133489 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133490 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133491 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133492 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133493 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133494 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133495 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133496 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133497 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133498 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133499 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133500 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133501 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133502 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133503 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133504 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133505 -        Blister ring toe left foot...................   0        100  styrofoam pad below blood blister protected from pressure with each step so pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133506 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133507 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133508 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133509 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133510 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133511 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133513 -  ..
133514 - Body feels okay after hiking 9 miles in 76 degrees at slow speed,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133515 - following PRP on 191009 1500. ref SDS 78 0001
133517 - -
133518 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133519 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133520 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133522 -  ..
133523 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133524 - Little wobbly walking around.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133526 -  ..
133527 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133528 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133529 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133531 -  ..
133532 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133533 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133534 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133535 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133536 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133538 -  ..
133539 - Blister left foot ring toe - used styrofoam tube folded over to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133540 - provide cushion.  This worked perfectly again today, but is difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133541 - to apply, because knee hurts to bend, so can barely reach the toe to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133542 - place tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133544 -  ..
133545 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133546 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133548 -  ..
133549 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133550 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133551 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133553 -  ..
133554 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133555 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133556 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133557 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133558 - ref SDS 77 SM4M  After hike on 200831, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133559 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133560 - ref SDS 0 EW5M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133562 -  ..
133563 - Concord 9 mile route - starting energy okay - wearing Hoka Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133564 - shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133565 - knee injuries.  Wore 2-pair double-ply Wright socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133566 - 1344, ref SDS 79 SM4M, to prevent blisters.  Blister on left foot ring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133567 - toe was isolated with styrofoam pad to prevent repetitive stress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133568 - Worked perfectly.  Did not take Metoprolol 1 pill 25 mg last night to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133569 - prevent elevated HR during hike today.  This avoids side effects of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133570 - lowering HDL and blurred vision.  Hiked from Cuneo uphill to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133571 - Sky seems less murky than yesterday, with smoke from fire in Fairfield                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133572 - Vacaville area.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133573 - Temperature reached 82.  Hiked East normal to fast pace on Treat 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133574 - mile to Clayton.  Not feeling ring toe left foot pain, indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133575 - revised bandage successful.  Turned corner hiking South on Clayton 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133576 - miles at normal to fast pace, mostly on flat concrete sidewalk.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133577 - mile 3.5, turned West onto Ygnacio Valley Road hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133578 - sidewalk another .5 mile.  About mile 4 crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133579 - Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133580 - traffic.  At mile 5, stopped at Texaco gas station - EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133581 - 109 Normal - see below. ref SDS 0 RUYQ  Bought cup with ice and drank                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133582 - water to hydrate; nothing to eat because NPO for lipid lab today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133583 - Hiked .25 mile on Ygnacio Valley Road to Pine Hollow; turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133584 - hiked about 50 yards.  Turned right onto Campus Road.  Hiked 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133585 - West uphill 3% - 4% grade to California Sate University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133586 - campus.  Legs strong going uphill, indicating vasodilation.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133587 - 1-loop of about 3 miles through adjoining Faculty and Student Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133588 - lots.  At mile 8.5 back at Visitor Parking hiked North downhill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133589 - grade .3 mile to Ygnacio Valley Road - 9 miles.  Feeling very wobbly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133590 - due to no sleep last night.  Too dangerous to hike on roads with high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133591 - traffic volume.  Kathy drove us home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133593 -  ..
133594 - Kardia recorded HR 66 at 0658 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133597 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200831-ecg-065817_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133600 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133603 -  ..
133604 - EKG chart looks perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133607 -  ..
133608 - Polar HR GPS study for Concord 12-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133609 - rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133612 -       Date      200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 20  
133613 -       Miles         9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0       
133614 -       HR AVG      113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  h  
133615 -         MAX       124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA       
133616 -         Min        94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90                     
133617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133619 -  ..
133620 - HR profile Concord route showing average 113 and max 124 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133621 - temperature 76, hiking Concord route long shallow hills 4% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133622 - expected HR changes, so likely no AF and no atrial flutter, following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133623 - ablation on 200511 0546. ref SDS 94 244I  Pace slower today, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133624 - no sleep last night.  HR low despite not taking metoprolol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133625 - ref SDS 0 KM4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133628 -              https://flow.polar.com/training/analysis/5072074556                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133632 -   
133633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133635 -  ..
133636 - EKG at mile 5 HR 112 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133639 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200831-ecg-111647_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133642 -  ..
133643 - EKG looks raggedy but consistent without taking metoprolol last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133644 - per above. ref SDS 0 KM4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133648 -  ..
133649 - EKG 30 minutes after hiking 9 miles HR 99 at 1255 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133650 - Normal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133653 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200831-ecg-125500_mile_09.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133656 -  ..
133657 - EKG chart looks surprisingly good - consistent despite not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133658 - metoprolol last night, per above. ref SDS 0 KM4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133686 -  ..
133687 - Breakfast - pancake sausage with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133688 - Lunch - half sandwich roast beef onion cheese avocado - few bites,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133689 - banana                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133690 - Dinner - meatloaf potatoes broccoli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133692 -  ..
133693 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133699 -         ..
133700 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133701 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133702 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133703 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133704 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133705 -  245.  200901 0700............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133706 -               0745....BP HR..................................................... 139  79  68  Kardia ECG reports HR Normal, see below. ref SDS 0 SQXV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133707 -               0750....BP HR..................................................... 133  76  66  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133708 -               0750....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133709 -               0750... 20 976660 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133710 -               0750... 80 205040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133711 -               0750... 05 2080 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133712 -               0750... 75 5625 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133713 -               0000... Oxycodone HCL Plain  5  220 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133714 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
133715 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133716 -               0750... Gabapentin 300MG  31300MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133717 -               1010....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133718 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133719 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133720 -         * cr  0940....miles...........  14.0  23.0  233   385 minutes  temp  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133721 -               1220... Simethicone 80  4480 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133722 -               1305....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133723 -               1410....BP HR..................................................... 116  72 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133724 -               1415....BP HR..................................................... 119  71 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133725 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133726 -               1700... 40 61180 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
133727 -               1830............ 10 14140  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133728 -               1830............ 10 13730  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133729 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133730 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133731 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133732 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133733 -               2100... 40 41100 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133734 -               2130... 1000  910000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133735 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133736 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133737 -               2150... 05 2085 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133738 -               2200... 80 205120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133739 -               0000... Simethicone 80  4400 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133740 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133742 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133743 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133744 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133745 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133746 - at top of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133747 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133748 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133749 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133751 -  ..
133752 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133753 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133754 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133755 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133756 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133757 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133758 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133759 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133760 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133761 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133762 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133763 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133764 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133766 -  ..
133767 - Peripheral neuropathy no episodes today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133769 -  ..
133770 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133771 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133772 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133774 -  ..
133775 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133777 -  ..
133778 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133779 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133781 -  ..
133782 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133784 -  ..
133785 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133786 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133788 -  ..
133789 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133790 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133791 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133792 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133793 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133794 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133795 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133796 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133797 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133798 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133799 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133800 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133801 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133802 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133804 -  ..
133805 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133806 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133808 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133809 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133810 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133811 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133812 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133813 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133814 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133815 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133816 -        Arm left swelled inflamed shingles shot......   1        100  shingles vaccination at VA on 200826 inflamation much less severe today                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133817 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133818 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133819 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133820 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133821 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133822 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133823 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133824 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133825 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133826 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133827 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133828 -        Hamstring left leg...........................   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133829 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133830 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133831 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133832 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133833 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133834 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133835 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133836 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133837 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133838 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133839 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133840 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133841 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133842 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133843 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133844 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133845 -        Blister ring toe left foot...................   0        100  styrofoam pad below blood blister protected from pressure with each step so pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133846 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133847 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133848 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133849 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133850 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133851 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133853 -  ..
133854 - Body feels okay after hiking 14 miles in 76 degrees at normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133855 - speed, following PRP on 191009 1500. ref SDS 78 0001
133857 - -
133858 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133859 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133860 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133862 -  ..
133863 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133865 -  ..
133866 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133867 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133868 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133870 -  ..
133871 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133872 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133873 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133874 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133875 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133877 -  ..
133878 - Blister left foot ring toe - used styrofoam tube folded over to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133879 - provide cushion.  This worked perfectly again today, but is difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133880 - to apply, because knee hurts to bend, so can barely reach the toe to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133881 - place tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133883 -  ..
133884 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133885 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133887 -  ..
133888 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133889 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133890 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133892 -  ..
133893 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133894 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133895 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133896 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133897 - ref SDS 77 SM4M  After hike on 200831, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133898 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133900 -  ..
133901 - Concord 14 mile route - starting energy okay - wearing Hoka Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133902 - shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133903 - knee injuries.  Wore 2-pair double-ply Wright socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133904 - 1344, ref SDS 79 SM4M, to prevent blisters.  Blister on left foot ring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133905 - toe was isolated with styrofoam pad to prevent repetitive stress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133906 - Worked perfectly.  Did not take Metoprolol 1 pill 25 mg last night to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133907 - prevent elevated HR during hike today.  This avoids side effects of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133908 - lowering HDL and blurred vision.  Hiked from Cuneo uphill to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133909 - Sky still murky like yesterday, with smoke from fire in Fairfield                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133910 - Vacaville area.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133911 - Temperature reached 81, but starting and for most of hike temperatue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133912 - was about 76, with cool breeze.  Hiked East fast pace on Treat 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133913 - to Clayton.  Time 19 minutes for 1.25 miles.  Turned corner hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133914 - South on Clayton 2 miles at faster pace, mostly on flat concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133915 - sidewalk.  At mile 3.5, turned West onto Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133916 - concrete sidewalk another .5 mile.  About mile 4 crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133917 - Ygnacio Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133918 - traffic.  At mile 5, stopped at Texaco gas station - EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133919 - 112 Normal - see below. ref SDS 0 SRRX  Increased HR reflects faster                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133920 - pace today.  Bought Cylipso Lemonade to hydrate, and banana for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133921 - energy.  Hiked .25 mile on Ygnacio Valley Road to Pine Hollow; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133922 - left and hiked about 50 yards.  Turned right onto Campus Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133923 - 1-mile West uphill 3% - 4% grade to California Sate University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133924 - Bay campus.  Legs strong going uphill, indicating vasodilation.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133925 - 1-loop of about 2 miles through adjoining Faculty and Student Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133926 - lots.  Saw Lisa in Student Parking - she was training 1 dog; the rest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133927 - were in her van.  Just waved and said hello.  At mile 7, back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133928 - Visitor Parking hiked North downhill 3% grade .3 mile to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133929 - Valley Road.  Turned left and hiked West .5 mile on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133930 - Road flat pavement.  At mile 7.5 turned South and hiked 1 mile up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133931 - steep hill 5% grade on Crystal Ranch Road.  Hiked another mile on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133932 - pavement through residential area; then downhill .5 mile past Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133933 - Woods Way, and up another steep hill 5% grade .5 mile to the end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133934 - Crystal Ranch Road - mile 10 in the hike.  Handled these hills well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133935 - maintaining speed and breathing easily through nose all the way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133936 - Hiked back downhill on Crystal Ranch Road.  Turned East on Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133937 - Woods Way.  Hiked up steep hill 5% grade .33 mile.  Crossing the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133938 - summit saw Paloma hiking on the other side of the street headed West.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133939 - She was wearing a mask.  We visited for a few minutes - she seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133940 - well.  Continued downhill and turned North onto Pine Hillow.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133941 - mile to Ygnacio Valley Road.  Mile 12.5, stopped at Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133942 - again - EKG failed to report HR ___, reported Unclassified - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133943 - below. ref SDS 0 J46O  Bought softdrink and BBQ chips.  A woman said                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133944 - hello.  She introduced herself as Joann, and said she passes me in her                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133945 - car and waves sometimes on Crystal Ranch Road.  Continued hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133946 - Ygnacio Valley Road to Pine Hollow; turned left and hiked about 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133947 - yards.  Turned right onto Campus Road.  Hiked 1-mile West uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133948 - 4% grade to California Sate University East Bay campus.  Called Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133949 - - she has to depart for Sacramento, so took Campus Drive North .33                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133950 - mile downhill to Ygnacio Valley Road.  Turned left and hiked West .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133951 - mile to Crystal Ranch Road.  Kathy had not arrived yet; so, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133952 - left and hiked South .5 mile uphill 5% grade.  Kathy arrived and drove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133953 - us home - 14 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133955 -  ..
133956 - Kardia recorded HR 71 at 0730 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133959 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200901-ecg-073014_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133962 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133965 -  ..
133966 - EKG chart looks perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133969 -  ..
133970 - Polar HR GPS study for Concord 14-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133971 - rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133974 -       Date      200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 20  
133975 -       Miles        14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0       
133976 -       HR AVG      118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  h  
133977 -         MAX       144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA       
133978 -         Min        87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90              
133979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133981 -  ..
133982 - HR profile Concord route showing average 114 and max 144 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133983 - temperature 76, hiking Concord route long shallow hills 5% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133984 - expected HR changes, so likely no AF and no atrial flutter, following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133985 - ablation on 200511 0546. ref SDS 94 244I  HR elevated after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133986 - metoprolol. ref SDS 0 EW5M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133989 -              https://flow.polar.com/training/analysis/5076269646                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133993 -   
133994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133996 -  ..
133997 - EKG at mile 5 HR 112 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134001 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200901-ecg-105929_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134004 -  ..
134005 - EKG looks raggedy but consistent without taking metoprolol last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134006 - per above. ref SDS 0 EW5M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134010 -  ..
134011 - EKG at mile 12 HR ___ - Kardia reported Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134015 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200901-ecg-133217_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134018 -  ..
134019 - EKG looks raggedy but consistent without taking metoprolol last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134020 - per above. ref SDS 0 EW5M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134024 -  ..
134025 - EKG 30 minutes after hiking 14 miles HR __ at 1437 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134026 - Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134029 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200901-ecg-143743_mile_14.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134032 -  ..
134033 - EKG chart looks surprisingly good - consistent despite not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134034 - metoprolol last night, per above. ref SDS 0 EW5M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134038 -  ..
134039 - EKG 90 minutes after hiking 14 miles HR 87 at 1524 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134040 - possible atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134043 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200901-ecg-152426_mile_14.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134046 -  ..
134047 - EKG chart looks surprisingly good - consistent despite not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134048 - metoprolol last night, per above. ref SDS 0 EW5M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134052 -  ..
134053 - HR profile post-hike beginning 1811 until next day OA 0700 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134054 - mostly steady heart beat 72 +/-.  Max HR 143 and minimum HR 36 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134055 - with indoor activity; 1 spike above 130 may indicate atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134056 - fibrillatin (AF), while recovering from ablation procedures.  This may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134057 - increase exposure to ischemic colitis, reported on 200612 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134058 - ref SDS A2 RK6F  Higher HR profile today, may reflect not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134059 - metoprolol succinct in order avoid beta blocker lowering HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134061 -        ..
134062 -       Date      200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 200612 20  
134063 -        Hours       13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14     14     14            12      7      7     15                                 16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0      0       
134064 -       HR AVG       72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63     64     72     no     75     73     75     69     no     no     no    123    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  hsptl  h  
134065 -         MAX       143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154    126    141  report   129     95    130    131  report report report   145    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA     VA       
134066 -         Min        36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39     37     51            56     51     47     44                          96     96     82                                94     94     85     88     85     92     94            93            88     90                     
134067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134069 -              https://flow.polar.com/training/analysis/5078640646                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134073 -   
134074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134077 -  ..
134078 - Breakfast - ensure cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134079 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134080 - Dinner - pasta hamburger broccoli onion, ice cream milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134082 -  ..
134083 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134088 -         ..
134089 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134090 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134091 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134092 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134093 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134094 -  246.  200902 0700............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134095 -               0745....BP HR..................................................... 139  78  56  Kardia ECG reports HR Normal, see below. ref SDS 0 SUXR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134096 -               0750....BP HR..................................................... 132  75  54  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134097 -               0750....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134098 -               0750... 20 976680 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134099 -               0750... 80 205200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134100 -               0750... 05 2090 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134101 -               0750... 75 5700 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134102 -               0000... Oxycodone HCL Plain  5  220 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134103 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
134104 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134105 -               0750... Gabapentin 300MG  31600MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134106 -               1010....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134107 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134108 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134109 -          * cr 1130....miles...........  19.0  42.0  321   706 minutes  temp  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134110 -               1500... Simethicone 80  4560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134111 -               1740....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134112 -               1750....BP HR..................................................... 121  78 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134113 -               1755....BP HR..................................................... 130  79  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134114 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134115 -               1700... 40 61220 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
134116 -             1 0000............ 10 14140  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134117 -             1 0000............ 10 13730  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134118 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134119 -               2050... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134120 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134121 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134122 -               2100... 40 41140 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134123 -               2130... 1000  911000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134124 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134125 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134126 -               2150... 05 2095 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134127 -               2200... 80 205280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134128 -               0000... Simethicone 80  4560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134129 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134131 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134132 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134133 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134134 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134135 - at top of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134136 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134137 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134138 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134140 -  ..
134141 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134142 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134143 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134144 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134145 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134146 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134147 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134148 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134149 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134150 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134151 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134152 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134153 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134155 -  ..
134156 - Peripheral neuropathy feeling mildly in right foot after starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134157 - on Treat about mile .3, after taking statins last night, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134158 - ref SDS 0 KY8K - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134160 -  ..
134161 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134162 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134163 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134165 -  ..
134166 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134168 -  ..
134169 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134170 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134172 -  ..
134173 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134175 -  ..
134176 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134177 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134179 -  ..
134180 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134181 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134182 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134183 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134184 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134185 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134186 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134187 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134188 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134189 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134190 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134191 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134192 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134193 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134195 -  ..
134196 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134197 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134199 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134200 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134201 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134202 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134203 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134204 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134205 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134206 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134207 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134208 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134209 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134210 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134211 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134212 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134213 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134214 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134215 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134216 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134217 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134218 -        Hamstring tendon left leg.PRP 191009.........   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134219 -        Hamstring left leg...........................   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134220 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134221 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134222 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134223 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134224 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134225 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134226 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134227 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134228 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134229 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134230 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134231 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134232 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134233 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134234 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134235 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134236 -        Blister ring toe left foot...................   0        100  styrofoam pad below blood blister protected from pressure with each step so pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134237 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134238 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134239 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134240 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134241 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134242 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134244 -  ..
134245 - Body feels okay after hiking 19 miles in 77 degrees at normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134246 - speed, following PRP on 191009 1500. ref SDS 78 0001
134248 - -
134249 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134250 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134251 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134253 -  ..
134254 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134256 -  ..
134257 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134258 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134259 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134261 -  ..
134262 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134263 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134264 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134265 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134266 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134268 -  ..
134269 - Blister left foot ring toe - used styrofoam tube folded over to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134270 - provide cushion.  This worked perfectly again today, but is difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134271 - to apply, because knee hurts to bend, so can barely reach the toe to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134272 - place tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134274 -  ..
134275 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134276 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134278 -  ..
134279 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134280 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134281 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134283 -  ..
134284 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134285 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134286 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134287 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134288 - ref SDS 77 SM4M  After hike on 200902, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134289 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134290 - ref SDS 0 HD6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134292 -  ..
134293 - Concord 19 mile route - starting energy okay - wearing Hoka Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134294 - shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134295 - knee injuries.  Wore 2-pair double-ply Wright socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134296 - 1344, ref SDS 79 SM4M, to prevent blisters.  Blister on left foot ring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134297 - toe was isolated with styrofoam pad to prevent repetitive stress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134298 - Worked perfectly.  Did not take Metoprolol 1 pill 25 mg last night to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134299 - prevent elevated HR during hike today.  This avoids side effects of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134300 - lowering HDL and blurred vision.  Hiked from Cuneo uphill to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134301 - Sky still murky like yesterday, with smoke from fire in Fairfield                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134302 - Vacaville area.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134303 - Temperature reached 77, but starting and for most of hike temperatue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134304 - was about 70, with cool breeze.  Hiked East fast pace on Treat 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134305 - to Clayton.  Time 19 minutes for 1.25 miles.  Turned corner hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134306 - South on Clayton 2 miles at faster pace, mostly on flat concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134307 - sidewalk.  At mile 3.5, turned West onto Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134308 - concrete sidewalk another .5 mile.  About mile 4 crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134309 - Ygnacio Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134310 - traffic.  At mile 5, stopped at Texaco gas station - EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134311 - 107 Tachycardia - see below. ref SDS 0 SVRS  Decreased HR reflects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134312 - improving heart condition.  Bought softdrink to hydrate, and banana                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134313 - for energy.  Hiked .25 mile on Ygnacio Valley Road to Pine Hollow;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134314 - turned left and hiked about 50 yards.  Turned right onto Campus Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134315 - Hiked 1-mile West uphill 3% - 4% grade to California Sate University                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134316 - East Bay campus.  Legs strong going uphill, indicating vasodilation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134317 - Hiked 1-loop of about 1.5 miles through adjoining Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134318 - Parking lots.  At mile 7, back at Visitor Parking hiked North downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134319 - 3% grade .3 mile to Ygnacio Valley Road.  Turned left and hiked West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134320 - .5 mile on Ygnacio Valley Road flat pavement.  At mile 7.5 turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134321 - South and hiked 1 mile up steep hill 5% grade on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134322 - Hiked another mile on flat pavement through residential area; then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134323 - downhill .5 mile past Rolling Woods Way, and up another steep hill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134324 - grade .5 mile to the end of Crystal Ranch Road - mile 10 in the hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134325 - Handled these hills well maintaining speed and breathing easily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134326 - through nose all the way.  Hiked back downhill on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134327 - Turned East on Rolling Woods Way.  Hiked up steep hill 5% grade .33                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134328 - mile, then downhill and turned North onto Pine Hillow.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134329 - to Ygnacio Valley Road.  Mile 12.5, stopped at Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134330 - again - EKG reported HR 118, reported Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134331 - ref SDS 0 SVSW  Bought Cylpso Lemonade and Dorito chips.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134332 - hike on Ygnacio Valley Road to Pine Hollow; turned left and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134333 - about 50 yards.  Turned right onto Campus Road.  Hiked 1-mile West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134334 - uphill 3% - 4% grade to California Sate University East Bay campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134335 - Considered going for 2nd 8-mile loop on Crystal Ranch Road.  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134336 - hurting, so decided to defer.  Hiked 2-loops of about 3 miles through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134337 - adjoining Faculty and Student Parking lots; added sub-loops of .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134338 - mile.  Back at Visitor Parking mile 15.5, took Campus Drive North .33                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134339 - mile downhill to Ygnacio Valley Road.  Feet hurting on long downhill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134340 - endorphins helped ignore pain.  Turned left onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134341 - and hiked West .5 miles past Crystal Ranch Road.  Continued West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134342 - Ygnacio Valley Road uphill 2% grade past Cowell.  At mile 16 crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134343 - from South side of Ygnacio Valley Road to the North side in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134344 - avoid severely sloped shoulder on South Side.  On North side continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134345 - West uphill 3% grade over the summit and past concrete traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134346 - seperation barriar.  At mile 17 turned around and hiked East 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134347 - uphill 3% grade over the summit again, then downhill.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134348 - onto Cowell and hiked North downhill 3% grade 1 mile to Treat.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134349 - West on Treat to Cuneo and home for 19 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134351 -  ..
134352 - Kardia recorded HR 64 at 0902 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134355 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200902-ecg-090249_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134358 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134361 -  ..
134362 - EKG chart looks perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134365 -  ..
134366 - Polar HR GPS study for Concord 19-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134367 - rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134370 -       Date      200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 20  
134371 -       Miles        19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8       
134372 -       HR AVG      118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    h  
134373 -         MAX       141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128       
134374 -         Min        74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88     90       
134375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134377 -  ..
134378 - HR profile Concord route showing average 118 and max 141 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134379 - temperature 77, hiking Concord route long shallow hills 5% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134380 - expected HR changes, so likely no AF and no atrial flutter, following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134381 - ablation on 200511 0546. ref SDS 94 244I  HR elevated slightly after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134382 - not taking metoprolol. ref SDS 0 KY8K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134385 -              https://flow.polar.com/training/analysis/5080371366                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134389 -   
134390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134392 -  ..
134393 - EKG at mile 5 HR 107 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134397 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200902-ecg-124814_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134400 -  ..
134401 - EKG looks raggedy but consistent without taking metoprolol last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134402 - per above. ref SDS 0 KY8K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134406 -  ..
134407 - EKG at mile 12 HR 118 - Kardia reported Tachycardio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134411 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200902-ecg-150803_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134414 -  ..
134415 - EKG looks raggedy but very consistent without taking metoprolol last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134416 - night, per above. ref SDS 0 KY8K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134420 -  ..
134421 - EKG 5 minutes after hiking 19 miles HR 116at 1729 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134422 - Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134425 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200902-ecg-172937_mile_19.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134428 -  ..
134429 - EKG chart looks surprisingly good - consistent despite not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134430 - metoprolol last night, per above. ref SDS 0 KY8K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134434 -  ..
134435 - EKG 90 minutes after hiking 14 miles HR 87 at 1524 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134436 - possible atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134439 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200901-ecg-152426_mile_14.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134442 -  ..
134443 - EKG chart looks surprisingly good - consistent despite not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134444 - metoprolol last night, per above. ref SDS 0 EW5M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134448 -  ..
134449 - HR profile post-hike beginning 1810 until next day OA 0600 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134450 - mostly steady heart beat 73 +/-.  Max HR 139 and minimum HR 41 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134451 - with indoor activity; 1 spike above 130 may not indicate atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134452 - fibrillatin (AF), while recovering from ablation procedures.  This may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134453 - decrease exposure to ischemic colitis, reported on 200612 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134454 - ref SDS A2 RK6F  Higher HR profile today, may reflect not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134455 - metoprolol succinct in order avoid beta blocker lowering HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134457 -        ..
134458 -       Date      200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 200614 200613 20  
134459 -        Hours       12     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14     14     14            12      7      7     15                                 16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10      8      0       
134460 -       HR AVG       73     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63     64     72     no     75     73     75     69     no     no     no    123    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    115    hsptl  h  
134461 -         MAX       139    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154    126    141  report   129     95    130    131  report report report   145    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    128     VA       
134462 -         Min        41     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39     37     51            56     51     47     44                          96     96     82                                94     94     85     88     85     92     94            93            88     90              
134463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134465 -              https://flow.polar.com/training/analysis/5081920916                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134469 -   
134470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134473 -  ..
134474 - Breakfast - ensure cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134475 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134476 - Dinner - avocado broccoli tomato onion cottage cheese - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134478 -  ..
134479 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134486 -         ..
134487 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134488 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134489 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134490 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134491 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134492 -  247.  200903 0610............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134493 -               0745....BP HR..................................................... 114  72  76  Kardia ECG reports HR Normal, see below. ref SDS 0 SYWP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134494 -               0750....BP HR..................................................... 126  77  75  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134495 -               0750....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134496 -               0750... 20 976700 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134497 -               0750... 80 205360 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134498 -               0750... 05 2100 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134499 -               0750... 75 5775 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134500 -               0000... Oxycodone HCL Plain  5  220 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134501 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
134502 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134503 -               0750... Gabapentin 300MG  31900MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134504 -               1010....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134505 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134506 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134507 -               1025....miles...........  14.0  56.0  238   944 minutes  temp  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134508 -               0000... Simethicone 80  4560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134509 -               1500....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134510 -               1530....BP HR..................................................... 123  76  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134511 -               1535....BP HR..................................................... 119  67  79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134512 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134513 -               1700... 40 61260 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
134514 -               1830............ 10 14150  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134515 -               1830............ 10 13740  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134516 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134517 -               1940... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134518 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134519 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134520 -               2100... 40 41180 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134521 -               2130... 1000  912000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134522 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134523 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134524 -               2150... 05 2105 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134525 -               2200... 80 205440 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134526 -               0000... Simethicone 80  4560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134527 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134529 -  ..
134530 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134531 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134532 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134533 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134534 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134535 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134536 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134537 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134538 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134539 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134540 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134541 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134542 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134544 -  ..
134545 - Peripheral neuropathy mild episode taking shower this morning, even                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134546 - after not taking statins last night, per above, ref SDS 0 HD6K - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134547 - study on 200101 0701. ref SDS 83 PXSS  Near end of hike on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134548 - feeling right foot slightly swelled.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134550 -  ..
134551 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134552 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134553 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134555 -  ..
134556 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134558 -  ..
134559 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134560 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134562 -  ..
134563 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134565 -  ..
134566 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134567 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134569 -  ..
134570 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134571 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134572 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134573 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134574 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134575 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134576 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134577 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134578 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134579 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134580 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134581 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134582 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134583 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134585 -  ..
134586 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134587 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134589 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134590 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134591 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134592 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134593 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134594 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134595 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134596 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134597 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134598 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134599 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134600 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134601 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134602 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134603 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134604 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134605 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134606 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134607 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134608 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134609 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134610 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134611 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134612 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134613 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134614 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134615 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134616 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134617 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134618 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134619 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134620 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134621 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134622 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134623 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134624 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134625 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134626 -        Blister ring toe left foot...................   0        100  styrofoam pad below blood blister protected from pressure with each step so pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134627 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134628 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134629 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134630 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134631 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134632 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134634 -  ..
134635 - Body feels okay after hiking 14 miles in 80 degrees at normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134636 - speed, following PRP on 191009 1500. ref SDS 78 0001
134638 - -
134639 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134640 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134641 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134643 -  ..
134644 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134646 -  ..
134647 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134648 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134649 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134651 -  ..
134652 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134653 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134654 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134655 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134656 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134658 -  ..
134659 - Blister left foot ring toe - used styrofoam tube folded over to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134660 - provide cushion.  This worked perfectly again today, but is difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134661 - to apply, because knee hurts to bend, so can barely reach the toe to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134662 - place tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134664 -  ..
134665 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134666 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134668 -  ..
134669 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134670 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134671 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134673 -  ..
134674 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134675 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134676 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134677 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134678 - ref SDS 77 SM4M  After hike on 200903, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134679 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134681 -  ..
134682 - Concord 14 mile route - starting energy okay - wearing Hoka Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134683 - shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134684 - knee injuries.  Wore 2-pair double-ply Wright socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134685 - 1344, ref SDS 79 SM4M, to prevent blisters.  Blister on left foot ring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134686 - toe was isolated with styrofoam pad to prevent repetitive stress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134687 - Worked perfectly.  Did not take Metoprolol 1 pill 25 mg last night to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134688 - prevent elevated HR during hike today.  This avoids side effects of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134689 - lowering HDL and blurred vision.  Hiked from Cuneo uphill to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134690 - Sky still murky - seems better than yesterday.  Breathed easily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134691 - through nose entire hike.  Temperature reached 77, but starting and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134692 - for most of hike temperatue was about 70, with cool breeze.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134693 - East fast pace on Treat 1 mile to Clayton.  Time 19 minutes for 1.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134694 - miles.  Turned corner hiking South on Clayton 2 miles at faster pace,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134695 - mostly on flat concrete sidewalk.  At mile 3.5, turned West onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134696 - Ygnacio Valley Road hiking on concrete sidewalk another .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134697 - About mile 4 crossed to South side Ygnacio Valley Road hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134698 - asphalt shoulder aganist East bound traffic.  At mile 5, stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134699 - Texaco gas station - EKG reported HR 109 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134700 - ref SDS 0 TPQQ  Bought softdrink to hydrate, and cookie for energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134701 - Ate only few bites of cookie - too sweet.  Hiked .25 mile on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134702 - Valley Road to Pine Hollow; turned left and hiked about 50 yards.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134703 - Turned right onto Campus Road.  Hiked 1-mile West uphill 3% - 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134704 - to California Sate University East Bay campus.  Legs strong going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134705 - uphill, indicating vasodilation.  Hiked 1-loop of about 1.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134706 - through adjoining Faculty and Student Parking lots.  At mile 7, back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134707 - at Visitor Parking hiked North downhill 3% grade .3 mile to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134708 - Valley Road.  Turned left and hiked West .5 mile on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134709 - Road flat pavement.  At mile 7.5 continued past Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134710 - West on Ygnacio Valley Road uphill 2% grade past Cowell.  At mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134711 - crossed from South side of Ygnacio Valley Road to the North side in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134712 - order to avoid severely sloped shoulder on South Side.  On North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134713 - continued West uphill 3% grade over the summit and past concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134714 - traffic seperation barriar.  At mile 8.5 crossed back from North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134715 - South Side Ygnacio Valley Road, and continued downhill 2% grade 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134716 - miles.  Crossed over Oak Grove at traffic light.  Hiked on paved path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134717 - parallel to Ygnacio Valley Road .25 mile.  Turned right and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134718 - North on Via Monte .25 mile around Safeway shopping complex.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134719 - right and hiked .25 mile on Shadelands.  Turned left onto Oak Grove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134720 - and hiked North 1 mile to Treat.  Crossed traffic light and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134721 - right.  Hiked East 1 mile on Treat to San Migeal.  Along concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134722 - sidewalk seemed to feel right foot slightly swelled - symptom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134723 - peripheral neuropathy even though no "pins and needles." Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134724 - Treat hiking uphill 3% grade .5 mile, then hiked final .5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134726 -  ..
134727 - Kardia recorded HR 68 at 0617 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134730 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200903-ecg-061704_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134733 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134736 -  ..
134737 - EKG chart looks okay; some beats seem in 50s, and some are rageddy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134740 -  ..
134741 - Polar HR GPS study for Concord 14-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134742 - rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134745 -       Date      200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 20  
134746 -       Miles        14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10       
134747 -       HR AVG      115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    1  
134748 -         MAX       136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    1  
134749 -         Min        78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93            88       
134750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134752 -  ..
134753 - HR profile Concord route showing average 118 and max 141 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134754 - temperature 80, hiking Concord route long shallow hills 5% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134755 - expected HR changes, so likely no AF and no atrial flutter, following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134756 - ablation on 200511 0546. ref SDS 94 244I  HR elevated slightly after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134757 - not taking metoprolol. ref SDS 0 2T4M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134760 -              https://flow.polar.com/training/analysis/5083863821                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134764 -   
134765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134767 -  ..
134768 - EKG at mile 5 HR 109 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134772 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200903-ecg-114525_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134775 -  ..
134776 - EKG looks very raggedy but consistent without taking metoprolol last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134777 - night, per above. ref SDS 0 HD6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134780 -  ..
134781 - EKG 5 minutes after hiking 14 miles HR 118 at 1448 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134782 - Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134785 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200903-ecg-144830_mile_14.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134788 -  ..
134789 - EKG chart looks surprisingly good - consistent despite not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134790 - metoprolol last night, per above. ref SDS 0 HD6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134794 -  ..
134795 - EKG 90 minutes after hiking 14 miles HR 87 at 1524 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134796 - possible atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134799 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200901-ecg-152426_mile_14.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134802 -  ..
134803 - EKG chart looks surprisingly good - consistent despite not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134804 - metoprolol last night, per above. ref SDS 0 EW5M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134834 -  ..
134835 - Breakfast - ensure cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134836 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134837 - Dinner - avocado broccoli tomato onion cottage cheese - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134839 -  ..
134840 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134847 -         ..
134848 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134849 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134850 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134851 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134852 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134853 -  248.  200904 0800............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134854 -               0920....BP HR..................................................... 133  80  76  Kardia ECG reports HR Normal, see below. ref SDS 0 TSSW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134855 -               0925....BP HR..................................................... 131  81  77  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134856 -               0930....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134857 -               0930... 20 976720 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134858 -               0930... 80 205520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134859 -               0930... 05 2110 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134860 -               0930... 75 5850 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134861 -               0000... Oxycodone HCL Plain  5  220 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134862 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
134863 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134864 -               0030... Gabapentin 300MG  32200MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134865 -               1000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134866 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134867 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134868 -          * cr 1100....miles...........  18.0  74.0  308  1252 minutes  temp  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134869 -               1500... Simethicone 80  4640 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134870 -               1700....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134871 -               1710....BP HR.....................................................  95  73 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134872 -               1715....BP HR..................................................... 102  75 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134873 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134874 -               1700... 40 61260 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
134875 -             1 0000............ 10 14150  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134876 -             1 0000............ 10 13740  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134877 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134878 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134879 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134880 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134881 -               2100... 40 41220 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134882 -               2130... 1000  913000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134883 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134884 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134885 -               2150... 05 2115 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134886 -               2200... 80 205600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134887 -               0000... Simethicone 80  4640 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134888 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134890 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134891 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134892 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134893 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134894 - at top of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134895 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134896 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134897 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134899 -  ..
134900 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134901 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134902 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134903 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134904 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134905 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134906 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134907 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134908 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134909 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134910 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134911 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134912 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134914 -  ..
134915 - Peripheral neuropathy feeling starting hike turning onto Cuneo after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134916 - taking statins last night, per above, ref SDS 0 2T4M, - see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134917 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134919 -  ..
134920 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134921 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134922 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134924 -  ..
134925 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134927 -  ..
134928 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134929 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134931 -  ..
134932 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134934 -  ..
134935 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134936 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134938 -  ..
134939 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134940 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134941 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134942 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134943 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134944 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134945 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134946 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134947 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134948 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134949 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134950 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134951 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134952 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134954 -  ..
134955 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134956 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134958 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134959 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134960 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134961 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134962 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134963 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134964 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134965 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134966 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134967 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134968 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134969 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134970 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134971 -        Knee left meniscus...PRP 191009..............   2          5  hiking down Campus Drive from college to Ygnacio Valley Road, again going downhill on Crystal Ranch Road past Rollinw Woods Way                                                                                                                                                                                                                                                                                                                                                                                                              
134972 -        Knee left patalla...PRP 191009...............   2          5  hiking down Campus Drive from college to Ygnacio Valley Road, again going downhill on Crystal Ranch Road past Rollinw Woods Way                                                                                                                                                                                                                                                                                                                                                                                                              
134973 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134974 -        Knee left cruciate ligaments back of knee....   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134975 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134976 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134977 -        Hamstring tendon left leg.PRP 191009.........   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134978 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134979 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134980 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134981 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134982 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134983 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134984 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134985 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134986 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134987 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134988 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134989 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134990 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134991 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134992 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134993 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134994 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134995 -        Blister ring toe left foot...................   0        100  styrofoam pad below blood blister protected from pressure with each step so pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134996 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134997 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134998 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134999 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135000 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135001 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135003 -  ..
135004 - Body feels wasted after hiking 18 miles in 90 degrees at normal speed,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135005 - following PRP on 191009 1500. ref SDS 78 0001
135007 - -
135008 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135009 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135010 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135012 -  ..
135013 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135015 -  ..
135016 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135017 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135018 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135020 -  ..
135021 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135022 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135023 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135024 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135025 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135027 -  ..
135028 - Blister left foot ring toe - used styrofoam tube folded over to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135029 - provide cushion.  This worked perfectly again today, but is difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135030 - to apply, because knee hurts to bend, so can barely reach the toe to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135031 - place tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135033 -  ..
135034 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135035 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135037 -  ..
135038 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135039 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135040 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135042 -  ..
135043 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135044 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135045 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135046 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135047 - ref SDS 77 SM4M  After hike on 200903, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135048 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135050 -  ..
135051 - Concord 18 mile route - starting energy okay - wearing Hoka Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135052 - shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135053 - knee injuries.  Wore 2-pair double-ply Wright socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135054 - 1344, ref SDS 79 SM4M, to prevent blisters.  Blister on left foot ring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135055 - toe was isolated with styrofoam pad to prevent repetitive stress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135056 - Worked perfectly.  Did not take Metoprolol 1 pill 25 mg last night to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135057 - prevent elevated HR during hike today.  This avoids side effects of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135058 - lowering HDL and blurred vision.  Hiked from Cuneo uphill to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135059 - Sky seems less murky than yesterday.  Breathed easily through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135060 - entire hike.  Temperature reached 93, but starting and for most of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135061 - hike temperatue was about 85, with cool breeze.  Hiked East fast pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135062 - on Treat 1 mile to Clayton.  Time 20 minutes for 1.25 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135063 - corner hiking South on Clayton 2 miles at faster pace, mostly on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135064 - concrete sidewalk.  At mile 3.5, turned West onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135065 - hiking on concrete sidewalk another .5 mile.  About mile 4 crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135066 - South side Ygnacio Valley Road hiking West on asphalt shoulder aganist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135067 - East bound traffic.  At mile 5, stopped at Texaco gas station - EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135068 - reported HR 115 Tachycardia - see below. ref SDS 0 TSWX  Bought                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135069 - softdrink to hydrate.  Hiked .25 mile on Ygnacio Valley Road to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135070 - Hollow; turned left and hiked about 50 yards.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135071 - Campus Road.  Hiked 1-mile West uphill 3% - 4% grade to California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135072 - Sate University East Bay campus.  Legs strong going uphill, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135073 - vasodilation.  Hiked 1-loop of about 1.5 miles through adjoining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135074 - Faculty and Student Parking lots.  At mile 7, back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135075 - hiked North downhill 3% grade .3 mile to Ygnacio Valley Road.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135076 - knee meniscus and patella pain level 2 for 40% of way down.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135077 - left and hiked West .5 mile on Ygnacio Valley Road flat pavement.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135078 - mile 7.5 turned South and hiked 1 mile up steep hill 5% grade on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135079 - Crystal Ranch Road.  Hiked another mile on flat pavement through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135080 - residential area; then downhill .5 mile past Rolling Woods Way.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135081 - knee pain level 2 again.  Continued up another steep hill 5% grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135082 - mile to the end of Crystal Ranch Road - mile 10 in the hike.  Handled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135083 - these hills well maintaining speed and breathing easily through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135084 - all the way.  Hiked back downhill on Crystal Ranch Road.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135085 - was okay.  Turned East on Rolling Woods Way.  Hiked up steep hill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135086 - grade .33 mile, then downhill and turned North onto Pine Hillow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135087 - Hiked 1 mile to Ygnacio Valley Road.  Mile 12, stopped at Texaco Gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135088 - Station again - EKG reported HR 125, reported Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135089 - ref SDS 0 GR6I  Bought Cylpso Lemonade and Dorito chips.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135090 - hike on Ygnacio Valley Road to Pine Hollow; turned left and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135091 - about 50 yards.  Turned right onto Campus Road.  Hiked 1-mile West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135092 - uphill 3% - 4% grade to California Sate University East Bay campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135093 - Considered going for 2nd 8-mile loop on Crystal Ranch Road.  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135094 - hurting, so decided to defer.  Hiking up Campus Road saw car bright                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135095 - red with "SAFEWAR" printed on side and rear trunk.  Hiked 1-loop of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135096 - about 1.5 miles through adjoining Faculty and Student Parking lots;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135097 - omitted sub-loops of .5 mile.  In Student Parking there were 2 women                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135098 - and the car with "SAFEWAY" sign, indicating a delivery for groceries.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135099 - Actually, this was a driver training exercise, where a woman was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135100 - teaching the other woman to drive.  As I hiked past, one woman said                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135101 - "Oh!  My hero.  You hike 12 hours per day over 20 miles.  I see you                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135102 - all the time."  She offered water.  Accepted the water in a plastic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135103 - bottle.  Drank 30%, and thanked the woman for kind words and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135104 - generosity providing water.  The 2 women got into the car and drove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135105 - through the empty parking lot for practice.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135106 - mile 15, took Campus Drive North .33 mile downhill to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135107 - Road.  Feet hurting on long downhill - endorphins helped ignore pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135108 - Turned left onto Ygnacio Valley Road and hiked West .5 miles past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135109 - Crystal Ranch Road.  Continued West on Ygnacio Valley Road uphill 2%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135110 - grade past Cowell.  At mile 15.5 crossed from South side of Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135111 - Valley Road to the North side in order to avoid severely sloped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135112 - shoulder on South Side.  On North side continued West uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135113 - over the summit and past concrete traffic seperation barriar.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135114 - 16 turned around and hiked East 1-mile uphill 3% grade over the summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135115 - again, then downhill.  Turned left onto Cowell and hiked North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135116 - downhill 3% grade 1 mile to Treat.  Hiked West on Treat to Cuneo and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135117 - home for 18 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135119 -  ..
135120 - Kardia recorded HR 73 at 0801 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135123 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200904-ecg-080108_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135126 - ...and says:  No rhythm abnormalities detected in your EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135129 -  ..
135130 - EKG chart looks perfect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135133 -  ..
135134 - Polar HR GPS study for Concord 18-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135135 - rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135138 -       Date      200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 20  
135139 -       Miles        18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0       
135140 -       HR AVG      123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    1  
135141 -         MAX       145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   1  
135142 -         Min        90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93              
135143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135145 -  ..
135146 - HR profile Concord route showing average 123 and max 145 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135147 - temperature 91, hiking Concord route long shallow hills 5% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135148 - expected HR changes, so likely no AF and no atrial flutter, following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135149 - ablation on 200511 0546. ref SDS 94 244I  HR elevated slightly after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135150 - not taking metoprolol. ref SDS 0 2T4M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135153 -              https://flow.polar.com/training/analysis/5087354221                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135157 -   
135158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135160 -  ..
135161 - EKG at mile 5 HR 115 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135165 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200904-ecg-121952_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135168 -  ..
135169 - EKG looks very raggedy initial beats, then very consistent rest of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135170 - test; after not taking metoprolol last night, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135171 - 2T4M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135175 -  ..
135176 - EKG at mile 12 HR 125 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135180 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200904-ecg-144614_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135183 -  ..
135184 - EKG looks "scary" initial beats, then consistent rest of test; HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135185 - seems elevated after doing Crystal Ranch loop, and after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135186 - metoprolol last night, per above. ref SDS 0 2T4M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135190 -  ..
135191 - EKG 10 minutes after hiking 18 miles HR 124 at 1650 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135192 - Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135195 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200904-ecg-165040_mile_18.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135198 -  ..
135199 - EKG chart looks surprisingly good - consistent despite not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135200 - metoprolol last night, per above. ref SDS 0 2T4M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135203 -  ..
135204 - HR profile post-hike beginning 1831 until next day OA 0700 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135205 - mostly steady heart beat 78 +/-.  Max HR 137 and minimum HR 40 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135206 - with indoor activity; 0 spikes above 130 may indicate no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135207 - fibrillatin (AF), while recovering from ablation procedures.  This may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135208 - decrease exposure to ischemic colitis, reported on 200612 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135209 - ref SDS A2 RK6F  Higher HR profile today, may reflect working until                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135210 - 0200, and not metoprolol succinct in order avoid beta blocker lowering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135211 - HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135213 -        ..
135214 -       Date      200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 200615 20  
135215 -        Hours       12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14     14     14            12      7      7     15                                 16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0     10       
135216 -       HR AVG       78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63     64     72     no     75     73     75     69     no     no     no    123    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    113    1  
135217 -         MAX       137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154    126    141  report   129     95    130    131  report report report   145    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   131    1  
135218 -         Min        40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39     37     51            56     51     47     44                          96     96     82                                94     94     85     88     85     92     94            93            88       
135219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135221 -              https://flow.polar.com/training/analysis/5089306066                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135225 -   
135226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135229 -  ..
135230 - Breakfast - cheerios banana with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135231 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135232 - Dinner - asperagus avocado hamburger tomato onion cottage cheese - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135233 - peach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135235 -  ..
135236 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135243 -         ..
135244 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135245 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135246 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135247 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135248 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135249 -  249.  200905 0700............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135250 -               0740....BP HR..................................................... 105  69  78  Kardia ECG reports HR Normal, see below. ref SDS 0 TWTX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135251 -               0745....BP HR..................................................... 115  74  76  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135252 -               0750....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135253 -               0750... 20 976720 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135254 -               0750... 80 205520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135255 -               0750... 05 2110 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135256 -               0750... 75 5850 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135257 -               0000... Oxycodone HCL Plain  5  220 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135258 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
135259 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135260 -               0750... Gabapentin 300MG  32200MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135261 -               0955....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135262 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135263 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135264 -               1000....miles...........  12.0  86.0  203  1455 minutes  temp 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135265 -               1310... Simethicone 80  4720 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135266 -               1520....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135267 -               1520....BP HR.....................................................  99  83  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135268 -               1525....BP HR..................................................... 106  77  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135269 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135270 -               1700... 40 61260 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
135271 -               1830............ 10 14150  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135272 -               1830............ 10 13740  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135273 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135274 -               1950... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135275 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135276 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135277 -               2100... 40 41220 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135278 -               2130... 1000  913000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135279 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135280 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135281 -               2150... 05 2115 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135282 -               2200... 80 205600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135283 -               0000... Simethicone 80  4720 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135284 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135286 -  ..
135287 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135288 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135289 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135290 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135291 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135292 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135293 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135294 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135295 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135296 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135297 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135298 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135299 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135301 -  ..
135302 - Peripheral neuropathy mild episode taking shower again this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135303 - even after not taking statins last night, per above, ref SDS 0 MG6M -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135304 - see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135306 -  ..
135307 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135308 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135309 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135311 -  ..
135312 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135314 -  ..
135315 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135316 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135318 -  ..
135319 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135321 -  ..
135322 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135323 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135325 -  ..
135326 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135327 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135328 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135329 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135330 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135331 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135332 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135333 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135334 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135335 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135336 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135337 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135338 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135339 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135341 -  ..
135342 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135343 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135345 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135346 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135347 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135348 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135349 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135350 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135351 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135352 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135353 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135354 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135355 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135356 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135357 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135358 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135359 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135360 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135361 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135362 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135363 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135364 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135365 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135366 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135367 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135368 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135369 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135370 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135371 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135372 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135373 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135374 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135375 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135376 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135377 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135378 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135379 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135380 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135381 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135382 -        Blister ring toe left foot...................   0        100  styrofoam pad below blood blister protected from pressure with each step so pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135383 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135384 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135385 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135386 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135387 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135388 -        Wobbly disoriented staggering dizzy..........   1         90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135390 -  ..
135391 - Body feels wasted after hiking 12 miles in 100 degrees at normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135392 - speed, following PRP on 191009 1500. ref SDS 78 0001  Planned on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135393 - hiking to John Muir Urgent Care for Labcorp blood draw.  Did not have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135394 - the energy; called Kathy to pick me up at usual place.
135396 - -
135397 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135398 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135399 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135401 -  ..
135402 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135404 -  ..
135405 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135406 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135407 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135409 -  ..
135410 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135411 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135412 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135413 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135414 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135416 -  ..
135417 - Blister left foot ring toe - used styrofoam tube folded over to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135418 - provide cushion.  This worked perfectly again today, but is difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135419 - to apply, because knee hurts to bend, so can barely reach the toe to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135420 - place tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135422 -  ..
135423 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135424 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135426 -  ..
135427 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135428 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135429 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135431 -  ..
135432 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135433 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135434 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135435 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135436 - ref SDS 77 SM4M  After hike on 200905, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135437 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135439 -  ..
135440 - Concord 12 mile route - starting energy low - wearing Hoka Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135441 - shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135442 - knee injuries.  Wore 2-pair double-ply Wright socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135443 - 1344, ref SDS 79 SM4M, to prevent blisters.  Blister on left foot ring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135444 - toe was isolated with styrofoam pad to prevent repetitive stress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135445 - Worked perfectly.  Did not take Metoprolol 1 pill 25 mg last night to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135446 - prevent elevated HR during hike today.  This avoids side effects of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135447 - lowering HDL and blurred vision.  Hiked from Cuneo uphill to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135448 - Sky seems less murky than yesterday.  Breathed easily through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135449 - entire hike.  Temperature reached 101, but starting and for most of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135450 - hike temperatue was about 95, with cool breeze.  Hiked East slow pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135451 - on Treat 1 mile to Clayton.  Time 21 minutes for 1.25 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135452 - corner hiking South on Clayton 2 miles at faster pace, mostly on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135453 - concrete sidewalk.  At mile 3.5, turned West onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135454 - hiking on concrete sidewalk another .5 mile.  About mile 4 crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135455 - South side Ygnacio Valley Road hiking West on asphalt shoulder aganist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135456 - East bound traffic.  At mile 5, stopped at Texaco gas station - EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135457 - reported HR 117 Tachycardia - see below. ref SDS 0 TWXY  Bought                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135458 - lemonade to hydrate, and banana for energy.  Called Amy - she placed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135459 - order with Health Testing Center for another lab to test HDL.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135460 - .25 mile on Ygnacio Valley Road to Pine Hollow; turned left and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135461 - about 50 yards.  Turned right onto Campus Road.  Hiked 1-mile West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135462 - uphill 3% - 4% grade to California Sate University East Bay campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135463 - Legs okay going uphill, indicating vasodilation.  Hiked 1-loop of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135464 - about 1.5 miles through adjoining Faculty and Student Parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135465 - At mile 7, back at Visitor Parking hiked North downhill 3% grade .3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135466 - mile to Ygnacio Valley Road.  Did not have left knee meniscus and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135467 - patella pain level 2 for 40% of way down, as occurred yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135468 - Turned left and hiked West .5 mile on Ygnacio Valley Road flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135469 - pavement past Crystal Ranch Road.  Continued West on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135470 - Road uphill 2% grade past Cowell.  At mile 8 crossed from South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135471 - of Ygnacio Valley Road to the North side in order to avoid severely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135472 - sloped shoulder on South Side.  On North side continued West uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135473 - grade over the summit and past concrete traffic seperation barriar.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135474 - At mile 8.5 crossed back to South side of Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135475 - Continued 2 miles downhill to Oak Grove.  At mile 10.5 crossed Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135476 - Grove at traffic light and continued on paved path parallel to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135477 - Valley Road .25 mile in front of Safeway shopping complex to Via                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135478 - Monte.  Turned around and hiked .25 mile back to Oak Grove.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135479 - left and hiked North 1 mile to Treat to complete 12 mile hike.  Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135480 - drove us to John Muir Urgent Care on Cherry Lane and Treat for blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135481 - draw to check HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135483 -  ..
135484 - Kardia recorded HR 78 at 0720 - Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135487 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200905-ecg-072013_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135490 - ...and says:  Atrial fibrillation was not detected and your EKG does                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135491 - not fall under the algorithmic classifications of Normal, Braydcardia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135492 - or Tachcardia.  This may be caused by otehr arrhythmias, unusually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135493 - fast or slow heart rates, or poor quality recordings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135495 -  ..
135496 - EKG chart looks consistent, but does not report HR.  During the test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135497 - HR 78 displayed, so posted.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135501 -  ..
135502 - Polar HR GPS study for Concord 12-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135503 - rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135506 -       Date      200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 20  
135507 -       Miles        12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0    13       
135508 -       HR AVG      120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120       
135509 -         MAX       135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    h  
135510 -         Min        95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94            93       
135511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135513 -  ..
135514 - HR profile Concord route showing average 120 and max 135 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135515 - temperature 100, hiking Concord route long shallow hills 3% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135516 - expected HR changes, so likely no AF and no atrial flutter, following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135517 - ablation on 200511 0546. ref SDS 94 244I  HR elevated slightly after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135518 - not taking metoprolol. ref SDS 0 MG6M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135521 -              https://flow.polar.com/training/analysis/5090790961                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135525 -   
135526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135528 -  ..
135529 - EKG at mile 5 HR 117 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135533 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200905-ecg-111805_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135536 -  ..
135537 - EKG looks very raggedy - like I feel hiking today, after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135538 - metoprolol last night, per above. ref SDS 0 MG6M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135542 -  ..
135543 - EKG 1 minute after hiking 12 miles HR 134 at 1352 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135544 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135547 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200905-ecg-135220_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135550 -  ..
135551 - EKG chart looks surprisingly good - consistent despite not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135552 - metoprolol last night, per above. ref SDS 0 2T4M  Heart is racing at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135553 - 134 BPM due to 100+ degree temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135556 -  ..
135557 - HR profile post-hike beginning 1642 until next day OA 0600 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135558 - mostly steady heart beat 76 +/-.  Max HR 111 and minimum HR 48 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135559 - with indoor activity; 0 spikes above 130 may indicate no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135560 - fibrillatin (AF), while recovering from ablation procedures.  This may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135561 - decrease exposure to ischemic colitis, reported on 200612 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135562 - ref SDS A2 RK6F  Higher HR profile today, may reflect pushing the body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135563 - to hike 100+ miles per week the past 2 weeks, and not metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135564 - succinct in order avoid beta blocker lowering HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135566 -        ..
135567 -       Date      200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 200616 20  
135568 -        Hours       13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14     14     14            12      7      7     15                                 16      4      0      0    11     11     14     14     12     14     14     14     12       0    13      0       
135569 -       HR AVG       76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63     64     72     no     75     73     75     69     no     no     no    123    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120     no    1  
135570 -         MAX       111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154    126    141  report   129     95    130    131  report report report   145    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    hike   1  
135571 -         Min        48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39     37     51            56     51     47     44                          96     96     82                                94     94     85     88     85     92     94            93              
135572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135574 -              https://flow.polar.com/training/analysis/5093084016                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135578 -   
135579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135582 -  ..
135583 - Breakfast - cheerios banana with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135584 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135585 - Dinner - asperagus avocado hamburger onion cottage cheese - few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135586 - bites, sandwich roast beef onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135588 -  ..
135589 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135596 -         ..
135597 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135598 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135599 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135600 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135601 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135602 -  250.  200906 0600............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135603 -               0730....BP HR..................................................... 126  71  76  Kardia ECG reports HR possible atrial fibrillation, see below. ref SDS 0 UPXS                                                                                                                                                                                                                                                                                                                                                                                                                                       
135604 -               0735....BP HR..................................................... 117  71  81  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135605 -               0740....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135606 -               0740... 20 976740 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135607 -               0740... 80 205680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135608 -               0740... 05 2120 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135609 -               0740... 75 5825 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135610 -               0000... Oxycodone HCL Plain  5  220 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135611 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
135612 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135613 -               0740... Gabapentin 300MG  32500MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135614 -               0755....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135615 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135616 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135617 -         * cr  0820....miles...........  14.0 100.0  237  1692 minutes  temp 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135618 -               1230... Simethicone 80  4800 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135619 -               1320....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135620 -               1330....BP HR..................................................... 108  77 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135621 -               1335....BP HR..................................................... 111  80  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135622 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135623 -               1700... 40 61300 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
135624 -             1 0000............ 10 14150  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135625 -             1 0000............ 10 13740  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135626 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135627 -               2020... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135628 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135629 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135630 -               2100... 40 41260 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135631 -               2130... 1000  914000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135632 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135633 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135634 -               2150... 05 2125 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135635 -               2200... 80 205760 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135636 -               0000... Simethicone 80  4800 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135637 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135639 -  ..
135640 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135641 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135642 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135643 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135644 - at top of mountain. ref SDS 69 2T9L  However today, could not do this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135645 - .5 mile uphill.  Also added Campus Road from Pine Hollow hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135646 - uphill to Cal State East Bay college, with 2 - 3 miles of loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135647 - through Visitor, faculty and student parking, and back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135648 - Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135650 -  ..
135651 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135652 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135653 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135654 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135655 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135656 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135657 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135658 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135659 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135660 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135661 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135662 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135663 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135665 -  ..
135666 - Peripheral neuropathy - none today; see study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135667 - ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135669 -  ..
135670 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135671 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135672 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135674 -  ..
135675 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135677 -  ..
135678 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135679 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135681 -  ..
135682 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135684 -  ..
135685 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135686 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135688 -  ..
135689 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135690 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135691 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135692 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135693 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135694 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135695 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135696 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135697 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135698 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135699 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135700 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135701 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135702 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135704 -  ..
135705 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135706 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135708 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135709 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135710 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135711 -        Stomach pain colitis.........................   1         10  right side ache may not be colitis, but from exertion in high heat                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135712 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135713 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135714 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135715 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135716 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135717 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135718 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135719 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135720 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135721 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135722 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135723 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135724 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135725 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135726 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135727 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135728 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135729 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135730 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135731 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135732 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135733 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135734 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135735 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135736 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135737 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135738 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135739 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135740 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135741 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135742 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135743 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135744 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135745 -        Blister ring toe left foot...................   0        100  styrofoam pad below blood blister protected from pressure with each step so pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135746 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135747 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135748 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135749 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135750 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135751 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135753 -  ..
135754 - Body feels wasted after hiking 14 miles in 104 degrees at normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135755 - speed, following PRP on 191009 1500. ref SDS 78 0001  Planned on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135756 - hiking to top of Crystal Ranch Road.  Did not have the energy; called                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135757 - Kathy to pick me up at Ygnacio Valley Road and Crystal Ranch road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135758 - Was not as tired as yesterday hiking 12 miles, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135759 - TVSR
135761 - -
135762 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135763 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135764 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135766 -  ..
135767 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135769 -  ..
135770 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135771 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135772 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135774 -  ..
135775 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135776 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135777 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135778 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135779 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135781 -  ..
135782 - Blister left foot ring toe - used styrofoam tube folded over to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135783 - provide cushion.  This worked perfectly again today, but is difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135784 - to apply, because knee hurts to bend, so can barely reach the toe to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135785 - place tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135787 -  ..
135788 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135789 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135791 -  ..
135792 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135793 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135794 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135796 -  ..
135797 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135798 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135799 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135800 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135801 - ref SDS 77 SM4M  After hike on 200906, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135802 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135804 -  ..
135805 - Concord 14 mile route - starting energy okay - wearing Hoka Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135806 - shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135807 - knee injuries.  Wore 2-pair double-ply Wright socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135808 - 1344, ref SDS 79 SM4M, to prevent blisters.  Blister on left foot ring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135809 - toe was isolated with styrofoam pad to prevent repetitive stress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135810 - Worked perfectly.  Did not take Metoprolol 1 pill 25 mg last night to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135811 - prevent elevated HR during hike today.  This avoids side effects of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135812 - lowering HDL and blurred vision.  Hiked from Cuneo uphill to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135813 - Sky seems less murky than yesterday.  Breathed easily through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135814 - entire hike.  Temperature reached 104, but starting and for most of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135815 - hike temperatue was about 98, with cool breeze.  Hiked East fast pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135816 - on Treat 1 mile to Clayton.  Time 20 minutes for 1.25 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135817 - corner hiking South on Clayton 2 miles at faster pace, mostly on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135818 - concrete sidewalk.  Hiking through the Vineyard Shopping Center                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135819 - between Ayers and Alberta Way (near Lucky grocery store) saw a woman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135820 - associated with the Orangetheory Fitness Center cleaning workout mats                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135821 - on the parking lot pavement.  There were also about 10 rowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135822 - machines.  The woman said she was cleaning up from a training session                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135823 - that just ended.  Explained working out with Orangetheory to prepare                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135824 - for hiking Half Dome, reported on 170506, in case study on 160101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135825 - 0700, ref SDS 36 146M, (citing the record on 170506 0850. ref SDS 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135826 - 2H6F  Hiking today, training for another Half Dome hike next week.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135827 - The woman said she had a customer this morning, also training to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135828 - Half Dome next week.  At mile 3.5, turned West onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135829 - Road hiking on concrete sidewalk another .5 mile.  About mile 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135830 - crossed to South side Ygnacio Valley Road hiking West on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135831 - shoulder aganist East bound traffic.  At mile 5, stopped at Texaco gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135832 - station - EKG reported HR 111 Tachycardia - see below. ref SDS 0 UQRX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135833 - Bought lemonade to hydrate, and banana for energy.  Hiked .25 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135834 - Ygnacio Valley Road to Pine Hollow; turned left and hiked about 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135835 - yards.  Turned right onto Campus Road.  Hiked 1-mile West uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135836 - 4% grade to California Sate University East Bay campus.  Legs okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135837 - going uphill, indicating vasodilation.  Hiked 1-loop of about 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135838 - miles through adjoining Faculty and Student Parking lots.  At mile 7,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135839 - back at Visitor Parking hiked North downhill 3% grade .3 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135840 - Ygnacio Valley Road.  HR spiked to 159 going downhill, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135841 - possible AF activity - but no other spikes rest of hike.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135842 - and hiked West .5 mile on Ygnacio Valley Road flat pavement.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135843 - 7.5 turned South and hiked 1 mile up steep hill 5% grade on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135844 - Ranch Road.  Hiked another mile on flat pavement through residential                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135845 - area; then downhill .5 mile.  Seemed like not enough energy to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135846 - uphill 5% grade another .5 mile to top of Crystal Ranch Road.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135847 - East on Rolling Woods Way.  Hiked up steep hill 5% grade .33 mile,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135848 - then downhill and turned North onto Pine Hillow.  Hiked 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135849 - Ygnacio Valley Road.  Mile 11, stopped at Texaco Gas Station again -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135850 - EKG reported HR 128, reported Tachycardia - see below. ref SDS 0 M65G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135851 - Bought Cylpso Lemonade.  Continued hike on Ygnacio Valley Road to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135852 - Hollow; turned left and hiked about 50 yards.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135853 - Campus Road.  Hiked 1-mile West uphill 3% - 4% grade to California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135854 - Sate University East Bay campus.  Hiked 1 loop about 1.5 miles through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135855 - Faculty and Student parking lots.  At mile 12.5 hiked North on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135856 - Drive downhill 3% grade .3 mile.  Turned left and hiked .5 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135857 - flat pavement Ygnacio Valley Road.  Met Kathy at Crystal Ranch Road -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135858 - she drove us home for 14 miles - temperature 106.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135860 -  ..
135861 - Kardia recorded HR 84 at 0630 - Possible Atrial Fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135864 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200906-ecg-063026_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135867 - ...and says: Your EKG shows signs of atrial fibrillation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135869 -  ..
135870 - EKG chart looks consistent - seems like there is a P wave.  HR 84 may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135871 - be explained by low BP, like yesterday, per above. ref SDS 0 ET5J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135875 -  ..
135876 - Polar HR GPS study for Concord 14-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135877 - rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135880 -       Date      200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 20  
135881 -       Miles        14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       0      
135882 -       HR AVG      121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124      no   1  
135883 -         MAX       159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148     hike  1  
135884 -         Min        90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94              
135885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135887 -  ..
135888 - HR profile Concord route showing average 121 and max 159 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135889 - temperature 102, hiking Concord route long shallow hills 5% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135890 - expected HR changes, so possible one (1) AF event, and no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135891 - flutter, following ablation on 200511 0546. ref SDS 94 244I  HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135892 - elevated slightly after not taking metoprolol. ref SDS 0 MG6M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135893 - Temperature 100+ today, also elevates HR.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135896 -              https://flow.polar.com/training/analysis/5094862511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135900 -   
135901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135903 -  ..
135904 - EKG at mile 5 HR 111 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135908 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200906-ecg-093702_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135911 -  ..
135912 - EKG looks initially little raggedy, then consistent, after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135913 - metoprolol last night, per above. ref SDS 0 ET5J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135916 -  ..
135917 - EKG at mile 11 HR 128 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135921 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200906-ecg-114014_mile_11.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135924 -  ..
135925 - EKG looks initially little raggedy, then consistent, after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135926 - metoprolol last night, per above. ref SDS 0 ET5J  Elevated HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135927 - reflects temperature 104.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135931 -  ..
135932 - EKG 1 minute after hiking 14 miles HR 138 at 1254 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135933 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135936 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200906-ecg-125442_mile_14.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135939 -  ..
135940 - EKG chart 1st few beats look very erratic, then consistent despite not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135941 - taking metoprolol last night, per above. ref SDS 0 2T4M  Heart is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135942 - racing at 138 BPM due to 100+ degree temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135945 -  ..
135946 - HR profile post-hike beginning 1642 until next day OA 0600 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135947 - mostly steady heart beat 76 +/-.  Max HR 111 and minimum HR 48 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135948 - with indoor activity; 0 spikes above 130 may indicate no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135949 - fibrillatin (AF), while recovering from ablation procedures.  This may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135950 - decrease exposure to ischemic colitis, reported on 200612 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135951 - ref SDS A2 RK6F  Higher HR profile today, may reflect pushing the body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135952 - to hike 100+ miles per week the past 2 weeks, and not metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135953 - succinct in order avoid beta blocker lowering HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135955 -        ..
135956 -       Date      200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 200617 20  
135957 -        Hours       13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14     14     14            12      7      7     15                                 16      4      0      0    11     11     14     14     12     14     14     14     12       0    13       
135958 -       HR AVG       76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63     64     72     no     75     73     75     69     no     no     no    123    123    116     no     no    no     no    118    118    116    112    117    117    124      no   120       
135959 -         MAX       111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154    126    141  report   129     95    130    131  report report report   145    145    135  report   hike report report  142    142    132    131    136    134    148     hike  138    h  
135960 -         Min        48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39     37     51            56     51     47     44                          96     96     82                                94     94     85     88     85     92     94            93       
135961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135963 -              https://flow.polar.com/training/analysis/5096762021                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135967 -   
135968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135971 -  ..
135972 - Breakfast - ensure with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135973 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135974 - Dinner - broccoli avocado hamburger onion tomato - few bites, half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135975 - sandwich balogna onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135977 -  ..
135978 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135984 -         ..
135985 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135986 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135987 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135988 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135989 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135990 -  251.  200907 0630............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135991 -               0700....BP HR..................................................... 115  65  74  Kardia ECG reports HR normal, see below. ref SDS 0 UTXV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135992 -               0705....BP HR..................................................... 111  70  70  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135993 -               0710....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135994 -               0710... 20 976760 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135995 -               0710... 80 205840 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135996 -               0000... 05 2130 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135997 -               0000... 75 5900 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - pause 200907 before EGD dilation on 200908                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135998 -               0000... Oxycodone HCL Plain  5  220 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135999 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
136000 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136001 -               0710... Gabapentin 300MG  32800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136002 -               0750....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136003 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136004 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136005 -               0750....miles...........  12.0  12.0  197   197 minutes  temp  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136006 -               0000... Simethicone 80  4800 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136007 -               1210....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136008 -               1220....BP HR..................................................... 127  84  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136009 -               1225....BP HR..................................................... 128  87  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136010 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136011 -               1600... 40 61340 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
136012 -               1830............ 10 14160  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136013 -               1830............ 10 13750  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136014 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136015 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136016 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136017 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136018 -               2100... 40 41300 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136019 -               2130... 1000  915000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136020 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136021 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
136022 -               0000... 05 2130 Apixaban blood thinner RX 7088121 for stroke - resume 200708 after EGD dilation on 200707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136023 -               2200... 80 205920 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136024 -               0000... Simethicone 80  4800 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136025 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136027 -  ..
136028 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136029 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136030 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136031 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136032 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136033 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136034 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136035 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136036 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136037 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136038 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136039 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136040 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136042 -  ..
136043 - Peripheral neuropathy mild episode taking shower this morning, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136044 - taking statins last night, per above, ref SDS 0 3Q6H, - see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136045 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136047 -  ..
136048 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136049 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136050 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136052 -  ..
136053 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136055 -  ..
136056 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136057 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136059 -  ..
136060 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136062 -  ..
136063 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136064 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136066 -  ..
136067 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136068 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136069 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136070 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136071 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136072 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136073 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136074 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136075 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136076 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136077 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136078 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136079 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136080 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136082 -  ..
136083 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136084 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136086 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136087 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136088 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136089 -        Stomach pain colitis.........................   1         10  right side ache may not be colitis, but from exertion in high heat                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136090 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136091 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136092 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136093 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136094 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136095 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136096 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136097 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136098 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136099 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136100 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136101 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136102 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136103 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136104 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136105 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136106 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136107 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136108 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136109 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136110 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136111 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136112 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136113 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136114 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136115 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136116 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136117 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136118 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136119 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136120 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136121 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136122 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136123 -        Blister ring toe left foot...................   0        100  styrofoam pad below blood blister protected from pressure with each step so pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136124 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136125 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136126 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136127 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136128 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136129 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136131 -  ..
136132 - Body feels very tired after hiking 12 miles in 90 degrees at slow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136133 - speed, following PRP on 191009 1500. ref SDS 78 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136134 - Kathy to pick me up at Ygnacio Valley Road and Crystal Ranch road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136135 - Was not as tired as yesterday hiking 12 miles, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136136 - TVSR
136138 - -
136139 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136140 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136141 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136143 -  ..
136144 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136146 -  ..
136147 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136148 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136149 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136151 -  ..
136152 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136153 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136154 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136155 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136156 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136158 -  ..
136159 - Blister left foot ring toe - used styrofoam tube folded over to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136160 - provide cushion.  This worked perfectly again today, but is difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136161 - to apply, because knee hurts to bend, so can barely reach the toe to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136162 - place tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136164 -  ..
136165 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136166 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136168 -  ..
136169 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136170 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136171 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136173 -  ..
136174 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136175 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136176 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136177 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136178 - ref SDS 77 SM4M  After hike on 200903, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136179 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136181 -  ..
136182 - Concord 12 mile route - starting energy okay - wearing Hoka Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136183 - shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136184 - knee injuries.  Wore 2-pair double-ply Wright socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136185 - 1344, ref SDS 79 SM4M, to prevent blisters.  Blister on left foot ring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136186 - toe was isolated with styrofoam pad to prevent repetitive stress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136187 - Worked perfectly.  Did not take Metoprolol 1 pill 25 mg last night to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136188 - prevent elevated HR during hike today.  This avoids side effects of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136189 - lowering HDL and blurred vision.  Hiked from Cuneo uphill to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136190 - Sky seems much more murky than yesterday.  Breathed easily through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136191 - nose entire hike.  Temperature reached 90, but starting and for most                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136192 - of hike temperatue was about 80.  Hiked East slow pace on Treat 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136193 - to Clayton.  Time 21 minutes for 1.25 miles.  Turned corner hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136194 - South on Clayton 2 miles at faster pace, mostly on flat concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136195 - sidewalk.  This morning Orangetheory Fitness had a large group (10+)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136196 - working out in the parking lot, following up meeting yesterday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136197 - morning, per above. ref SDS 0 UPSY  At mile 3.5, turned West onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136198 - Ygnacio Valley Road hiking on concrete sidewalk another .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136199 - About mile 4 crossed to South side Ygnacio Valley Road hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136200 - asphalt shoulder aganist East bound traffic.  At mile 5, stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136201 - Texaco gas station - EKG reported HR 110 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136202 - ref SDS 0 UURY  Bought soft drink to hydrate, and banana for energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136203 - Hiked .25 mile on Ygnacio Valley Road to Pine Hollow; turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136204 - hiked about 50 yards.  Turned right onto Campus Road.  Hiked 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136205 - West uphill 3% - 4% grade to California Sate University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136206 - campus.  Legs okay going uphill, indicating vasodilation.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136207 - 1-loop of about 1.5 miles through adjoining Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136208 - Parking lots.  At mile 7, back at Visitor Parking hiked North downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136209 - 3% grade .3 mile to Ygnacio Valley Road.  Turned left and hiked West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136210 - .5 mile on Ygnacio Valley Road flat pavement.  Continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136211 - Ranch Road today, West on Ygnacio Valley Road uphill 2% grade past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136212 - Cowell.  At mile 8 crossed from South side of Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136213 - the North side in order to avoid severely sloped shoulder on South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136214 - Side.  On North side continued West uphill 3% grade over the summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136215 - and past concrete traffic seperation barriar.  At mile 8.5 crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136216 - back to South side of Ygnacio Valley Road.  Continued 2 miles downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136217 - to Oak Grove.  At mile 10.5 crossed Oak Grove at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136218 - continued on paved path parallel to Ygnacio Valley Road .25 mile in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136219 - front of Safeway shopping complex to Via Monte.  Turned right and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136220 - hiked North .25 mile on Via Monte to Shadelands.  Turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136221 - hiked .25 mile back to Ygnacio Valley Road; turned left and hiked .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136222 - mile back to Oak Grove.  Turned left and hiked North on Oak Grove 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136223 - mile to Treat to complete 12 mile hike.  Kathy drove us home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136225 -  ..
136226 - Kardia recorded HR 77 at 0651 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136229 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200907-ecg-065158_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136232 -  ..
136233 - EKG chart looks perfect, HR 77 may reflect not taking metoprolol last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136234 - night, per above, ref SDS 0 ET5J, and also reflect low BP, like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136235 - yesterday, per above. ref SDS 0 3Q6H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136239 -  ..
136240 - Polar HR GPS study for Concord 12-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136241 - rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136244 -       Date      200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 20  
136245 -       Miles        12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      0    11     11     14     14     12     14     14     14     12       
136246 -       HR AVG      117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no     no    no     no    118    118    116    112    117    117    124       
136247 -         MAX       132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report   hike report report  142    142    132    131    136    134    148       
136248 -         Min        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82                                94     94     85     88     85     92     94       
136249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136251 -  ..
136252 - HR profile Concord route showing average 117 and max 132 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136253 - temperature 90, hiking Concord route long shallow hills 4% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136254 - expected HR changes; no AF events, and no atrial flutter, following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136255 - ablation on 200511 0546. ref SDS 94 244I  HR elevated slightly after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136256 - not taking metoprolol. ref SDS 0 MG6M  Temperature near 100 today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136257 - also elevates HR.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136260 -              https://flow.polar.com/training/analysis/5098228726                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136264 -   
136265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136267 -  ..
136268 - EKG at mile 5 HR 110 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136272 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200907-ecg-091018_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136275 -  ..
136276 - EKG looks good, consistent, after not taking metoprolol last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136277 - per above. ref SDS 0 R67I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136280 -  ..
136281 - EKG 1 minute after hiking 12 miles HR 130 at 1134 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136282 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136285 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200907-ecg-113431_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136288 -  ..
136289 - EKG chart looks like a train wreck.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136292 -  ..
136293 - HR profile post-hike beginning 1642 until next day OA 0600 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136294 - mostly steady heart beat 76 +/-.  Max HR 111 and minimum HR 48 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136295 - with indoor activity; 0 spikes above 130 may indicate no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136296 - fibrillatin (AF), while recovering from ablation procedures.  This may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136297 - decrease exposure to ischemic colitis, reported on 200612 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136298 - ref SDS A2 RK6F  Higher HR profile today, may reflect pushing the body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136299 - to hike 100+ miles per week the past 2 weeks, and not metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136300 - succinct in order avoid beta blocker lowering HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136302 -        ..
136303 -       Date      200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 200618 20  
136304 -        Hours       12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14     14     14            12      7      7     15                                 16      4      0      0    11     11     14     14     12     14     14     14     12       0      
136305 -       HR AVG       75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63     64     72     no     75     73     75     69     no     no     no    123    123    116     no     no    no     no    118    118    116    112    117    117    124      no   1  
136306 -         MAX       125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154    126    141  report   129     95    130    131  report report report   145    145    135  report   hike report report  142    142    132    131    136    134    148     hike  1  
136307 -         Min        38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39     37     51            56     51     47     44                          96     96     82                                94     94     85     88     85     92     94              
136308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136310 -              https://flow.polar.com/training/analysis/5102730071                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136314 -   
136315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136318 -  ..
136319 - Breakfast - ensure with medications Lunch - Dinner - avocado cottage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136320 - cheese lasagna - few bites - tooth crown came off eating lasagna,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136321 - reported in another record on 200907 1700. ref SDS B1 04F2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136323 -  ..
136324 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136330 -         ..
136331 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136332 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136333 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136334 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136335 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136336 -  252.  200908 0630............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136337 -               0700....BP HR..................................................... 121  75  80  Kardia ECG reports HR normal, see below. ref SDS 0 UXUP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136338 -               0705....BP HR..................................................... 128  70  78  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136339 -               0710....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136340 -               0000... 20 976780 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136341 -               0000... 80 205840 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136342 -               0000... 05 2130 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136343 -               0000... 75 5900 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136344 -               0000... Oxycodone HCL Plain  5  220 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136345 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
136346 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136347 -               0000... Gabapentin 300MG  32800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136348 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136349 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136350 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136351 -               1600... 40 61380 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
136352 -             1 0000............ 10 14160  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136353 -             1 0000............ 10 13750  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136354 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136355 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136356 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136357 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136358 -               2100... 40 41340 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136359 -               2130... 1000  916000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136360 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136361 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
136362 -               2150... 05 2135 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136363 -               2200... 80 206080 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136364 -               0000... Simethicone 80  4800 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136365 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136367 -  ..
136368 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136369 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136370 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136371 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136372 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136373 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136374 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136375 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136376 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136377 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136378 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136379 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136380 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136382 -  ..
136383 - Peripheral neuropathy - feeling slightly in bottom right foot laying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136384 - on gurney waiting to see Doctor Lee in GI Clinic for EDG dilation;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136385 - study on 200101 0701. ref SDS 83 PXSS  After the procedure, we drove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136386 - to Amy's place in Elk Grove on the way back to Concord.  Felt right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136387 - foot slight pins and needles standing in the kitchen talking with Amy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136388 - and Kathy.  Right foot felt swelled driving home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136391 -  ..
136392 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136393 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136394 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136396 -  ..
136397 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136399 -  ..
136400 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136401 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136403 -  ..
136404 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136406 -  ..
136407 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136408 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136410 -  ..
136411 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136412 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136413 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136414 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136415 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136416 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136417 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136418 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136419 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136420 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136421 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136422 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136423 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136424 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136426 -  ..
136427 - Kardia recorded HR 78 at 0633 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136430 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200908-ecg-063324_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136433 -  ..
136434 - EKG chart looks perfect, HR 78 may reflect not taking metoprolol last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136435 - night, per above, ref SDS 0 3Q6H, and also reflect low BP, like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136436 - yesterday, per above. ref SDS 0 3Q6H  Could be causing low energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136437 - since HR has been 20 points higher than when taking metoprolol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136439 -  ..
136440 - HR profile post-hike beginning 1809 until next day OA 0700 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136441 - mostly steady heart beat 76 +/-.  Max HR 105 and minimum HR 61 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136442 - with indoor activity; 0 spikes above 130 may indicate no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136443 - fibrillatin (AF), while recovering from ablation procedures.  This may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136444 - decrease exposure to ischemic colitis, reported on 200612 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136445 - ref SDS A2 RK6F  Higher HR profile today, may reflect pushing the body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136446 - to hike 100+ miles per week the past 2 weeks, and not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136447 - metoprolol succinct in order avoid beta blocker lowering HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136450 -        ..
136451 -       Date      200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 200619 20  
136452 -        Hours       13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14     14     14            12      7      7     15                                 16      4      0      0    11     11     14     14     12     14     14     14     12       
136453 -       HR AVG       76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63     64     72     no     75     73     75     69     no     no     no    123    123    116     no     no    no     no    118    118    116    112    117    117    124       
136454 -         MAX       105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154    126    141  report   129     95    130    131  report report report   145    145    135  report   hike report report  142    142    132    131    136    134    148       
136455 -         Min        61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39     37     51            56     51     47     44                          96     96     82                                94     94     85     88     85     92     94       
136456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136458 -              https://flow.polar.com/training/analysis/5104602701                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136462 -   
136463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136465 -  ..
136466 - Breakfast - NPO for EGD procedure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136467 - Lunch - half hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136468 - Dinner - avocado cottage cheese tomato onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136470 -  ..
136471 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136477 -         ..
136478 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136479 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136480 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136481 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136482 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136483 -  253.  200909 0700............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136484 -               0730....BP HR..................................................... 131  78  73  Kardia ECG reports HR normal, see below. ref SDS 0 VURU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136485 -               0735....BP HR..................................................... 118  77  72  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136486 -               0740....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136487 -               0740... 20 976800 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136488 -               0740... 80 206160 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136489 -               0740... 05 2140 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136490 -               0740... 75 5975 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136491 -               0000... Oxycodone HCL Plain  5  220 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136492 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
136493 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136494 -               0000... Gabapentin 300MG  32800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136495 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136496 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136497 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136498 -               1600... 40 61420 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
136499 -               1830............ 10 14170  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136500 -               1830............ 10 13760  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136501 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136502 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136503 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136504 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136505 -               2100... 40 41380 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136506 -               2130... 1000  917000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136507 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136508 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
136509 -               2150... 05 2145 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136510 -               2200... 80 206240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136511 -               0000... Simethicone 80  4800 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136512 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136514 -  ..
136515 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136516 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136517 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136518 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136519 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136520 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136521 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136522 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136523 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136524 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136525 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136526 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136527 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136529 -  ..
136530 - Peripheral neuropathy - feeling slightly in both feet this morning;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136531 - right foot more severe. see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136533 -  ..
136534 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136535 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136536 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136538 -  ..
136539 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136541 -  ..
136542 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136543 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136545 -  ..
136546 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136548 -  ..
136549 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136550 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136552 -  ..
136553 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136554 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136555 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136556 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136557 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136558 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136559 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136560 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136561 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136562 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136563 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136564 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136565 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136566 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136568 -  ..
136569 - Kardia recorded HR 75 at 0719 - Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136572 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200909-ecg-071917_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136575 -  ..
136576 - EKG chart looks perfect, HR 75 may reflect not taking metoprolol last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136577 - night, per above, ref SDS 0 3M5K, and also reflect low BP, like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136578 - yesterday, per above. ref SDS 0 3Q6H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136581 -  ..
136582 - HR profile post-hike beginning 1955 until next day OA 0700 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136583 - mostly steady heart beat 66 +/-.  Max HR 124 and minimum HR 45 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136584 - with indoor activity; 0 spikes above 130 may indicate no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136585 - fibrillatin (AF), while recovering from ablation procedures.  This may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136586 - decrease exposure to ischemic colitis, reported on 200612 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136587 - ref SDS A2 RK6F  Lower HR profile today, may reflect resting the body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136588 - to recover from hiking 100+ miles per week the past 2 weeks, and not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136589 - taking metoprolol succinct in order avoid beta blocker lowering HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136592 -        ..
136593 -       Date      200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 200620 20  
136594 -        Hours       11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14     14     14            12      7      7     15                                 16      4      0      0    11     11     14     14     12     14     14     14       
136595 -       HR AVG       66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63     64     72     no     75     73     75     69     no     no     no    123    123    116     no     no    no     no    118    118    116    112    117    117    1  
136596 -         MAX       124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154    126    141  report   129     95    130    131  report report report   145    145    135  report   hike report report  142    142    132    131    136    134    1  
136597 -         Min        45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39     37     51            56     51     47     44                          96     96     82                                94     94     85     88     85     92       
136598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136600 -              https://flow.polar.com/training/analysis/5108302001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136604 -   
136605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136607 -  ..
136608 - Breakfast - ensure with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136609 - Lunch - half hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136610 - Dinner - avocado cottage cheese tomato onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136612 -  ..
136613 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136619 -         ..
136620 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136621 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136622 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136623 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136624 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136625 -  254.  200910 0720............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136626 -               0730....BP HR..................................................... 126  76  77  Kardia ECG reports HR normal, see below. ref SDS 0 V5RU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136627 -               0735....BP HR..................................................... 120  77  74  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136628 -               0740....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136629 -               0740... 20 976820 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136630 -               0740... 80 206320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136631 -               0740... 05 2150 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136632 -               0740... 75 6050 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136633 -               0000... Oxycodone HCL Plain  5  220 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136634 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
136635 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136636 -               0000... Gabapentin 300MG  32800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136637 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136638 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136639 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136640 -               1600... 40 61460 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
136641 -             1 0000............ 10 14170  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136642 -             1 0000............ 10 13760  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136643 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136644 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136645 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136646 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136647 -               2100... 40 41420 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136648 -               2130... 1000  918000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136649 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136650 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
136651 -               2150... 05 2155 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136652 -               2200... 80 206400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136653 -               0000... Simethicone 80  4800 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136654 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136656 -  ..
136657 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136658 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136659 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136660 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136661 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136662 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136663 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136664 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136665 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136666 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136667 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136668 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136669 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136671 -  ..
136672 - Peripheral neuropathy - feeling slightly in both feet this morning;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136673 - right foot more severe. see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136675 -  ..
136676 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136677 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136678 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136680 -  ..
136681 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136683 -  ..
136684 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136685 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136687 -  ..
136688 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136690 -  ..
136691 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136692 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136694 -  ..
136695 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136696 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136697 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136698 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136699 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136700 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136701 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136702 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136703 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136704 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136705 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136706 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136707 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136708 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136710 -  ..
136711 - Kardia recorded HR 72 at 0721 - Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136714 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200910-ecg-072145_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136717 -  ..
136718 - EKG chart looks erratic for initial 2 beats, then seems perfect; seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136719 - to have a p wave.  HR 72 reflects not taking metoprolol last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136720 - per above, ref SDS 0 U66M, and also reflect low BP, ref SDS 0 3M5K,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136721 - like yesterday, per above. ref SDS 0 U66M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136723 -  ..
136724 - HR profile post-hike beginning 1619 until next day OA 0800 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136725 - mostly steady heart beat 68 +/-.  Max HR 111 and minimum HR 42 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136726 - with indoor activity; 0 spikes above 130 may indicate no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136727 - fibrillatin (AF), while recovering from ablation procedures.  This may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136728 - decrease exposure to ischemic colitis, reported on 200612 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136729 - ref SDS A2 RK6F  Lower HR profile today, may reflect heart recoverinr                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136730 - from 4 heart procedures this year, and so no longer needs metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136731 - succinct and so can avoid beta blocker that lowers HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136734 -        ..
136735 -       Date      200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 200621 20  
136736 -        Hours       16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14     14     14            12      7      7     15                                 16      4      0      0    11     11     14     14     12     14     14       
136737 -       HR AVG       68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63     64     72     no     75     73     75     69     no     no     no    123    123    116     no     no    no     no    118    118    116    112    117    1  
136738 -         MAX       111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154    126    141  report   129     95    130    131  report report report   145    145    135  report   hike report report  142    142    132    131    136    1  
136739 -         Min        42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39     37     51            56     51     47     44                          96     96     82                                94     94     85     88     85       
136740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136742 -              https://flow.polar.com/training/analysis/5112208316                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136746 -   
136747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136750 -  ..
136751 - Breakfast - ensure with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136752 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136753 - Dinner - steak broccoli avocado cottage cheese tomato onion,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136754 - Triscut balogna cheese snack                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136756 -  ..
136757 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136763 -         ..
136764 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136765 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136766 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136767 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136768 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136769 -  255.  200911 0830............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136770 -               0830....BP HR..................................................... 108  68  68  Kardia ECG reports HR normal, see below. ref SDS 0 VVWU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136771 -               0835....BP HR..................................................... 110  68  67  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136772 -               0840....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136773 -               0840... 20 976840 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136774 -               0840... 80 206480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136775 -               0840... 05 2160 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136776 -               0840... 75 6125 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136777 -               0000... Oxycodone HCL Plain  5  220 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136778 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
136779 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136780 -               0840... Gabapentin 300MG  33100MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136781 -               0840....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136782 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136783 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136784 -               1600... 40 61500 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
136785 -               1830............ 10 14180  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136786 -               1830............ 10 13770  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136787 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136788 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136789 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136790 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136791 -               2100... 40 41460 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136792 -               2130... 1000  919000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136793 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136794 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
136795 -               2150... 05 2165 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136796 -               2200... 80 206560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136797 -               0000... Simethicone 80  4800 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136798 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136800 -  ..
136801 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136802 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136803 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136804 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136805 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136806 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136807 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136808 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136809 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136810 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136811 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136812 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136813 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136815 -  ..
136816 - Peripheral neuropathy - feeling slightly in both feet this morning;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136817 - right foot more severe. see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136819 -  ..
136820 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136821 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136822 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136824 -  ..
136825 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136827 -  ..
136828 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136829 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136831 -  ..
136832 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136834 -  ..
136835 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136836 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136838 -  ..
136839 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136840 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136841 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136842 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136843 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136844 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136845 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136846 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136847 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136848 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136849 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136850 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136851 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136852 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136854 -  ..
136855 - Kardia recorded HR 69 at 0848 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136858 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200911-ecg-084832_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136861 -  ..
136862 - EKG chart looks erratic for initial 2 beats, then seems perfect; HR 69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136863 - reflects heart recovering from ablation procedures and so treanding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136864 - down despite not taking metoprolol last night, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136865 - 3M5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136867 -  ..
136868 - HR profile post-hike beginning 1839 until next day OA 0740 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136869 - mostly steady heart beat 69 +/-.  Max HR 111 and minimum HR 49 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136870 - with indoor activity; 0 spikes above 130 may indicate no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136871 - fibrillatin (AF), while recovering from ablation procedures.  This may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136872 - decrease exposure to ischemic colitis, reported on 200612 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136873 - ref SDS A2 RK6F  Lower HR profile today, may reflect heart recovering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136874 - from 4 heart procedures this year, and so no longer needs metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136875 - succinct and so can avoid beta blocker that lowers HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136878 -        ..
136879 -       Date      200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 200622 20  
136880 -        Hours       14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14     14     14            12      7      7     15                                 16      4      0      0    11     11     14     14     12     14       
136881 -       HR AVG       69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63     64     72     no     75     73     75     69     no     no     no    123    123    116     no     no    no     no    118    118    116    112    1  
136882 -         MAX       111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154    126    141  report   129     95    130    131  report report report   145    145    135  report   hike report report  142    142    132    131    1  
136883 -         Min        49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39     37     51            56     51     47     44                          96     96     82                                94     94     85     88       
136884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136886 -              https://flow.polar.com/training/analysis/5115784931                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136890 -   
136891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136894 -  ..
136895 - Breakfast - eggs toast with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136896 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136897 - Dinner - broccoli avocado tomato onion, snack chips balogna cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136899 -  ..
136900 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136906 -         ..
136907 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136908 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136909 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136910 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136911 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136912 -  256.  200912 0740............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136913 -               0810....BP HR..................................................... 130  70  81  Kardia ECG reports HR normal, see below. ref SDS 0 VVRX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136914 -               0815....BP HR..................................................... 127  80  80  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136915 -               0820....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136916 -               0820... 20 976860 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136917 -               0820... 80 206640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136918 -               0820... 05 2170 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136919 -               0820... 75 6200 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136920 -               0000... Oxycodone HCL Plain  5  220 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136921 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
136922 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136923 -               0840... Gabapentin 300MG  33400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136924 -               0840....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136925 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136926 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136927 -               1600... 40 61540 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
136928 -             1 0000............ 10 14180  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136929 -             1 0000............ 10 13770  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136930 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136931 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136932 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136933 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136934 -               2100... 40 41500 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136935 -               2130... 1000  920000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136936 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136937 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
136938 -               2150... 05 2175 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136939 -               2200... 80 206720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136940 -               0000... Simethicone 80  4800 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136941 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136943 -  ..
136944 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136945 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136946 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136947 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136948 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136949 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136950 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136951 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136952 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136953 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136954 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136955 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136956 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136958 -  ..
136959 - Peripheral neuropathy - feeling slightly in both feet this morning;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136960 - right foot more severe. see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136962 -  ..
136963 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136964 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136965 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136967 -  ..
136968 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136970 -  ..
136971 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136972 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136974 -  ..
136975 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136977 -  ..
136978 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136979 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136981 -  ..
136982 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136983 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136984 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136985 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136986 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136987 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136988 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136989 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136990 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136991 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136992 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136993 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136994 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136995 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136997 -  ..
136998 - Kardia recorded HR 77 at 1054 - Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137001 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200912-ecg-105443_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137003 -  ..
137004 - EKG chart seems perfect; HR slightly elevated while not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137005 - metoprolol last night, per above. ref SDS 0 3M5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137007 -  ..
137008 - HR profile post-hike beginning 1945 until next day OA 0700 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137009 - mostly steady heart beat 66 +/-.  Max HR 109 and minimum HR 44 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137010 - with indoor activity; 0 spikes above 130 may indicate no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137011 - fibrillatin (AF), while recovering from ablation procedures.  This may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137012 - decrease exposure to ischemic colitis, reported on 200612 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137013 - ref SDS A2 RK6F  Lower HR profile today, may reflect heart recovering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137014 - from 4 heart procedures this year, and so no longer needs metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137015 - succinct, which avoids beta blocker that lowers HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137018 -        ..
137019 -       Date      200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 200624 200623 20  
137020 -        Hours       12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14     14     14            12      7      7     15                                 16      4      0      0    11     11     14     14     12       
137021 -       HR AVG       66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63     64     72     no     75     73     75     69     no     no     no    123    123    116     no     no    no     no    118    118    116    1  
137022 -         MAX       109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154    126    141  report   129     95    130    131  report report report   145    145    135  report   hike report report  142    142    132    1  
137023 -         Min        44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39     37     51            56     51     47     44                          96     96     82                                94     94     85       
137024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137026 -              https://flow.polar.com/training/analysis/5119201381                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137030 -   
137031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137034 -  ..
137035 - Breakfast - ensure with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137036 - Lunch - half hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137037 - Dinner - broccoli avocado hamburger cottage cheese tomato onion,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137039 -  ..
137040 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137046 -         ..
137047 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137048 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137049 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137050 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137051 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137052 -  257.  200913 0740............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137053 -               0710....BP HR..................................................... 132  79  69  Kardia ECG reports HR normal, see below. ref SDS 0 VWUP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137054 -               0715....BP HR..................................................... 133  76  72  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137055 -               0720....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137056 -               0720... 20 976880 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137057 -               0720... 80 206800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137058 -               0720... 05 2180 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137059 -               0720... 75 6275 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137060 -               0000... Oxycodone HCL Plain  5  220 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137061 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
137062 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137063 -               1200... Gabapentin 300MG  33700MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137064 -               1200....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137065 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137066 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137067 -               0750....miles...........   8.0  20.0  124   187 minutes  temp  78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137068 -               0000... Simethicone 80  4800 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137069 -               1210....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137070 -               1220....BP HR..................................................... 101  64  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137071 -               1225....BP HR..................................................... 103  68  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137072 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137073 -               1600... 40 61580 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
137074 -               1830............ 10 14190  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137075 -               1830............ 10 13780  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137076 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137077 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137078 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137079 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137080 -               2100... 40 41540 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137081 -               2130... 1000  921000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137082 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137083 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
137084 -               2150... 05 2185 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137085 -               2200... 80 206880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137086 -               0000... Simethicone 80  4800 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137087 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137089 -  ..
137090 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137091 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137092 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137093 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137094 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137095 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137096 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137097 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137098 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137099 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137100 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137101 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137102 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137104 -  ..
137105 - Peripheral neuropathy - feeling slightly in both feet this again                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137106 - morning, despite no statins last night, per above. ref SDS 0 4F5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137107 - Right foot more severe. see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137108 - Peripheral neuropathy occurred top left hand (tingling, slight pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137109 - and needles) after starting hike today, and ended within 2 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137111 -  ..
137112 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137113 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137114 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137116 -  ..
137117 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137119 -  ..
137120 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137121 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137123 -  ..
137124 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137126 -  ..
137127 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137128 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137130 -  ..
137131 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137132 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137133 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137134 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137135 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137136 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137137 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137138 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137139 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137140 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137141 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137142 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137143 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137144 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137146 -  ..
137147 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137148 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137150 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137151 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137152 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137153 -        Stomach pain colitis.........................   1         10  right side ache may not be colitis, but from exertion in high heat                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137154 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137155 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137156 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137157 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137158 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137159 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137160 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137161 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137162 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137163 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137164 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137165 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137166 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137167 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137168 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137169 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137170 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137171 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137172 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137173 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137174 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137175 -        Tailor's Bunion left foot.. PRP 190612.......   2         30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137176 -        Tailor's Bunion right foot..PRP 190816.......   2         40                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137177 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137178 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137179 -        Metatarsalgia left foot...PRP 191009.........   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137180 -        Metatarsalgia right foot..PRP 191009.........   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137181 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137182 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137183 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137184 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137185 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137186 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137187 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137188 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137189 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137190 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137191 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137192 -        Peripheral neruopathy top left hand..........   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137193 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137194 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137196 -  ..
137197 - Body feels good after hiking 8 miles in 78 degrees at normal speed,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137198 - following PRP on 191009 1500. ref SDS 78 0001
137200 - -
137201 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137202 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137203 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137205 -  ..
137206 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137208 -  ..
137209 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137210 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137211 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137213 -  ..
137214 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137215 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137216 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137217 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137218 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137220 -  ..
137221 - Blister left foot ring toe - used styrofoam tube folded over to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137222 - provide cushion.  This worked perfectly again today, but is difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137223 - to apply, because knee hurts to bend, so can barely reach the toe to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137224 - place tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137226 -  ..
137227 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137228 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137230 -  ..
137231 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137232 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137233 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137235 -  ..
137236 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137237 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137238 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137239 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137240 - ref SDS 77 SM4M  After hike on 200913, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137241 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137242 - ref SDS 0 JV4F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137244 -  ..
137245 - Concord 12 mile route - starting energy okay - wearing Hoka Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137246 - shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137247 - knee injuries.  Wore 2-pair double-ply Wright socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137248 - 1344, ref SDS 79 SM4M, to prevent blisters.  Blister on left foot ring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137249 - toe was not dressed with styrofoam pad to prevent repetitive stress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137250 - Worked perfectly.  Did not take Metoprolol 1 pill 25 mg last night to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137251 - prevent elevated HR during hike today.  This avoids side effects of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137252 - lowering HDL and blurred vision.  Hiked from Cuneo uphill to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137253 - Sky seems much more murky than yesterday.  Breathed easily through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137254 - nose entire hike.  Temperature only 78, but high humidity increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137255 - exposure to sweating.  Hiked East slow pace on Treat 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137256 - Clayton.  Top left hand from finger tips to wrist suffered peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137257 - neuropathy - tingling sensation.  Time 21 minutes for 1.25 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137258 - Turned corner hiking South on Clayton 2 miles at faster pace, mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137259 - on flat concrete sidewalk.  At about mile 2, peripheral neuropathy top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137260 - left hand subsided.  At mile 3.5, turned West onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137261 - hiking on concrete sidewalk another .5 mile.  About mile 4 crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137262 - South side Ygnacio Valley Road hiking West on asphalt shoulder aganist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137263 - East bound traffic.  At mile 5, stopped at Texaco gas station - EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137264 - reported HR 110 Tachycardia - see below. ref SDS 0 VWYP  Bought soft                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137265 - drink to hydrate, and banana for energy.  Hiked .25 mile on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137266 - Valley Road to Pine Hollow; turned left and hiked about 50 yards.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137267 - Turned right onto Campus Road.  Hiked 1-mile West uphill 3% - 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137268 - to California Sate University East Bay campus.  Legs felt strong going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137269 - uphill, indicating vasodilation.  Hiked 1-loop of about 1.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137270 - through adjoining Faculty and Student Parking lots.  At mile 7, back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137271 - at Visitor Parking hiked North downhill 3% grade .3 mile to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137272 - Valley Road.  Turned left and hiked West .5 mile on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137273 - Road flat pavement.  Turned left and hiked uphill on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137274 - Road.  Kathy drove us home for 8 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137276 -  ..
137277 - Kardia recorded HR 72 at 0730 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137280 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200913-ecg-073005_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137282 -  ..
137283 - EKG chart seems perfect; HR slightly elevated while not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137284 - metoprolol last night, per above. ref SDS 0 4F5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137370 -  ..
137371 - Breakfast - cream of wheat - few bites; ensure few sips with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
137372 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137373 - Dinner - pasta hamburger cheese broccoli avocado hamburger cottage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137374 - cheese tomato onion,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137376 -  ..
137377 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137383 -         ..
137384 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137385 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137386 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137387 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137388 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137389 -  258.  200914 0740............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137390 -               0740....BP HR..................................................... 134  81  76  Kardia ECG reports HR normal, see below. ref SDS 0 VXVY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137391 -               0745....BP HR..................................................... 132  78  72  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137392 -               0750....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137393 -               0750... 20 976900 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137394 -               0750... 80 206960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137395 -               0750... 05 2190 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137396 -               0750... 75 6350 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137397 -               0000... Oxycodone HCL Plain  5  220 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137398 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
137399 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137400 -               0000... Gabapentin 300MG  33700MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137401 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137402 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137403 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137404 -               1600... 40 61620 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
137405 -             1 0000............ 10 14190  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137406 -             1 0000............ 10 13780  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137407 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137408 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137409 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137410 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137411 -               2100... 40 41580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137412 -               2130... 1000  922000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137413 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137414 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
137415 -               2150... 05 2185 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137416 -               2200... 80 207040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137417 -               0000... Simethicone 80  4800 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137418 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137420 -  ..
137421 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137422 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137423 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137424 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137425 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137426 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137427 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137428 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137429 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137430 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137431 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137432 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137433 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137435 -  ..
137436 - Peripheral neuropathy - feeling slightly in both feet this again                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137437 - morning, despite no statins last night, per above. ref SDS 0 4F5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137438 - Right foot more severe. see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137439 - Peripheral neuropathy occurred top left hand (tingling, slight pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137440 - and needles) after starting hike today, and ended within 2 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137442 -  ..
137443 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137444 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137445 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137447 -  ..
137448 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137450 -  ..
137451 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137452 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137454 -  ..
137455 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137457 -  ..
137458 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137459 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137461 -  ..
137462 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137463 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137464 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137465 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137466 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137467 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137468 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137469 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137470 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137471 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137472 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137473 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137474 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137475 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137477 -  ..
137478 - Kardia recorded HR 72 at 0730 - Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137481 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200914-ecg-073047_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137483 -  ..
137484 - EKG chart seems ok, consistent; HR slightly elevated while not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137485 - metoprolol last night, per above. ref SDS 0 JV4F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137488 -  ..
137489 - HR profile post-hike beginning 1617 until next day OA 0730 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137490 - mostly steady heart beat 75 +/-.  Max HR 131 and minimum HR 58 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137491 - with indoor activity; 1 spike above 130 occurred after getting up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137492 - going upstairs, so may indicate no atrial fibrillatin (AF), while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137493 - recovering from ablation procedures.  This may decrease exposure to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137494 - ischemic colitis, reported on 200612 0700. ref SDS A2 RK6F  Higher HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137495 - profile today, may reflect heart recovering from 4 heart procedures                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137496 - this year, and also not taking metoprolol succinct, which avoids beta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137497 - blocker that lowers HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
137498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137500 -        ..
137501 -       Date      200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 200625 20  
137502 -        Hours       10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14     14     14            12      7      7     15                                 16      4      0      0    11     11     14       
137503 -       HR AVG       68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63     64     72     no     75     73     75     69     no     no     no    123    123    116     no     no    no     no    118    1  
137504 -         MAX        97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154    126    141  report   129     95    130    131  report report report   145    145    135  report   hike report report  142    1  
137505 -         Min        46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39     37     51            56     51     47     44                          96     96     82                                94       
137506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137508 -              https://flow.polar.com/training/analysis/5126868921                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137512 -   
137513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137518 -  ..
137519 - Breakfast - cream of wheat - few bites; ensure few sips with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
137520 - Lunch - half hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137521 - Dinner - pasta hamburger cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137523 -  ..
137524 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137530 -         ..
137531 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137532 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137533 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137534 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137535 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137536 -  259.  200915 0710............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137537 -               0710....BP HR..................................................... 137  81  68  Kardia ECG reports HR normal, see below. ref SDS 0 WRPT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137538 -               0715....BP HR..................................................... 130  82  68  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137539 -               0720....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137540 -               0720... 20 976920 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137541 -               0720... 80 207120 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137542 -               0720... 05 2200 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137543 -               0720... 75 6425 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137544 -               0000... Oxycodone HCL Plain  5  220 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137545 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
137546 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137547 -               0000... Gabapentin 300MG  33700MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137548 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137549 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137550 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137551 -               1930... 40 61660 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
137552 -               2110............ 10 14200  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137553 -               2110............ 10 13790  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137554 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137555 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137556 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137557 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137558 -               2150... 40 41620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137559 -               2230... 1000  923000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137560 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137561 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
137562 -               2250... 05 2195 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137563 -               2300... 80 207200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137564 -               0000... Simethicone 80  4800 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137565 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137567 -  ..
137568 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137569 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137570 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137571 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137572 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137573 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137574 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137575 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137576 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137577 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137578 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137579 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137580 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137582 -  ..
137583 - Peripheral neuropathy - feeling slightly in both feet this again                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137584 - morning, despite no statins last night, per above. ref SDS 0 137F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137585 - Right foot more severe. see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137587 -  ..
137588 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137589 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137590 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137592 -  ..
137593 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137595 -  ..
137596 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137597 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137599 -  ..
137600 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137602 -  ..
137603 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137604 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137606 -  ..
137607 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137608 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137609 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137610 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137611 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137612 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137613 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137614 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137615 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137616 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137617 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137618 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137619 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137620 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137622 -  ..
137623 - Kardia recorded HR 66 at 0712 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137626 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200915-ecg-071249_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137628 -  ..
137629 - EKG chart has 2 very erratic beats, then perfect, after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137630 - metoprolol last night, per above. ref SDS 0 137F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137633 -  ..
137634 - HR profile post-hike beginning 2257 until next day OA 0730 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137635 - mostly steady heart beat 74 +/-.  Max HR 133 after getting up in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137636 - morning and doing pushups, and minimum HR 43 overenight aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137637 - indoor activity; so may indicate no atrial fibrillatin (AF), while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137638 - recovering from ablation procedures.  This may decrease exposure to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137639 - ischemic colitis, reported on 200612 0700. ref SDS A2 RK6F  HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137640 - today, may reflect heart recovering from 4 heart procedures this year,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137641 - and also not taking metoprolol succinct, which avoids beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137642 - that lowers HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137645 -        ..
137646 -       Date      200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 200626 20  
137647 -        Hours       10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14     14     14            12      7      7     15                                 16      4      0      0    11     11       
137648 -       HR AVG       74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63     64     72     no     75     73     75     69     no     no     no    123    123    116     no     no    no     no    1  
137649 -         MAX       133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154    126    141  report   129     95    130    131  report report report   145    145    135  report   hike report report  1  
137650 -         Min        43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39     37     51            56     51     47     44                          96     96     82                                  
137651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137653 -              https://flow.polar.com/training/analysis/5131180091                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137657 -   
137658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137661 -  ..
137662 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137663 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137664 - Dinner - pork chop brussels sprouts lettuce tomato avocado,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137665 - strawberries blueberries cake                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137667 -  ..
137668 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137674 -         ..
137675 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137676 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137677 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137678 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137679 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137680 -  260.  200916 0810............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137681 -               0810....BP HR..................................................... 133  78  73  Kardia ECG reports HR normal, see below. ref SDS 0 WSTW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137682 -               0815....BP HR..................................................... 128  81  69  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137683 -               0820....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137684 -               0820... 20 976940 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137685 -               0820... 80 207280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137686 -               0820... 05 2210 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137687 -               0820... 75 6500 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137688 -               0000... Oxycodone HCL Plain  5  220 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137689 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
137690 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137691 -               0000... Gabapentin 300MG  33700MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137692 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137693 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137694 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137695 -               1700... 40 61700 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
137696 -             1 0000............ 10 14200  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137697 -             1 0000............ 10 13790  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137698 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137699 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137700 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137701 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137702 -               2100... 40 41660 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137703 -               2130... 1000  924000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137704 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137705 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
137706 -               2150... 05 2215 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137707 -               2200... 80 207360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137708 -               0000... Simethicone 80  4800 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137709 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137711 -  ..
137712 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137713 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137714 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137715 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137716 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137717 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137718 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137719 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137720 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137721 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137722 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137723 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137724 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137726 -  ..
137727 - Peripheral neuropathy - feeling slightly in both feet this again                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137728 - morning, despite no statins last night, per above. ref SDS 0 137F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137729 - Right foot more severe. see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137731 -  ..
137732 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137733 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137734 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137736 -  ..
137737 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137739 -  ..
137740 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137741 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137743 -  ..
137744 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137746 -  ..
137747 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137748 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137750 -  ..
137751 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137752 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137753 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137754 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137755 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137756 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137757 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137758 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137759 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137760 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137761 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137762 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137763 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137764 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137766 -  ..
137767 - HR profile post-hike beginning 1534 until next day OA 0730 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137768 - mostly steady heart beat 73 +/-.  Max HR 127 and minimum HR 52 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137769 - with indoor activity; 0 spikes above 130 occurred physical activity,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137770 - so may indicate no atrial fibrillatin (AF), while recovering from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137771 - ablation procedures.  This may decrease exposure to ischemic colitis,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137772 - reported on 200612 0700. ref SDS A2 RK6F  Higher HR profile today, may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137773 - reflect heart recovering from 4 procedures this year, and also not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137774 - taking metoprolol succinct, which avoids beta blocker that lowers HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137777 -        ..
137778 -       Date      200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 200627 20  
137779 -        Hours       16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14     14     14            12      7      7     15                                 16      4      0      0    11       
137780 -       HR AVG       73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63     64     72     no     75     73     75     69     no     no     no    123    123    116     no     no    no       
137781 -         MAX       127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154    126    141  report   129     95    130    131  report report report   145    145    135  report   hike report re  
137782 -         Min        52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39     37     51            56     51     47     44                          96     96     82                           
137783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137785 -              https://flow.polar.com/training/analysis/5134530821                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137789 -   
137790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137793 -  ..
137794 - Breakfast - cream of wheat - few bites; with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
137795 - Lunch - half hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137796 - Dinner - berrito                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137798 -  ..
137799 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137804 -         ..
137805 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137806 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137807 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137808 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137809 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137810 -  261.  200917 0710............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137811 -               0710....BP HR..................................................... 142  84  69  Kardia ECG reports HR normal, see below. ref SDS 0 WTXX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137812 -               0715....BP HR..................................................... 139  88  67  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137813 -               0720....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137814 -               0720... 20 976960 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137815 -               0720... 80 207440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137816 -               0720... 05 2220 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137817 -               0720... 75 6575 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137818 -               0000... Oxycodone HCL Plain  5  220 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137819 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
137820 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137821 -               7200... Gabapentin 600MG  34300MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137822 -               7200....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137823 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137824 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137825 -          * cr 1024....miles...........  14.0  14.0  237   237 minutes  temp  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137826 -               0000... Simethicone 80  4800 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137827 -               1520....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137828 -               1540....BP HR.....................................................  87  57 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137829 -               1545....BP HR.....................................................  96  59  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137830 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137831 -               1700... 40 61740 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
137832 -               1830............ 10 14210  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137833 -               1830............ 10 13800  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137834 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137835 -               2020... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137836 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137837 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137838 -               2100... 40 41700 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137839 -               2130... 1000  925000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137840 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137841 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
137842 -               2150... 05 2225 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137843 -               2200... 80 207520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137844 -               0000... Simethicone 80  4800 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137845 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137847 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137848 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137849 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
137850 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137851 - at top of mountain. ref SDS 69 2T9L  However today, could not do this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137852 - .5 mile uphill.  Also added Campus Road from Pine Hollow hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137853 - uphill to Cal State East Bay college, with 2 - 3 miles of loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137854 - through Visitor, faculty and student parking, and back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137855 - Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137857 -  ..
137858 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137859 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137860 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137861 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137862 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137863 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137864 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137865 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137866 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137867 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137868 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137869 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137870 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137872 -  ..
137873 - Peripheral neuropathy - none today after no statins last night, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137874 - above. ref SDS 0 HM5F  See study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137876 -  ..
137877 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137878 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137879 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137881 -  ..
137882 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137884 -  ..
137885 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137886 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137888 -  ..
137889 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137891 -  ..
137892 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137893 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137895 -  ..
137896 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137897 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137898 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137899 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137900 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137901 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137902 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137903 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137904 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137905 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137906 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137907 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137908 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137909 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137911 -  ..
137912 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137913 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137915 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137916 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137917 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137918 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137919 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137920 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137921 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137922 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137923 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137924 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137925 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137926 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137927 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137928 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137929 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137930 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137931 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137932 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137933 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137934 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137935 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137936 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137937 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137938 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137939 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137940 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137941 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137942 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137943 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137944 -        Metatarsalgia left foot...PRP 191009.........   2         30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137945 -        Metatarsalgia right foot..PRP 191009.........   2         30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137946 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137947 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137948 -        Ankle right possible fracture 200917.........   0        100  pain level 2 walking around house pain level 0 on hikes 10+ miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137949 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137950 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137951 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137952 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137953 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137954 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137955 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137956 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137957 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137958 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137959 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137960 -        Wobbly disoriented staggering dizzy..........   1          5  became slightly wobbly, disoriented after hiking Rolling Woods Way; worse when Kathy picke me up at mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                  
137962 -  ..
137963 - Body feels good but head wobbly after hiking 14 miles in 85 degrees at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137964 - normal speed, following PRP on 191009 1500. ref SDS 78 0001
137966 - -
137967 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137968 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137969 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137971 -  ..
137972 - After hike for several hours feel little wobbly and disoriented, light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137973 - headed.  Falling asleep while writing up this record.  Possibly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137974 - vasodilation has drawn blood from head.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137976 -  ..
137977 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137979 -  ..
137980 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137981 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137982 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137984 -  ..
137985 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137986 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137987 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137988 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137989 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137991 -  ..
137992 - Blister left foot ring toe - finally healing, so just place a polymar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137993 - toe cap on the ring toe.  This didn't work well.  It bunched up at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137994 - the toe joint.  Still the ring toe was not injured during the hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137995 - Never felt pain at that location.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137997 -  ..
137998 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137999 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138001 -  ..
138002 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138003 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138004 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138006 -  ..
138007 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138008 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138009 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138010 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138011 - ref SDS 77 SM4M  After hike on 200917, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138012 - Tailor's Bunions, and applied ammonium lactate lotion to feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138013 - above. ref SDS 0 OP9G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138015 -  ..
138016 - Concord 14 mile route - starting energy okay - wearing Hoka Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138017 - shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138018 - knee injuries.  Wore 2-pair double-ply Wright socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138019 - 1344, ref SDS 79 SM4M, to prevent blisters.  Blister on left foot ring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138020 - toe was not dressed with styrofoam pad to prevent repetitive stress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138021 - Tried polymer toe cap.  Did not work well, but toe did not cause pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138022 - during hike.  Did not take Metoprolol 1 pill 25 mg last night to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138023 - prevent elevated HR during hike today.  This avoids side effects of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138024 - lowering HDL and blurred vision.  Hiked from Cuneo uphill to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138025 - Sky totally clear and Air Quality 0.  Breathed easily through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138026 - entire hike.  Temperature 85.  Hiked East normal pace on Treat 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138027 - to Clayton.  Top left hand from finger tips to wrist did not suffer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138028 - peripheral neuropathy - tingling sensation, as occurred on 200908,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138029 - above. ref SDS 0 VWPV  Time 20 minutes for 1.25 miles.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138030 - hiking South on Clayton 2 miles at faster pace, mostly on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138031 - concrete sidewalk.  At mile 3.5, turned West onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138032 - hiking on concrete sidewalk another .5 mile.  About mile 4 crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138033 - South side Ygnacio Valley Road hiking West on asphalt shoulder aganist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138034 - East bound traffic.  At mile 5, stopped at Texaco gas station - EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138035 - reported HR 108 Tachycardia - see below. ref SDS 0 WURS  Bought soft                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138036 - drink to hydrate, and banana for energy.  Hiked .25 mile on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138037 - Valley Road to Pine Hollow; turned left and hiked about 50 yards.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138038 - Turned right onto Campus Road.  Hiked 1-mile West uphill 3% - 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138039 - to California Sate University East Bay campus.  Legs felt strong going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138040 - uphill, indicating vasodilation.  Hiked 1-loop of about 1.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138041 - through adjoining Faculty and Student Parking lots.  At mile 7, back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138042 - at Visitor Parking hiked North downhill 3% grade .3 mile to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138043 - Valley Road.  Turned left and hiked West .5 mile on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138044 - Road flat pavement.  At mile 7.5 turned onto Crystal Ranch road and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138045 - hiked South 1 mile up steep hill 5% grade.  Hiked another mile on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138046 - pavement through residential area; then downhill .5 mile past Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138047 - Woods Way, and up another steep hill 5% grade .5 mile to the end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138048 - Crystal Ranch Road - mile 10 in the hike.  Handled these hills well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138049 - maintaining speed and breathing easily through nose all the way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138050 - Hiked back downhill on Crystal Ranch Road.  Turned East onto Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138051 - Woods Way.  Hiked up steep hill 5% grade .33 mile.  Continued downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138052 - and turned North onto Pine Hillow.  Hiked 1 mile to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138053 - Road.  At mile 12, stopped at Texaco Gas Station again - EKG reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138054 - HR 123, reported Tachycardia - see below. ref SDS 0 2I5J  Saw Kathy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138055 - she was getting the car washed.  Kathy noticed I seem wobbly and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138056 - disoriented.  Continued hike on Ygnacio Valley Road to Pine Hollow;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138057 - turned left and hiked about 50 yards.  Turned right onto Campus Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138058 - Hiked 1-mile West uphill 3% - 4% grade to California Sate University                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138059 - East Bay campus, uphill, indicating vasodilation.  Hiked 1-loop of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138060 - about 1.5 miles through adjoining Faculty and Student Parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138061 - At mile 14, back at Visitor Parking EKG reported HR 123, possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138062 - Atrial Fibrillation, see below. ref SDS 0 WUSV  Kathy drove us home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138063 - for 14 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138065 -  ..
138066 - Kardia recorded HR 68 at 0752 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138069 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200917-ecg-075227_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138071 -  ..
138072 - EKG chart has few slightly erratic beats, then perfect, after not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138073 - taking metoprolol last night, per above. ref SDS 0 HM5F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138077 -  ..
138078 - Polar HR GPS study for Concord 14-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138079 - rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138082 -       Date      200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 20  
138083 -       Miles        14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      0      
138084 -       HR AVG      121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116     no      
138085 -         MAX       146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  report     
138086 -         Min        80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82             
138087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138089 -  ..
138090 - HR profile Concord route showing average 121 and max 146 reflects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138091 - temperature 85, hiking Concord route long hills 5% grade with expected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138092 - HR changes; no AF events, and no atrial flutter, following ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138093 - 200511 0546. ref SDS 94 244I  HR elevated slightly after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138094 - metoprolol, and when increasing pace for .5 mile hiking the steepest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138095 - part of the route at the end of Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138098 -              https://flow.polar.com/training/analysis/5136297076                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138102 -   
138103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138105 -  ..
138106 - EKG at mile 5 HR 108 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138110 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200917-ecg-114457_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138113 -  ..
138114 - EKG looks consistent after not taking metoprolol last night, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138115 - above. ref SDS 0 HM5F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138118 -  ..
138119 - EKG at mile 12 HR 123 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138123 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200917-ecg-140634_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138126 -  ..
138127 - EKG looks consistent after not taking metoprolol last night, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138128 - above. ref SDS 0 HM5F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138131 -  ..
138132 - EKG 1 minute after hiking 14 miles HR 125 at 1453 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138133 - possible Atrial Fibrillation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138136 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200917-ecg-145353_mile_14.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138139 -  ..
138140 - EKG reports possible AF - heart beats look consistnt, but some beats                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138141 - may be missing p wave.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138144 -  ..
138145 - HR profile post-hike beginning 1738 until next day OA 0710 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138146 - mostly steady heart beat 68 +/-.  Max HR 132 and minimum HR 48 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138147 - with indoor activity; 1 spike above 130 occurred after getting up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138148 - going upstairs, so may indicate no atrial fibrillatin (AF), while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138149 - recovering from ablation procedures.  This may decrease exposure to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138150 - ischemic colitis, reported on 200612 0700. ref SDS A2 RK6F  Higher HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138151 - profile today, may reflect heart recovering from 4 coronary procedures                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138152 - this year, and also not taking metoprolol succinct, which avoids beta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138153 - blocker that lowers HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138156 -        ..
138157 -       Date      200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 200629 200628 20  
138158 -        Hours       14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14     14     14            12      7      7     15                                 16      4      0      0      
138159 -       HR AVG       68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63     64     72     no     75     73     75     69     no     no     no    123    123    116     no     no      
138160 -         MAX       132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154    126    141  report   129     95    130    131  report report report   145    145    135  report   hike re  
138161 -         Min        48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39     37     51            56     51     47     44                          96     96     82                    
138162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138164 -              https://flow.polar.com/training/analysis/5138108216                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138168 -   
138169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138172 -  ..
138173 - Breakfast - cream of wheat - few bites; with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138174 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138175 - Dinner - pasta hamburger tomato broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138177 -  ..
138178 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138184 -         ..
138185 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138186 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138187 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138188 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138189 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138190 -  262.  200918 0720............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138191 -               0730....BP HR..................................................... 126  77  68  Kardia ECG reports HR normal, see below. ref SDS 0 WWPP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138192 -               0735....BP HR..................................................... 131  78  68  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138193 -               0740....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138194 -               0740... 20 976980 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138195 -               0740... 80 207600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138196 -               0740... 05 2230 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138197 -               0740... 75 6650 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138198 -               0000... Oxycodone HCL Plain  5  220 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138199 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
138200 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138201 -               1010... Gabapentin 300MG  34600MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138202 -               1010....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138203 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138204 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138205 -          * cr 1000....miles...........  22.0  36.0  363   600 minutes  temp  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138206 -               1710....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138207 -               1740....BP HR.....................................................  89  63  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138208 -               1745....BP HR..................................................... 111  85 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138209 -               1800... Simethicone 80  4880 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138210 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138211 -               1810... 40 61780 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
138212 -             1 0000............ 10 14210  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138213 -             1 0000............ 10 13800  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138214 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138215 -               1920... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138216 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138217 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138218 -               2100... 40 41740 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138219 -               2130... 1000  926000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138220 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138221 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138222 -               2150... 05 2235 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138223 -               2200... 80 207680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138224 -               2320... Simethicone 80  4960 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138225 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138227 -  ..
138228 - * cr - twice hiked Crystal Ranch Road 8-mile loop with 5 major hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138229 - On 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138230 - of daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138231 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138232 - at top of mountain. ref SDS 69 2T9L  However today, could not do this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138233 - .5 mile uphill.  Also added Campus Road from Pine Hollow hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138234 - uphill to Cal State East Bay college, with 2 - 3 miles of loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138235 - through Visitor, faculty and student parking, and back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138236 - Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138238 -  ..
138239 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138240 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138241 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138242 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138243 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138244 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138245 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138246 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138247 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138248 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138249 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138250 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138251 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138253 -  ..
138254 - Peripheral neuropathy - feeling slightly in both feet this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138255 - after statins last night, per above. ref SDS 0 OP9G  Right foot more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138256 - severe. see study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138258 -  ..
138259 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138260 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138261 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138263 -  ..
138264 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138266 -  ..
138267 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138268 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138270 -  ..
138271 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138273 -  ..
138274 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138275 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138277 -  ..
138278 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138279 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138280 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138281 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138282 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138283 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138284 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138285 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138286 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138287 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138288 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138289 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138290 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138291 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138293 -  ..
138294 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138295 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138297 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138298 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138299 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138300 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138301 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138302 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138303 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138304 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138305 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138306 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138307 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138308 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138309 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138310 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138311 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138312 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138313 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138314 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138315 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138316 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138317 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138318 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138319 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138320 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138321 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138322 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138323 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138324 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138325 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138326 -        Metatarsalgia left foot...PRP 191009.........   2         30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138327 -        Metatarsalgia right foot..PRP 191009.........   2         30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138328 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138329 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138330 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138331 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138332 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138333 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138334 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138335 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138336 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138337 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138338 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138339 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138340 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138341 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138342 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138344 -  ..
138345 - Body aches feels greatly fatigued after hiking 22 miles in 81 degrees                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138346 - at normal speed, following PRP on 191009 1500. ref SDS 78 0001
138348 - -
138349 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138350 - slightly pain level 2, and knee stiff standing up from sitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138351 - position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138353 -  ..
138354 - After hike did not feel wobbly and disoriented, light headed.  Not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138355 - falling asleep while writing up this record.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138357 -  ..
138358 - Several hours after hike, feet pain level 1; left knee pain level 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138360 -  ..
138361 - Legs 6 hours after hike late at night - body aches.  Left knee pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138362 - level 1, so did not take Tramadol - see study above. ref SDS 0 QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138364 -  ..
138365 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138366 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138367 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138368 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138369 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138371 -  ..
138372 - Blister left foot ring toe - finally healing, so just placed a polymar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138373 - toe cap on the ring toe.  Added wrap to keep toe cap in place during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138374 - hike.  This didn't work well.  It bunched up at the toe joint.  Still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138375 - the ring toe was not injured during the hike.  Never felt pain at that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138376 - location.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138378 -  ..
138379 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138380 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138382 -  ..
138383 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138384 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138385 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138387 -  ..
138388 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138389 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138390 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138391 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138392 - ref SDS 77 SM4M  After hike on 200918, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138393 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138395 -  ..
138396 - Concord 22 mile route - starting energy okay - wearing Hoka Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138397 - shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138398 - knee injuries.  Wore 2-pair double-ply Wright socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138399 - 1344, ref SDS 79 SM4M, to prevent blisters.  Blister on left foot ring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138400 - toe was not dressed with styrofoam pad to prevent repetitive stress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138401 - Tried polymer toe cap with wrap to keep in place.  Did not work well,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138402 - but toe did not cause pain during hike.  Did not take Metoprolol 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138403 - pill 25 mg last night to prevent elevated HR during hike today.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138404 - avoids side effects of lowering HDL and blurred vision.  Hiked from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138405 - Cuneo uphill to Treat.  Sky totally clear and Air Quality 0.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138406 - easily through nose entire hike.  Temperature 81.  Hiked East normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138407 - pace on Treat 1 mile to Clayton.  Top left hand from finger tips to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138408 - wrist did not suffer peripheral neuropathy - tingling sensation, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138409 - occurred on 200908, above. ref SDS 0 VWPV  Time 20 minutes for 1.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138410 - miles.  Turned corner hiking South on Clayton 2 miles at normal pace,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138411 - mostly on flat concrete sidewalk.  At mile 3.5, turned West onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138412 - Ygnacio Valley Road hiking on concrete sidewalk another .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138413 - About mile 4 crossed to South side Ygnacio Valley Road hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138414 - asphalt shoulder aganist East bound traffic.  At mile 5, stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138415 - Texaco gas station - EKG reported HR 110 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138416 - ref SDS 0 WWTP  Did not buy soft drink to hydrate, and banana for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138417 - energy.  Hiked .25 mile on Ygnacio Valley Road to Pine Hollow; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138418 - left and hiked about 50 yards.  Turned right onto Campus Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138419 - 1-mile West uphill 3% - 4% grade to California Sate University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138420 - Bay campus.  Legs felt strong going uphill, indicating vasodilation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138421 - Hiked 1-loop of about 1.5 miles through adjoining Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138422 - Parking lots.  At mile 7, back at Visitor Parking hiked North downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138423 - 3% grade .3 mile to Ygnacio Valley Road.  Turned left and hiked West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138424 - .5 mile on Ygnacio Valley Road flat pavement.  At mile 7.5 turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138425 - Crystal Ranch road.  Had to stop and remove left shoe, because polymer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138426 - toe cap on ring toe shifted off the toe, see above. ref SDS 0 WVRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138427 - This caused a lump in left shoe.  Removed double pair 2-ply Wright                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138428 - socks.  The toe cap and wrap fell out on the ground.  Replaced the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138429 - socks and shoe, and continued the hike.  At first there was mild pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138430 - level 2 on ring toe left foot.  Called Kathy to come get me in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138431 - car, after first experimenting by hiking some distance to see if pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138432 - would persist, or get worse.  Hiked Crystal Ranch Road 1st loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138433 - 8-miles - South 1 mile up steep hill 5% grade.  Pain left foot ring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138434 - toe subsided to 0.  Near top of 1st hill on Crystal Ranch Road, Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138435 - arrived in the car.  Explained pain subsided on ring toe, so she drove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138436 - home.  Hiked another mile on flat pavement through residential area;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138437 - then downhill .5 mile past Rolling Woods Way, and up another steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138438 - hill 5% grade .5 mile to the end of Crystal Ranch Road - mile 10 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138439 - the hike.  Handled these hills well maintaining speed and breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138440 - easily through nose all the way.  Hiked back downhill on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138441 - Road.  Turned East onto Rolling Woods Way.  Hiked up steep hill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138442 - grade .33 mile.  Continued downhill and turned North onto Pine Hillow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138443 - Hiked 1 mile to Ygnacio Valley Road.  At mile 12, stopped at Texaco                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138444 - Gas Station again - EKG reported HR 123, reported Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138445 - below. ref SDS 0 WWUS  Bought orange juice and carbonated soft drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138446 - to rehydrate, and got banana for energy.  Continued hike on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138447 - Valley Road to Pine Hollow; turned left and hiked about 50 yards.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138448 - Turned right onto Campus Road.  Hiked 2nd loop through college campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138449 - going 1-mile West uphill 3% - 4% grade to California Sate University                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138450 - East Bay campus, uphill, indicating vasodilation.  Hiked 1-loop of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138451 - about 1.5 miles through adjoining Faculty and Student Parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138452 - At mile 13 back at Visitor Parking, turned North and hiked downhill .3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138453 - mile.  Turned left onto Ygnacio Valley Road, and hiked West .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138454 - At mile 14, turned left and hiked 2nd loop on Crystal Ranch Road of 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138455 - miles, including through college campus parking lots.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138456 - Texaco gas station again - mile 19 in the hike.  EKG showed HR 194 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138457 - report possible atrial fibrilation, see below. ref SDS 0 ES9N  This is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138458 - first time doing 2 loops on Crystal Ranch, since cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138459 - procedures on 200430 and on 200511.  Indicates heart healing from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138460 - 100+ burns in left atrial and less in right atrial.  Today was first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138461 - time doing 2nd loop on Crystal Ranch Road since 191029, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138462 - case study on 190101 0730. ref SDS 69 SPQW  Back at Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138463 - Road, EKG showed HR 134 and report again possible atrial fibrillation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138464 - ref SDS 0 WWVV  Kathy picked me up and we drove home for 22 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138466 -  ..
138467 - Kardia recorded HR 69 at 0739 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138469 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200918-ecg-073956_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138471 -  ..
138472 - EKG chart has initial slightly erratic beats, then perfect, after not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138473 - taking metoprolol last night, per above. ref SDS 0 OP9G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138477 -  ..
138478 - Polar HR GPS study for Concord 22-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138479 - rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138482 -       Date      200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 200630 20  
138483 -       Miles        22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11     16      4      
138484 -       HR AVG      126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115    123    116      
138485 -         MAX       152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140    145    135  re  
138486 -         Min        82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78     96     82      
138487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138489 -  ..
138490 - HR profile Concord route showing average 126 and max 152 reflects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138491 - temperature 81, hiking Concord route long hills 5% grade with expected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138492 - HR changes; no AF events, and no atrial flutter, following ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138493 - 200511 0546. ref SDS 94 244I  HR elevated slightly after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138494 - metoprolol, and when hiking steepest routes twice on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138495 - road loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138498 -              https://flow.polar.com/training/analysis/5139686646                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138502 -   
138503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138506 -  ..
138507 - EKG at mile 5 HR 110 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138510 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200918-ecg-111839_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138513 -  ..
138514 - EKG looks very erratic, after not taking metoprolol last night, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138515 - above. ref SDS 0 OP9G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138519 -  ..
138520 - EKG at mile 12 HR 123 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138523 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200918-ecg-133103_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138526 -  ..
138527 - EKG looks consistent after not taking metoprolol last night, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138528 - above. ref SDS 0 OP9G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138532 -  ..
138533 - EKG at mile 19 HR 194 - Kardia reported Possible Atril Fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138536 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200918-ecg-155334_mile_19.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138539 -  ..
138540 - EKG looks terrible.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138544 -  ..
138545 - EKG 1 minute after hiking 22 miles HR 134 at 1638 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138546 - possible Atrial Fibrillation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138551 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200918-ecg-163853_mile_22.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138554 -  ..
138555 - EKG reports possible AF - heart beats look consistnt, but some beats                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138556 - may be missing p wave.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138586 -  ..
138587 - Breakfast - cream of wheat - few bites; with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138588 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138589 - Dinner - pasta hamburger avocado onion - ate few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138591 -  ..
138592 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138599 -         ..
138600 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138601 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138602 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138603 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138604 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138605 -  263.  200919 0920............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138606 -               0930....BP HR..................................................... 111  69  78  Kardia ECG reports HR normal, see below. ref SDS 0 XP3X                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138607 -               0935....BP HR..................................................... 112  72  77  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138608 -               0940....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138609 -               0940... 20 977000 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138610 -               0940... 80 207760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138611 -               0940... 05 2240 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138612 -               0940... 75 6725 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138613 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
138614 -               0940... Gabapentin 300MG  34900MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138615 -               1010....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138616 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138617 -               1345... Oxycodone HCL Plain  5  225 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138618 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138619 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138620 -          * cr 1350....miles...........  14.0  50.0  239   839 minutes  temp  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138621 -               1540... Simethicone 80  5040 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138622 -               1820....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138623 -               1825... Simethicone 80  5120 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138624 -               1840....BP HR..................................................... 118  81  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138625 -               1845....BP HR..................................................... 111  85 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138626 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138627 -               1850... 40 61820 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
138628 -               1930............ 10 14220  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138629 -               1930............ 10 13810  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138630 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138631 -               2040... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138632 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138633 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138634 -               2100... 40 41780 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138635 -               2130... 1000  927000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138636 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138637 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138638 -               2150... 05 2245 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138639 -               2200... 80 207840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138640 -               0000... Simethicone 80  4960 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138641 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138643 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138644 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138645 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138646 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138647 - at top of mountain. ref SDS 69 2T9L  However today, could not do this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138648 - .5 mile uphill.  Also added Campus Road from Pine Hollow hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138649 - uphill to Cal State East Bay college, with 2 - 3 miles of loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138650 - through Visitor, faculty and student parking, and back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138651 - Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138653 -  ..
138654 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138655 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138656 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138657 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138658 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138659 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138660 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138661 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138662 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138663 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138664 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138665 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138666 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138668 -  ..
138669 - Peripheral neuropathy - no evident feeling in both feet this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138670 - after not statins last night, per above. ref SDS 0 NZ7F -- see study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138671 - on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138673 -  ..
138674 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138675 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138676 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138678 -  ..
138679 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138681 -  ..
138682 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138683 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138685 -  ..
138686 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138688 -  ..
138689 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138690 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138692 -  ..
138693 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138694 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138695 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138696 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138697 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138698 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138699 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138700 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138701 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138702 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138703 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138704 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138705 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138706 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138708 -  ..
138709 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138710 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138712 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138713 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138714 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138715 -        Stomach pain colitis.........................   1         80  bloated much of hike - took simethacone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138716 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138717 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138718 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138719 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138720 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138721 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138722 -        Back lower side..............................   1          5  fatigue pain from 22 miles yesterday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138723 -        Hip right....................................   1          5  fatigue pain from 22 miles yesterday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138724 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138725 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138726 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138727 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138728 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138729 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138730 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138731 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138732 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138733 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138734 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138735 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138736 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138737 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138738 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138739 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138740 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138741 -        Metatarsalgia left foot...PRP 191009.........   2         30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138742 -        Metatarsalgia right foot..PRP 191009.........   2         30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138743 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138744 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138745 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138746 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138747 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138748 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138749 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138750 -        Blister ring toe left foot...................   1         80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138751 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138752 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138753 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138754 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138755 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138756 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138757 -        Wobbly disoriented staggering dizzy..........   1          5  fatigue from doing 22 miles yesterday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138759 -  ..
138760 - Body feels greatly fatigued after hiking 14 miles in 88 degrees at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138761 - normal speed, following PRP on 191009 1500. ref SDS 78 0001
138763 - -
138764 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138765 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138766 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138768 -  ..
138769 - After hike did not for several hours feel little wobbly and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138770 - disoriented, light headed.  Falling asleep while writing up this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138771 - record.  Possibly vasodilation has drawn blood from head.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138773 -  ..
138774 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138776 -  ..
138777 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138778 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138779 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138781 -  ..
138782 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138783 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138784 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138785 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138786 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138788 -  ..
138789 - Blister left foot ring toe - finally healing, so just placed a polymar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138790 - toe cap on the ring toe.  Added wrap to keep toe cap in place during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138791 - hike.  This didn't work well.  It bunched up at the toe joint.  Still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138792 - the ring toe was not injured during the hike.  Never felt pain at that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138793 - location.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138795 -  ..
138796 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138797 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138799 -  ..
138800 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138801 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138802 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138804 -  ..
138805 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138806 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138807 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138808 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138809 - ref SDS 77 SM4M  After hike on 200919, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138810 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138812 -  ..
138813 - Concord 14 mile route - starting energy okay - wearing Hoka Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138814 - shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138815 - knee injuries.  Wore 2-pair double-ply Wright socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138816 - 1344, ref SDS 79 SM4M, to prevent blisters.  Blister on left foot ring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138817 - toe was not dressed with styrofoam pad to prevent blister from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138818 - repetitive stress.  Caused pain level 1 during hike.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138819 - Metoprolol 1 pill 25 mg last night to prevent elevated HR during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138820 - today.  This avoids side effects of lowering HDL and blurred vision.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138821 - Hiked from Cuneo uphill to Treat.  Sky totally clear and Air Quality                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138822 - 0.  Breathed easily through nose entire hike.  Temperature 88.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138823 - about 2 miles in San Francisco.  Went to On-The-Run to buy orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138824 - inserts and heal cushions.  Heal cusions had to be glued together, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138825 - walked over to Golden Gate Park and back during the process.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138826 - Beautiful day in the City.  Lots of people in the park.  Back home,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138827 - hiked East normal pace on Treat 1 mile to Clayton.  Time 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138828 - for 1.25 miles.  Turned corner hiking South on Clayton 2 miles at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138829 - normal pace, mostly on flat concrete sidewalk.  At mile 3.5, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138830 - West onto Ygnacio Valley Road hiking on concrete sidewalk another .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138831 - mile.  About mile 4 crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138832 - West on asphalt shoulder aganist East bound traffic.  At mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138833 - stopped at Texaco gas station - EKG reported HR 115 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138834 - below. ref SDS 0 XQSX  Did bought lemonade to hydrate, and banana for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138835 - energy.  Hiked .25 mile on Ygnacio Valley Road to Pine Hollow; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138836 - left and hiked about 50 yards.  Turned right onto Campus Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138837 - 1-mile West uphill 3% - 4% grade to California Sate University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138838 - Bay campus.  Legs felt strong going uphill, indicating vasodilation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138839 - Body felt light, indicating losing weight.  Hiked 1-loop of about 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138840 - miles through adjoining Faculty and Student Parking lots.  At mile 7,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138841 - back at Visitor Parking hiked North downhill 3% grade .3 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138842 - Ygnacio Valley Road.  Turned left and hiked West .5 mile on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138843 - Valley Road flat pavement.  At mile 7.5 turned onto Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138844 - road.  Hiked Crystal Ranch Road - South 1 mile up steep hill 5% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138845 - Nearing top of summit feeling fatigue from hiking 22 miles and 2-loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138846 - on Crystal Ranch Road.  Hiked another mile on flat pavement through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138847 - residential area; then downhill .5 mile.  Too tired so did not hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138848 - past Rolling Woods way and uphill .5 mile to end of Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138849 - Road.  Turned East onto Rolling Woods Way.  Hiked up steep hill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138850 - grade .33 mile.  Continued downhill and turned South onto Pine Hillow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138851 - Hiked 2 miles to Mitchell Canyon Road.  Turned North and hiked .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138852 - mile to Clayton Road.  Turned East and hiked .5 mile to Skipolini's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138853 - Pizza restaraunt.  Kathy drove us home for 14 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138855 -  ..
138856 - Kardia recorded HR 75 at 0935 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138858 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200919-ecg-093526_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138860 -  ..
138861 - EKG chart looks perfect, after not taking metoprolol last night, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138862 - above. ref SDS 0 NZ7F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138950 -  ..
138951 - Breakfast - cream of wheat - few bites; with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138952 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138953 - Dinner - pizza                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138955 -  ..
138956 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138961 -         ..
138962 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138963 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138964 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138965 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138966 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138967 -  264.  200920 0410............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138968 -               0410... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138969 -               0840....BP HR..................................................... 131  80  73  Kardia ECG reports HR normal, see below. ref SDS 0 XTSR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138970 -               0845....BP HR..................................................... 117  76  72  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138971 -               0850....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138972 -               0850... 20 977020 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138973 -               0850... 80 207920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138974 -               0850... 05 2250 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138975 -               0850... 75 6800 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138976 -               0000... Oxycodone HCL Plain  5  225 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138977 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
138978 -               0850... Gabapentin 300MG  35200MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138979 -               0930....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138980 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138981 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138982 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138983 -               1125....miles...........   4.0  54.0   65   904 minutes  temp  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138984 -               0000... Simethicone 80  5120 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138985 -               1320....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138986 -               0000... Simethicone 80  5120 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138987 -               1340....BP HR..................................................... 118  69  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138988 -               1345....BP HR..................................................... 121  78  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138989 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138990 -               1700... 40 61860 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
138991 -             1 0000............ 10 14220  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138992 -             1 0000............ 10 13810  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138993 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138994 -               2050... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138995 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138996 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138997 -               2100... 40 41820 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138998 -               2130... 1000  928000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138999 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139000 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139001 -               2150... 05 2255 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139002 -               2200... 80 208000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139003 -               0000... Simethicone 80  5120 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139004 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139006 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139007 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139008 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139009 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139010 - at top of mountain. ref SDS 69 2T9L  However today, could not do this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139011 - .5 mile uphill.  Also added Campus Road from Pine Hollow hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139012 - uphill to Cal State East Bay college, with 2 - 3 miles of loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139013 - through Visitor, faculty and student parking, and back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139014 - Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139016 -  ..
139017 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139018 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139019 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139020 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139021 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139022 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139023 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139024 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139025 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139026 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139027 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139028 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139029 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139031 -  ..
139032 - Peripheral neuropathy - no evident feeling in both feet this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139033 - after not statins last night, per above. ref SDS 0 NZ7F -- see study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139034 - on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139036 -  ..
139037 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139038 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139039 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139041 -  ..
139042 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139044 -  ..
139045 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139046 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139048 -  ..
139049 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139051 -  ..
139052 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139053 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139055 -  ..
139056 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139057 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139058 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139059 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139060 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139061 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139062 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139063 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139064 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139065 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139066 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139067 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139068 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139069 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139071 -  ..
139072 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139073 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139075 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139076 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139077 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139078 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139079 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139080 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139081 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139082 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139083 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139084 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139085 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139086 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139087 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139088 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139089 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139090 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139091 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139092 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139093 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139094 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139095 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139096 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139097 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139098 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139099 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139100 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139101 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139102 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139103 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139104 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139105 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139106 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139107 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139108 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139109 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139110 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139111 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139112 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139113 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139114 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139115 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139116 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139117 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139118 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139119 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139120 -        Wobbly disoriented staggering dizzy..........   1          5  wobbly from doing 4 miles on steep hills racing other hikers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139122 -  ..
139123 - Body feels okay after hiking 4 miles in 86 degrees over continuous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139124 - steep hills racing other hikers, following PRP on 191009 1500.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139125 - ref SDS 78 0001
139127 - -
139128 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139129 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139130 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139132 -  ..
139133 - After hike did not for several hours feel little wobbly and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139134 - disoriented, light headed.  Falling asleep while writing up this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139135 - record.  Possibly vasodilation has drawn blood from head.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139137 -  ..
139138 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139140 -  ..
139141 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139142 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139143 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139145 -  ..
139146 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139147 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139148 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139149 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139150 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139152 -  ..
139153 - Blister left foot ring toe - finally healing, so just placed a polymar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139154 - toe cap on the ring toe.  Added wrap to keep toe cap in place during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139155 - hike.  This didn't work well.  It bunched up at the toe joint.  Still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139156 - the ring toe was not injured during the hike.  Never felt pain at that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139157 - location.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139159 -  ..
139160 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139161 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139163 -  ..
139164 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139165 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139166 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139168 -  ..
139169 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139170 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139171 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139172 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139173 - ref SDS 77 SM4M  After hike on 200920, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139174 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139176 -  ..
139177 - Lafayette Reservoir 4-mile route - hiked .25 mile to North end of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139178 - Dam.  Went up 1st steep hill 7% grade.  Continued hiking rest of 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139179 - mile loop.  About .75 mile, Kathy stopped to rest on a bench, then she                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139180 - returned to the dam.  Continued around the reservoir loop.  Handled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139181 - numberous short hills well breathing through nose all the way.  Raced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139182 - 2 girls up Killer Ridge 7% grade with very fast pace; did not have to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139183 - breath through mouth at top of hill for 100 yards, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139184 - previously.  No chest pain and no stomach pain due to ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139185 - colitis.  Past summit slowed.  The girls past me continuing at faster                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139186 - pace.  Completed 3-mile loop at the middle of the dam.  Continued to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139187 - North end, then hiked back down to the South end, then returned to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139188 - the middle making 4 mile hike.  This will rest the body after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139189 - 50 miles the past 3 days.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139191 -  ..
139192 - Kardia recorded HR 77 at 0817 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139194 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200920-ecg-081732_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139196 -  ..
139197 - EKG chart looks perfect, after not taking metoprolol last night, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139198 - above. ref SDS 0 WU4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139202 -  ..
139203 - Polar HR GPS study for Concord 4-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139204 - rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139207 -       Date      200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 20  
139208 -       Miles         4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0     11      
139209 -       HR AVG      117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no    115      
139210 -         MAX       139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report   140      
139211 -         Min        91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                   78      
139212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139214 -  ..
139215 - HR profile Concord route showing average 117 and max 139 reflects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139216 - temperature 87, hiking Lafayette Reservoir route continuous short,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139217 - steep hills 7% grade with expected HR changes; no AF events, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139218 - atrial flutter, following ablation on 200511 0546. ref SDS 94 244I  HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139219 - less elevated after not taking metoprolol, despite racing others on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139220 - steep hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139223 -              https://flow.polar.com/training/analysis/5147296426                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139227 -   
139228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139231 -  ..
139232 - EKG at mile 4 HR 115 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139235 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200920-ecg-123957_mile_04.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139238 -  ..
139239 - EKG looks consistent after not taking metoprolol last night, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139240 - above. ref SDS 0 NZ7F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139245 -  ..
139246 - HR profile post-hike beginning 2329 until next day OA 0700 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139247 - mostly steady heart beat 67 +/-.  Max HR 103 and minimum HR 49 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139248 - with indoor activity; 0 spikes above 130 may indicate no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139249 - fibrillatin (AF), while recovering from ablation procedures.  This may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139250 - decrease exposure to ischemic colitis, reported on 200612 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139251 - ref SDS A2 RK6F  HR profile today, may reflect heart recovering from 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139252 - coronary procedures this year, and also not taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139253 - succinct, which avoids beta blocker that lowers HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139256 -        ..
139257 -       Date      200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 200702 200701 20  
139258 -        Hours        7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14     14     14            12      7      7     15                                 16      
139259 -       HR AVG       67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63     64     72     no     75     73     75     69     no     no     no    123    123      
139260 -         MAX       103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154    126    141  report   129     95    130    131  report report report   145    145      
139261 -         Min        49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39     37     51            56     51     47     44                          96     96      
139262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139264 -              https://flow.polar.com/training/analysis/5149321636                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139268 -   
139269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139272 -  ..
139273 - Breakfast - cream of wheat - few bites; with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139274 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139275 - Dinner - eggs sausage toast, ice cream                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139277 -  ..
139278 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139285 -         ..
139286 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139287 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139288 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139289 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139290 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139291 -  265.  200921 0710............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139292 -               0720....BP HR..................................................... 139  76  67  Kardia ECG reports HR normal, see below. ref SDS 0 XWRX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139293 -               0725....BP HR..................................................... 129  71  65  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139294 -               0730....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139295 -               0730... 20 977040 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139296 -               0730... 80 208080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139297 -               0730... 05 2260 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139298 -               0730... 75 6875 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139299 -               0000... Oxycodone HCL Plain  5  225 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139300 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
139301 -               0850... Gabapentin 300MG  35500MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139302 -               0930....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139303 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139304 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139305 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139306 -               0950....miles...........  17.0  17.0  284   284 minutes  temp  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139307 -               1240... Simethicone 80  5200 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139308 -               1410... Simethicone 80  5280 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139309 -               1510....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139310 -               1530....BP HR..................................................... 126  76 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139311 -               1535....BP HR..................................................... 129  82 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139312 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139313 -               1700... 40 61900 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
139314 -               1830............ 10 14230  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139315 -               1830............ 10 13820  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139316 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139317 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139318 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139319 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139320 -               2100... 40 41860 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139321 -               2130... 1000  929000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139322 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139323 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139324 -               2150... 05 2265 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139325 -               2200... 80 208160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139326 -               0000... Simethicone 80  5120 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139327 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139329 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139330 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139331 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139332 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139333 - at top of mountain. ref SDS 69 2T9L  However today, could not do this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139334 - .5 mile uphill.  Also added Campus Road from Pine Hollow hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139335 - uphill to Cal State East Bay college, with 2 - 3 miles of loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139336 - through Visitor, faculty and student parking, and back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139337 - Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139339 -  ..
139340 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139341 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139342 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139343 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139344 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139345 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139346 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139347 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139348 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139349 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139350 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139351 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139352 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139354 -  ..
139355 - Peripheral neuropathy - no evident feeling in both feet this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139356 - after not statins last night, per above. ref SDS 0 NZ7F -- see study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139357 - on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139359 -  ..
139360 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139361 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139362 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139364 -  ..
139365 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139367 -  ..
139368 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139369 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139371 -  ..
139372 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139374 -  ..
139375 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139376 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139378 -  ..
139379 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139380 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139381 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139382 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139383 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139384 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139385 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139386 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139387 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139388 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139389 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139390 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139391 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139392 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139394 -  ..
139395 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139396 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139398 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139399 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139400 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139401 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139402 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139403 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139404 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139405 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139406 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139407 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139408 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139409 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139410 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139411 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139412 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139413 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139414 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139415 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139416 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139417 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139418 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139419 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139420 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139421 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139422 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139423 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139424 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139425 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139426 -        Electric shocks middle 3 toes right foot.....   4          5  electrical shock and/or burning sensation hiking up Crystal Ranch Road for about .25 mile then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                      
139427 -        Metatarsalgia left foot...PRP 191009.........   2         30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139428 -        Metatarsalgia right foot..PRP 191009.........   2         30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139429 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139430 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139431 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139432 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139433 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139434 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139435 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139436 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139437 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139438 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139439 -        Burning sensation right foot..PRP 190816.....   0        100  electrical shock and/or burning sensation hiking up Crystal Ranch Road for about .25 mile then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                      
139440 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139441 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139442 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139443 -        Wobbly disoriented staggering dizzy..........   1         15  wobbly last 4 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139445 -  ..
139446 - Body feels okay after hiking 17 miles in 88 degrees over mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139447 - shallow and some steep hills, following PRP on 191009 1500.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139448 - ref SDS 78 0001
139450 - -
139451 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139452 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139453 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139455 -  ..
139456 - After hike did not for several hours feel little wobbly and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139457 - disoriented, light headed.  Falling asleep while writing up this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139458 - record.  Possibly vasodilation has drawn blood from head.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139460 -  ..
139461 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139463 -  ..
139464 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139465 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139466 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139468 -  ..
139469 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139470 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139471 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139472 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139473 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139475 -  ..
139476 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139477 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139479 -  ..
139480 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139481 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139482 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139484 -  ..
139485 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139486 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139487 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139488 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139489 - ref SDS 77 SM4M  After hike on 200920, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139490 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139492 -  ..
139493 - Concord 17 mile route - starting energy good.  Wearing Hoka Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139494 - shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139495 - knee injuries.  Wore 2-pair double-ply Wright socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139496 - 1344, ref SDS 79 SM4M, to prevent blisters.  Hiked from Cuneo uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139497 - to Treat.  Sky seems more murky than yesterday, with smoke from fire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139498 - in Fairfield Vacaville area - can see surrounding hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139499 - Breathed easily through nose entire hike.  Temperature reached 88.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139500 - Hiked East normal to fast pace on Treat 1 mile to Clayton.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139501 - corner hiking South on Clayton 2 miles at normal to fast pace, mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139502 - on flat concrete sidewalk.  At mile 3.5, turned West onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139503 - Valley Road hiking on concrete sidewalk another .5 mile.  About mile 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139504 - crossed to South side Ygnacio Valley Road hiking West on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139505 - shoulder aganist East bound traffic.  At mile 5, stopped at Texaco gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139506 - station - EKG reported HR 108 Tachycardia - see below. ref SDS 0 JT9M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139507 - Hiked .25 mile on Ygnacio Valley Road to Pine Hollow; turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139508 - hiked about 50 yards.  Turned right onto Campus Road.  Hiked 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139509 - West uphill 3% - 4% grade to California Sate University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139510 - campus.  Mild West Wind reduced effects of 88 degree temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139511 - Hiked 1-loop of about 3 miles through adjoining Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139512 - Parking lots.  About 1240, took Simethocone pill to relieve bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139513 - feeling.  Seemed to feel vasodilation surge of energy and strength                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139514 - hiking up last long hill in Student parking lot.  At mile 7 back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139515 - Visitor Parking hiked North downhill 3% grade .3 mile to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139516 - Valley Road.  Turned left and hiked West .5 mile on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139517 - Road flat pavement.  At mile 7.5 turned South and hiked 1 mile up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139518 - steep hill 5% grade on Crystal Ranch Road.  About .25 mile up the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139519 - hill, felt sharp pain level 4 across 3 middle toes right foot, maybe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139520 - cross between electrical shock and burning sensation at the toe joints                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139521 - with the foot bone.  Tried stepping in different ways.  Fortunately,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139522 - this ended within  next .25 mile.  Hiked another mile on flat pavement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139523 - through residential area; then downhill .5 mile past Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139524 - Way, and up another steep hill 5% grade .5 mile to the end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139525 - Ranch Road.  Handled these hills well maintaining speed and breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139526 - easily through nose all the way.  Hiked back downhill on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139527 - Road.  Turned East on Rolling Woods Way.  Hiked up steep hill 5% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139528 - .33 mile, then downhill and turned North onto Pine Hillow.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139529 - mile to Ygnacio Valley Road.  Mile 12, stopped at Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139530 - again - EKG reported HR 118 Tachycardia - see below. ref SDS 0 XXRU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139531 - Continued hike on Ygnacio Valley Road to Pine Hollow; turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139532 - hiked about 50 yards.  Turned right onto Campus Road.  Hiked 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139533 - West uphill 3% - 4% grade to California Sate University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139534 - campus.  Not feeling well - seem tired, muscles hurt, feet pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139535 - 3 - wobbling and staggering - big change from Crystal Ranch Road loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139536 - Hiked 1-loop of about 2 miles through adjoining Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139537 - Parking lots; did not added sub-loops of .5 mile.  About 1410, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139538 - 2nd Simethocone to relieve bloating feeling.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139539 - mile 14.  Took Campus Drive North .33 mile downhill to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139540 - Road.  Feet hurting on long downhill - endorphins helped ignore pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139541 - Turned left onto Ygnacio Valley Road and hiked West .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139542 - Adrenalin seemed to kick in, because increased pace.  Continued West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139543 - on Ygnacio Valley Road uphill 2% grade past Cowell.  At mile 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139544 - crossed from South side of Ygnacio Valley Road to the North side in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139545 - order to avoid severely sloped shoulder on South Side.  On North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139546 - continued West uphill 3% grade over the summit.  At end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139547 - traffic-seperation barriar, turned around and hiked East 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139548 - downhill.  Turned left onto Cowell and hiked North downhill 3% grade 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139549 - mile to Treat.  Hiked West on Treat to Cuneo and home for 17 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139551 -  ..
139552 - Kardia recorded HR 65 at 0727 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139554 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200921-ecg-072713_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139556 -  ..
139557 - EKG chart looks perfect, after not taking metoprolol last night, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139558 - above. ref SDS 0 V54K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139562 -  ..
139563 - Polar HR GPS study for Concord 17-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139564 - rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139567 -       Date      200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 200703 20  
139568 -       Miles        17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      0      
139569 -       HR AVG      120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no     no      
139570 -         MAX       139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report report     
139571 -         Min        90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88                    
139572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139574 -  ..
139575 - HR profile Concord route showing average 120 and max 139 reflects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139576 - temperature 88, hiking Concord route long, steep hills 5% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139577 - expected HR changes; no AF events, and no atrial flutter, following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139578 - ablation on 200511 0546. ref SDS 94 244I  HR less elevated after not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139579 - taking metoprolol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139582 -              https://flow.polar.com/training/analysis/5151261051                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139586 -   
139587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139590 -  ..
139591 - EKG at mile 5 HR 108 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139594 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200921-ecg-110700_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139597 -  ..
139598 - EKG looks consistent after not taking metoprolol last night, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139599 - above. ref SDS 0 V54K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139603 -  ..
139604 - EKG at mile 12 HR 118 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139607 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200921-ecg-131938_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139610 -  ..
139611 - EKG looks ragged with some consistency after not taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139612 - last night, per above. ref SDS 0 V54K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139616 -  ..
139617 - EKG 1 minute after hiking 17 miles HR 123 at 1508 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139618 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139622 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200921-ecg-150815_mile_17.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139625 -  ..
139626 - EKG looks consistent after not taking metoprolol last night, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139627 - above. ref SDS 0 V54K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139659 -  ..
139660 - Breakfast - cream of wheat - few bites; with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139661 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139662 - Dinner - eggs sausage pasta hamburger avocado onion, half sandwich                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139663 - balogna cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139665 -  ..
139666 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139673 -         ..
139674 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139675 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139676 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139677 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139678 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139679 -  266.  200922 0820............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139680 -               0820....BP HR..................................................... 124  72  71  Kardia ECG reports HR normal, see below. ref SDS 0 YQVW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139681 -               0825....BP HR..................................................... 128  76  73  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139682 -               0830....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139683 -               0830... 20 977060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139684 -               0830... 80 208240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139685 -               0830... 05 2270 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139686 -               0830... 75 6950 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139687 -               1130... Oxycodone HCL Plain  5  230 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139688 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
139689 -               1130... Gabapentin 300MG  35800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139690 -               1130....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139691 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139692 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139693 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139694 -               1220....miles...........  18.0  35.0  302   586 minutes  temp  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139695 -               0000... Simethicone 80  5200 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139696 -               0000... Simethicone 80  5280 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139697 -               1820....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139698 -               1835....BP HR..................................................... 105  78  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139699 -               1840....BP HR..................................................... 111  76  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139700 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139701 -               1700... 40 61940 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
139702 -             1 0000............ 10 14230  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139703 -             1 0000............ 10 13820  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139704 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139705 -               2020... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139706 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139707 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139708 -               2100... 40 41900 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139709 -               2130... 1000  930000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139710 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139711 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139712 -               2150... 05 2275 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139713 -               2200... 80 208320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139714 -               0000... Simethicone 80  5120 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139715 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139717 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139718 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139719 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139720 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139721 - at top of mountain. ref SDS 69 2T9L  However today, could not do this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139722 - .5 mile uphill.  Also added Campus Road from Pine Hollow hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139723 - uphill to Cal State East Bay college, with 2 - 3 miles of loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139724 - through Visitor, faculty and student parking, and back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139725 - Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139727 -  ..
139728 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139729 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139730 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139731 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139732 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139733 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139734 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139735 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139736 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139737 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139738 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139739 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139740 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139742 -  ..
139743 - Peripheral neuropathy - no evident feeling in both feet this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139744 - after not statins last night, per above. ref SDS 0 NZ7F -- see study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139745 - on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139747 -  ..
139748 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139749 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139750 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139752 -  ..
139753 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139755 -  ..
139756 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139757 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139759 -  ..
139760 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139762 -  ..
139763 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139764 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139766 -  ..
139767 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139768 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139769 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139770 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139771 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139772 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139773 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139774 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139775 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139776 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139777 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139778 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139779 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139780 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139782 -  ..
139783 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139784 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139786 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139787 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139788 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139789 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139790 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139791 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139792 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139793 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139794 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139795 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139796 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139797 -        Hip right....................................   1          8  hiking downhill 3% grade Campus Drive about 1 mile at mile 7.2 to Ygnacio Valley Road then to Crystal Ranch Road to storm drain 3 at mile 8                                                                                                                                                                                                                                                                                                                                                                                                  
139798 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139799 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139800 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139801 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139802 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139803 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139804 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139805 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139806 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139807 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139808 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139809 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139810 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139811 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139812 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139813 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139814 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139815 -        Metatarsalgia left foot...PRP 191009.........   2         30  mile 16.5 going downhill on Cowell bottom forefoot hurting each step                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139816 -        Metatarsalgia right foot..PRP 191009.........   2         30  mile 16.5 going downhill on Cowell bottom forefoot hurting each step                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139817 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139818 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139819 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139820 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139821 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139822 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139823 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139824 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139825 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139826 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139827 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139828 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139829 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139830 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139831 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139833 -  ..
139834 - Body feels okay (and better than after 17 mile hike yesterday, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139835 - above, ref SDS 0 XVUY) after hiking 18 miles in 88 degrees over mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139836 - shallow and some steep hills, following PRP on 191009 1500.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139837 - ref SDS 78 0001
139839 - -
139840 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139841 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139842 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139844 -  ..
139845 - After hike did not for several hours feel little wobbly and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139846 - disoriented, light headed.  Falling asleep while writing up this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139847 - record.  Possibly vasodilation has drawn blood from head.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139849 -  ..
139850 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139852 -  ..
139853 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139854 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139855 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139857 -  ..
139858 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139859 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139860 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139861 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139862 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139864 -  ..
139865 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139866 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139868 -  ..
139869 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139870 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139871 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139873 -  ..
139874 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139875 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139876 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139877 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139878 - ref SDS 77 SM4M  After hike on 200922, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139879 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139881 -  ..
139882 - Concord 18 mile route - starting energy okay.  Wearing Hoka Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139883 - shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139884 - knee injuries.  Wore 2-pair double-ply Wright socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139885 - 1344, ref SDS 79 SM4M, to prevent blisters.  Hiked from Cuneo uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139886 - to Treat.  Sky seems clear with no smoke from fires - can see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139887 - surrounding hills today.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139888 - Temperature reached 88.  Hiked East normal to fast pace on Treat 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139889 - mile to Clayton.  Turned corner hiking South on Clayton 2 miles at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139890 - normal to fast pace, mostly on flat concrete sidewalk.  At mile 3.5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139891 - turned West onto Ygnacio Valley Road hiking on concrete sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139892 - another .5 mile.  About mile 4 crossed to South side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139893 - Road hiking West on asphalt shoulder aganist East bound traffic.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139894 - mile 5, stopped at Texaco gas station - EKG reported HR 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139895 - Tachycardia - see below. ref SDS 0 YRPV  Hiked .25 mile on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139896 - Valley Road to Pine Hollow; turned left and hiked about 50 yards.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139897 - Turned right onto Campus Road.  Hiked 1-mile West uphill 3% - 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139898 - to California Sate University East Bay campus.  Mild West Wind reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139899 - effects of 88 degree temperature.  Hiked 1-loop of about 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139900 - through adjoining Faculty and Student Parking lots.  Seemed to feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139901 - vasodilation surge of energy and strength hiking up last long hill in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139902 - Student parking lot.  At mile 7 back at Visitor Parking hiked North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139903 - downhill 3% grade .3 mile to Ygnacio Valley Road.  Turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139904 - hiked West .5 mile on Ygnacio Valley Road flat pavement.  At mile 7.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139905 - turned South and hiked 1 mile up steep hill 5% grade on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139906 - Road.  Hiked another mile on flat pavement through residential area;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139907 - then downhill .5 mile past Rolling Woods Way, and up another steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139908 - hill 5% grade .5 mile to the end of Crystal Ranch Road.  Handled these                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139909 - hills well maintaining speed and breathing easily through nose all the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139910 - way.  Hiked back downhill on Crystal Ranch Road.  Turned East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139911 - Rolling Woods Way.  Hiked up steep hill 5% grade .33 mile, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139912 - downhill and turned North onto Pine Hillow.  Hiked 1 mile to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139913 - Valley Road.  Mile 12, stopped at Texaco Gas Station again - EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139914 - reported HR 116 Tachycardia - see below. ref SDS 0 YRRP  XXRU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139915 - Continued hike on Ygnacio Valley Road to Pine Hollow; turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139916 - hiked about 50 yards.  Turned right onto Campus Road.  Hiked 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139917 - West uphill 3% - 4% grade to California Sate University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139918 - campus.  Hiked 2-loops of about 1.5 miles through adjoining Faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139919 - and Student Parking lots; did not added sub-loops of .5 mile.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139920 - Visitor Parking mile 14.  Took Campus Drive North .33 mile downhill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139921 - Ygnacio Valley Road.  Feet hurting on long downhill - endorphins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139922 - helped ignore pain.  Turned left onto Ygnacio Valley Road and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139923 - West .5 miles.  Adrenalin seemed to kick in, because increased pace.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139924 - Continued West on Ygnacio Valley Road uphill 2% grade past Cowell.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139925 - mile 15 crossed from South side of Ygnacio Valley Road to the North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139926 - side in order to avoid severely sloped shoulder on South Side.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139927 - North side continued West uphill 3% grade over the summit and .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139928 - miles beyond concrete traffic separation barriar.  Turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139929 - hiked East 1-mile downhill.  Turned left onto Cowell and hiked North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139930 - downhill 3% grade 1 mile to Treat.  Hiked West on Treat to Cuneo and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139931 - home for 18 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139933 -  ..
139934 - Kardia recorded HR 75 at 1105 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139937 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200922-ecg-110555_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139939 -  ..
139940 - EKG chart looks perfect, after not taking metoprolol last night, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139941 - above. ref SDS 0 XM6O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139945 -  ..
139946 - Polar HR GPS study for Concord 18-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139947 - rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139950 -       Date      200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 200704 20  
139951 -       Miles        18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      0      
139952 -       HR AVG      118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114     no      
139953 -         MAX       136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  report re  
139954 -         Min        91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88             
139955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139957 -  ..
139958 - HR profile Concord route showing average 118 and max 136 reflects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139959 - temperature 88, hiking Concord route long, steep hills 5% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139960 - expected HR changes; no AF events, and no atrial flutter, following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139961 - ablation on 200511 0546. ref SDS 94 244I  HR less elevated after not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139962 - taking metoprolol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139965 -              https://flow.polar.com/training/analysis/5155387906                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139969 -   
139970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139973 -  ..
139974 - EKG at mile 5 HR 107 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139977 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200922-ecg-134147_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139980 -  ..
139981 - EKG looks good, consistent after not taking metoprolol last night, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139982 - above. ref SDS 0 XM6O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139986 -  ..
139987 - EKG at mile 12 HR 116 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139990 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200922-ecg-160501_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139993 -  ..
139994 - EKG looks ragged with some consistency after not taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139995 - last night, per above. ref SDS 0 XM6O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139999 -  ..
140000 - EKG 20 minutes after hiking 18 miles HR 112 at 1809 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140001 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140005 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200922-ecg-180925_mile_18.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140008 -  ..
140009 - EKG looks consistent after not taking metoprolol last night, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140010 - above. ref SDS 0 V54K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140042 -  ..
140043 - Breakfast - cream of wheat - few bites; with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140044 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140045 - Dinner - broccoli pasta hamburger avocado onion tomato musrhooms (few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140046 - bites), snack balogna cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140048 -  ..
140049 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140055 -         ..
140056 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140057 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140058 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140059 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140060 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140061 -  267.  200923 0820............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140062 -               0820....BP HR..................................................... 132  74  66  Kardia ECG reports HR normal, see below. ref SDS 0 Y6SQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140063 -               0825....BP HR..................................................... 109  82  78  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140064 -               0830....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140065 -               0830... 20 977080 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140066 -               0830... 80 208400 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140067 -               0830... 05 2280 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140068 -               0830... 75 7025 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140069 -               1230... Oxycodone HCL Plain  5  235 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140070 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
140071 -               1230... Gabapentin 300MG  36100MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140072 -               1230....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140073 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140074 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140075 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140076 -               1250....miles...........  20.0  55.0  338   924 minutes  temp  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140077 -               1430... Simethicone 80  5360 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140078 -               1810... Simethicone 80  5440 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140079 -               1925....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140080 -               1930....BP HR..................................................... 105  70  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140081 -               1935....BP HR..................................................... 113  73  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140082 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140083 -               1950... 40 61980 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
140084 -               2030............ 10 14240  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140085 -               2030............ 10 13830  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140086 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140087 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140088 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140089 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140090 -               2100... 40 41940 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140091 -               2130... 1000  931000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140092 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140093 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140094 -               2150... 05 2285 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140095 -               2200... 80 208480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140096 -               0000... Simethicone 80  5120 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140097 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140099 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140100 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140101 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140102 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140103 - at top of mountain. ref SDS 69 2T9L  However today, could not do this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140104 - .5 mile uphill.  Also added Campus Road from Pine Hollow hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140105 - uphill to Cal State East Bay college, with 2 - 3 miles of loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140106 - through Visitor, faculty and student parking, and back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140107 - Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140109 -  ..
140110 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140111 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140112 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140113 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140114 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140115 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140116 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140117 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140118 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140119 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140120 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140121 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140122 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140124 -  ..
140125 - Peripheral neuropathy - no evident feeling in both feet this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140126 - after not statins last night, per above. ref SDS 0 NZ7F -- see study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140127 - on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140129 -  ..
140130 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140131 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140132 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140134 -  ..
140135 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140137 -  ..
140138 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140139 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140141 -  ..
140142 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140144 -  ..
140145 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140146 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140148 -  ..
140149 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140150 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140151 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140152 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140153 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140154 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140155 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140156 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140157 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140158 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140159 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140160 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140161 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140162 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140164 -  ..
140165 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140166 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140168 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140169 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140170 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140171 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140172 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140173 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140174 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140175 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140176 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140177 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140178 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140179 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140180 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140181 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140182 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140183 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140184 -        Knee left cruciate ligaments back of knee....   1          5  coming down Crystal Ranch Road after reaching the top of the mountain, continued 5 miles or so, then ended                                                                                                                                                                                                                                                                                                                                                                                                                                   
140185 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140186 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140187 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140188 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140189 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140190 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140191 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140192 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140193 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140194 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140195 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140196 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140197 -        Metatarsalgia left foot...PRP 191009.........   2         30  mile 17 going downhill on Cowell bottom forefoot hurting each step                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140198 -        Metatarsalgia right foot..PRP 191009.........   2         30  mile 17 going downhill on Cowell bottom forefoot hurting each step                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140199 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140200 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140201 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140202 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140203 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140204 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140205 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140206 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140207 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140208 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140209 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140210 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140211 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140212 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140213 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140215 -  ..
140216 - Body feels okay after hiking 20 miles in 88 degrees over mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140217 - shallow and some steep hills, following PRP on 191009 1500.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140218 - ref SDS 78 0001
140220 - -
140221 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140222 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140223 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140225 -  ..
140226 - After hike did not for several hours feel little wobbly and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140227 - disoriented, light headed.  Falling asleep while writing up this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140228 - record.  Possibly vasodilation has drawn blood from head.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140230 -  ..
140231 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140233 -  ..
140234 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140235 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140236 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140238 -  ..
140239 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140240 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140241 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140242 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140243 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140245 -  ..
140246 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140247 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140249 -  ..
140250 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140251 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140252 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140254 -  ..
140255 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140256 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140257 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140258 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140259 - ref SDS 77 SM4M  After hike on 200922, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140260 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140262 -  ..
140263 - Concord 20 mile route - starting energy okay.  Wearing Hoka Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140264 - shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140265 - knee injuries.  Wore 2-pair double-ply Wright socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140266 - 1344, ref SDS 79 SM4M, to prevent blisters.  Hiked from Cuneo uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140267 - to Treat.  Sky seems clear with no smoke from fires - can see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140268 - surrounding hills today.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140269 - Temperature reached 88.  Hiked East normal to fast pace on Treat 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140270 - mile to Clayton.  Turned corner hiking South on Clayton 2 miles at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140271 - normal to fast pace, mostly on flat concrete sidewalk.  At mile 3.5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140272 - turned West onto Ygnacio Valley Road hiking on concrete sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140273 - another .5 mile.  About mile 4 crossed to South side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140274 - Road hiking West on asphalt shoulder aganist East bound traffic.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140275 - mile 5, stopped at Texaco gas station - EKG reported HR 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140276 - Tachycardia - see below. ref SDS 0 YUWQ  Hiked .25 mile on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140277 - Valley Road to Pine Hollow; turned left and hiked about 50 yards.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140278 - Turned right onto Campus Road.  Hiked 1-mile West uphill 3% - 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140279 - to California Sate University East Bay campus.  Mild West Wind reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140280 - effects of 88 degree temperature.  Hiked 1-loop of about 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140281 - through adjoining Faculty and Student Parking lots.  Seemed to feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140282 - vasodilation surge of energy and strength hiking up last long hill in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140283 - Student parking lot.  At mile 7 back at Visitor Parking hiked North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140284 - downhill 3% grade .3 mile to Ygnacio Valley Road.  Turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140285 - hiked West .5 mile on Ygnacio Valley Road flat pavement.  At mile 7.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140286 - turned South and hiked 1 mile up steep hill 5% grade on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140287 - Road.  Hiked another mile on flat pavement through residential area;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140288 - then downhill .5 mile past Rolling Woods Way, and up another steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140289 - hill 5% grade .5 mile to the end of Crystal Ranch Road.  Handled these                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140290 - hills well maintaining speed and breathing easily through nose all the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140291 - way.  Hiked back downhill on Crystal Ranch Road.  About half way down,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140292 - pain level 2 back of left knee cruciat ligament.  Turned East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140293 - Rolling Woods Way.  Hiked up steep hill 5% grade .33 mile - about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140294 - halfway uphill, pain back of left knee subsided.  At summit, hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140295 - downhill .66 mile and turned North onto Pine Hillow.  Hiked 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140296 - Ygnacio Valley Road.  Mile 12, stopped at Texaco Gas Station again -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140297 - EKG reported HR 113 Tachycardia - see below. ref SDS 0 YUXT  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140298 - hike on Ygnacio Valley Road to Pine Hollow; turned left and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140299 - about 50 yards.  Turned right onto Campus Road.  Hiked 1-mile West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140300 - uphill 3% - 4% grade to California Sate University East Bay campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140301 - Hiked 3-loops of about 1.5 miles through adjoining Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140302 - Parking lots; did not added sub-loops of .5 mile.  Back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140303 - Parking mile 16.  Took Campus Drive North .33 mile downhill to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140304 - Valley Road.  Feet hurting on long downhill - endorphins helped ignore                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140305 - pain.  Turned left onto Ygnacio Valley Road and hiked West .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140306 - Adrenalin seemed to kick in, because increased pace.  Continued West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140307 - on Ygnacio Valley Road uphill 2% grade past Cowell.  At mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140308 - crossed from South side of Ygnacio Valley Road to the North side in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140309 - order to avoid severely sloped shoulder on South Side.  On North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140310 - continued West uphill 3% grade over the summit and .25 miles beyond                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140311 - concrete traffic separation barriar.  Turned around and hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140312 - 1-mile downhill.  Turned left onto Cowell and hiked North downhill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140313 - grade 1 mile to Treat.  Hiked West on Treat to Cuneo and home for 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140314 - miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140316 -  ..
140317 - Kardia recorded HR 70 at 1105 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140320 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200923-ecg-081022_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140322 -  ..
140323 - EKG chart looks perfect, after not taking metoprolol last night, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140324 - above. ref SDS 0 2I6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140328 -  ..
140329 - Polar HR GPS study for Concord 20-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140330 - rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140333 -       Date      200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 20  
140334 -       Miles        20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0     14     12      
140335 -       HR AVG      115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no    116    114      
140336 -         MAX       138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report   130    128  re  
140337 -         Min        83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87            80     88      
140338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140340 -  ..
140341 - HR profile Concord route showing average 115 and max 138 reflects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140342 - temperature 88, hiking Concord route long, steep hills 5% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140343 - expected HR changes; no AF events, and no atrial flutter, following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140344 - ablation on 200511 0546. ref SDS 94 244I  HR less elevated after not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140345 - taking metoprolol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140348 -              https://flow.polar.com/training/analysis/5159194071                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140352 -   
140353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140356 -  ..
140357 - EKG at mile 5 HR 108 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140360 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200923-ecg-140827_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140363 -  ..
140364 - EKG looks very ragged initial 10 beats or so, then calms down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140365 - somewhat, unclear what this means, after not taking metoprolol last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140366 - night, per above. ref SDS 0 2I6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140370 -  ..
140371 - EKG at mile 12 HR 113 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140374 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200923-ecg-163404_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140377 -  ..
140378 - EKG looks little ragged with consistency, much better than EKG at 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140379 - miles, per above, ref SDS 0 YUWQ, and after not taking metoprolol last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140380 - night, per above. ref SDS 0 2I6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140384 -  ..
140385 - EKG 10 minutes after hiking 20 miles HR 108 at 1910 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140386 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140390 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200923-ecg-191054_mile_20.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140393 -  ..
140394 - EKG looks consistent after not taking metoprolol last night, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140395 - above. ref SDS 0 2I6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140427 -  ..
140428 - Breakfast - cream of wheat - few bites; with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140429 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140430 - Dinner - broccoli pasta hamburger avocado onion tomato musrhooms (few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140431 - bites), snack balogna cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140433 -  ..
140434 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140440 -         ..
140441 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140442 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140443 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140444 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140445 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140446 -  268.  200924 0830............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140447 -               0840....BP HR..................................................... 117  74  71  Kardia ECG reports HR normal, see below. ref SDS 0 YYQU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140448 -               0845....BP HR..................................................... 122  73  70  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140449 -               0850....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140450 -               0850... 20 977100 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140451 -               0850... 80 208560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140452 -               0850... 05 2290 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140453 -               0850... 75 7100 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140454 -               0000... Oxycodone HCL Plain  5  235 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140455 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
140456 -               0000... Gabapentin 300MG  36100MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140457 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140458 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140459 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140460 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140461 -               1950... 40 62020 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
140462 -             1 0000............ 10 14240  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140463 -             1 0000............ 10 13830  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140464 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140465 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140466 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140467 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140468 -               2100... 40 41980 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140469 -               2130... 1000  932000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140470 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140471 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140472 -               2150... 05 2295 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140473 -               2200... 80 208640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140474 -               2340... Simethicone 80  5520 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140475 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140477 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140478 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140479 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140480 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140481 - at top of mountain. ref SDS 69 2T9L  However today, could not do this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140482 - .5 mile uphill.  Also added Campus Road from Pine Hollow hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140483 - uphill to Cal State East Bay college, with 2 - 3 miles of loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140484 - through Visitor, faculty and student parking, and back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140485 - Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140487 -  ..
140488 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140489 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140490 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140491 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140492 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140493 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140494 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140495 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140496 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140497 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140498 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140499 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140500 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140502 -  ..
140503 - Peripheral neuropathy - no evident feeling in both feet this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140504 - after not statins last night, per above. ref SDS 0 NZ7F -- see study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140505 - on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140507 -  ..
140508 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140509 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140510 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140512 -  ..
140513 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140515 -  ..
140516 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140517 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140519 -  ..
140520 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140522 -  ..
140523 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140524 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140526 -  ..
140527 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140528 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140529 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140530 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140531 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140532 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140533 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140534 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140535 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140536 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140537 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140538 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140539 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140540 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140542 -  ..
140543 - Kardia recorded HR 70 at 0851 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140546 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200924-ecg-085125_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140549 -  ..
140550 - EKG chart looks perfect, after not taking metoprolol last night, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140551 - above. ref SDS 0 ME4G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140555 -  ..
140556 - HR profile post-hike beginning 0006 until next day OA 0730 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140557 - mostly steady heart beat 65 +/-.  Max HR 145 and minimum HR 50 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140558 - with indoor activity; 1 spikes above 130 may indicate atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140559 - fibrillatin (AF), while recovering from ablation procedures.  This may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140560 - increase exposure to ischemic colitis, reported on 200612 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140561 - ref SDS A2 RK6F  HR profile today, may reflect heart recovering from 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140562 - coronary procedures this year, and also not taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140563 - succinct, which avoids beta blocker that lowers HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140566 -        ..
140567 -       Date      200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 200706 200705 20  
140568 -        Hours        8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14     14     14            12      7      7     15             
140569 -       HR AVG       65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63     64     72     no     75     73     75     69     no      
140570 -         MAX       145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154    126    141  report   129     95    130    131  report re  
140571 -         Min        50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39     37     51            56     51     47     44             
140572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140574 -              https://flow.polar.com/training/analysis/5164277581                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140578 -   
140579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140582 -  ..
140583 - Breakfast - cream of wheat - few bites; with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140584 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140585 - Dinner - broccoli pasta hamburger avocado onion tomato musrhooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140587 -  ..
140588 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140594 -         ..
140595 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140596 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140597 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140598 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140599 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140600 -  269.  200925 0730............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140601 -               0740....BP HR..................................................... 133  81  62  Kardia ECG reports HR normal, see below. ref SDS 0 PSPQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140602 -               0745....BP HR..................................................... 137  84  64  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140603 -               0750....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140604 -               0750... 20 977120 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140605 -               0750... 80 208720 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140606 -               0750... 05 2300 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140607 -               0750... 75 7175 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140608 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
140609 -               1130... Gabapentin 300MG  36400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140610 -               1130....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140611 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140612 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140613 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140614 -         * cr  1210....miles...........  16.0  71.0  269  1321 minutes  temp  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140615 -               1410... Simethicone 80  5520 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140616 -               1620... Oxycodone HCL Plain  5  240 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140617 -               1620... Gabapentin 300MG  36700MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140618 -               1640... Simethicone 80  5600 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140619 -               1805....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140620 -               1810....BP HR..................................................... 125  73  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140621 -               1815....BP HR..................................................... 125  74  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140622 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140623 -               1950... 40 62060 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
140624 -               2030............ 10 14250  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140625 -               2030............ 10 13840  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140626 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140627 -               2050... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140628 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140629 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140630 -               2100... 40 42020 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140631 -               2130... 1000  933000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140632 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140633 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140634 -               2150... 05 2305 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140635 -               2200... 80 208800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140636 -               2340... Simethicone 80  5680 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140637 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140639 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140640 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140641 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140642 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140643 - at top of mountain. ref SDS 69 2T9L  However today, could not do this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140644 - .5 mile uphill.  Also added Campus Road from Pine Hollow hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140645 - uphill to Cal State East Bay college, with 2 - 3 miles of loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140646 - through Visitor, faculty and student parking, and back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140647 - Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140649 -  ..
140650 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140651 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140652 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140653 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140654 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140655 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140656 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140657 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140658 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140659 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140660 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140661 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140662 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140664 -  ..
140665 - Peripheral neuropathy - no evident feeling in both feet this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140666 - after not statins last night, per above. ref SDS 0 NZ7F -- see study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140667 - on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140669 -  ..
140670 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140671 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140672 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140674 -  ..
140675 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140677 -  ..
140678 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140679 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140681 -  ..
140682 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140684 -  ..
140685 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140686 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140688 -  ..
140689 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140690 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140691 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140692 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140693 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140694 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140695 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140696 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140697 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140698 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140699 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140700 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140701 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140702 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140704 -  ..
140705 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140706 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140708 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140709 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140710 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140711 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140712 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140713 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140714 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140715 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140716 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140717 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140718 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140719 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140720 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140721 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140722 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140723 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140724 -        Knee left cruciate ligaments back of knee....   2         10  felt knee pain throughout most of hike; on 2nd loop going up Campus Drive from Pine Hollow took oxycodone and gabapentin at 1600; after about 20 minutes, did not feel further pain anywhere                                                                                                                                                                                                                                                                                                                                                 
140725 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140726 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140727 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140728 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140729 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140730 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140731 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140732 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140733 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140734 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140735 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140736 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140737 -        Metatarsalgia left foot...PRP 191009.........   2         30  mile 14 going downhill on Campus Road to Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140738 -        Metatarsalgia right foot..PRP 191009.........   2         30  mile 14 going downhill on Campus Road to Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140739 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140740 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140741 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140742 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140743 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140744 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140745 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140746 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140747 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140748 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140749 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140750 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140751 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140752 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140753 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140755 -  ..
140756 - Body feels okay after hiking 16 miles in 86 degrees over mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140757 - shallow and some steep hills, following PRP on 191009 1500.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140758 - ref SDS 78 0001
140760 - -
140761 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140762 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140763 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140765 -  ..
140766 - After hike did not for several hours feel little wobbly and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140767 - disoriented, light headed.  Falling asleep while writing up this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140768 - record.  Possibly vasodilation has drawn blood from head.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140770 -  ..
140771 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140773 -  ..
140774 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140775 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140776 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140778 -  ..
140779 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140780 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140781 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140782 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140783 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140785 -  ..
140786 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140787 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140789 -  ..
140790 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140791 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140792 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140794 -  ..
140795 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140796 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140797 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140798 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140799 - ref SDS 77 SM4M  After hike on 200925, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140800 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140801 - ref SDS 0 KX7F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140803 -  ..
140804 - Concord 16 mile route - starting energy okay.  Wearing Hoka Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140805 - shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140806 - knee injuries.  Wore 2-pair double-ply Wright socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140807 - 1344, ref SDS 79 SM4M, to prevent blisters.  Hiked from Cuneo uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140808 - to Treat.  Sky seems clear with no smoke from fires - can see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140809 - surrounding hills today.  Felt weighted down by backpack wearing for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140810 - 1st time today, getting acclimated for Half Dome next Wednesday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140811 - Breathed easily through nose entire hike.  Temperature reached 86.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140812 - Hiked East normal to fast pace on Treat 1 mile to Clayton.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140813 - corner hiking South on Clayton 2 miles at normal to fast pace, mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140814 - on flat concrete sidewalk.  At mile 3.5, turned West onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140815 - Valley Road hiking on concrete sidewalk another .5 mile.  About mile 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140816 - crossed to South side Ygnacio Valley Road hiking West on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140817 - shoulder aganist East bound traffic.  Still feel weight of backpack,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140818 - even though it is less than 20 pounds.  At mile 5, stopped at Texaco                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140819 - gas station - EKG reported HR 104 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140820 - PSTQ Hiked .25 mile on Ygnacio Valley Road to Pine Hollow; turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140821 - and hiked about 50 yards.  Turned right onto Campus Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140822 - 1-mile West uphill 3% - 4% grade to California Sate University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140823 - Bay campus.  Mild West Wind reduced effects of 86 degree temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140824 - Hiked 1-loop of about 2 miles through adjoining Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140825 - Parking lots.  Seemed to feel vasodilation surge of energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140826 - strength hiking up last long hill in Student parking lot.  At mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140827 - back at Visitor Parking hiked North downhill 3% grade .3 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140828 - Ygnacio Valley Road.  Turned left and hiked West .5 mile on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140829 - Valley Road flat pavement.  At mile 7.5 turned South and hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140830 - up steep hill 5% grade on Crystal Ranch Road.  Not really feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140831 - backpack now.  Hiked another mile on flat pavement through residential                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140832 - area; then downhill .5 mile past Rolling Woods Way, and up another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140833 - steep hill 5% grade .5 mile to the end of Crystal Ranch Road.  Handled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140834 - these hills well maintaining speed and breathing easily through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140835 - all the way, despite wearing backpack.  Hiked back downhill on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140836 - Ranch Road.  Tacked across the street to reduce impact wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140837 - backpack.  Turned East on Rolling Woods Way.  Hiked up steep hill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140838 - grade .33 mile - about halfway uphill, pain back of left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140839 - subsided.  At summit, hiked downhill .66 mile and turned North onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140840 - Pine Hillow.  Hiked 1 mile to Ygnacio Valley Road.  Mile 12, stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140841 - at Texaco Gas Station again - EKG reported HR 116 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140842 - below. ref SDS 0 PSUU  Bought orange juice and coke.  Combined these                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140843 - to hydrate, and ate some cream of wheat with peanut butter to evaluate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140844 - for energy boost doing 2nd loop Crystal Ranch Road.  Continued hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140845 - Ygnacio Valley Road to Pine Hollow; turned left and hiked about 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140846 - yards.  Turned right onto Campus Road.  Hiked 1-mile West uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140847 - 4% grade to California Sate University East Bay campus.  About halfway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140848 - up took oxycodone and gabapentin pills.  Drank half can of coke in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140849 - backpack, poured rest out.  This reduced weight of backpack.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140850 - 1-loop of about 1.5 miles through adjoining Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140851 - Parking lots; did not added sub-loops of .5 mile.  Back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140852 - Parking mile 14.  Took Campus Drive North .33 mile downhill to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140853 - Valley Road.  Feet hurting on long downhill - endorphins and drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140854 - helped ignore pain.  Turned left onto Ygnacio Valley Road and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140855 - West .5 miles.  Turned corner on Crystal Ranch Road and hiked 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140856 - miles up steep hill 5% grade again.  Did not really feel like going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140857 - uphill, so very strong on 2nd loop.  Adrenalin seemed to kick in,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140858 - because increased pace.  Kathy drove us home for 16 mile hike.  Seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140859 - to indicate peanut butter may provide energy boost, per telecon with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140860 - Gary on 200923 1004. ref SDS B2 WL59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140862 -  ..
140863 - Kardia recorded HR 65 at 0738 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140866 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200925-ecg-073851_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140869 -  ..
140870 - EKG chart looks perfect, after not taking metoprolol last night, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140871 - above. ref SDS 0 BQ8J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140875 -  ..
140876 - Polar HR GPS study for Concord 20-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140877 - rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140880 -       Date      200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 200707 20  
140881 -       Miles        16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12      0      
140882 -       HR AVG      116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     no      
140883 -         MAX       137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  report     
140884 -         Min        89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87             
140885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140887 -  ..
140888 - HR profile Concord route showing average 116 and max 137 reflects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140889 - temperature 86, hiking Concord route long, steep hills 5% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140890 - expected HR changes; no AF events, and no atrial flutter, following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140891 - ablation on 200511 0546. ref SDS 94 244I  HR less elevated after not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140892 - taking metoprolol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140895 -              https://flow.polar.com/training/analysis/5165716426                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140899 -   
140900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140903 -  ..
140904 - EKG at mile 5 HR 104 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140907 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200925-ecg-133158_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140910 -  ..
140911 - EKG looks little ragged with some consistency, after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140912 - metoprolol last night, paused on 200830, per above. ref SDS 0 KM4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140916 -  ..
140917 - EKG at mile 12 HR 116 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140920 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200925-ecg-155233_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140923 -  ..
140924 - EKG looks better than at mile 5 - little ragged with consistency,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140925 - miles, per above, ref SDS 0 YUWQ, and after not taking metoprolol last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140926 - night, paused on 200830. ref SDS 0 KM4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140930 -  ..
140931 - EKG 10 minutes after hiking 16 miles HR 121 at 1724 - Kardia shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140932 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140936 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200925-ecg-172439_mile_16.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140939 -  ..
140940 - EKG looks consistent after not taking metoprolol last night, paused on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140941 - 200830. ref SDS 0 KM4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140974 -  ..
140975 - Breakfast - cream of wheat - few bites; with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140976 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140977 - Dinner - potatoe salad (eggs) broccoli avocado onion (few bites),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140979 -  ..
140980 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140986 -         ..
140987 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140988 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140989 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140990 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140991 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140992 -  270.  200926 0830............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140993 -               0900....BP HR..................................................... 136  82  64  Kardia ECG reports HR normal, see below. ref SDS 0 PTVW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140994 -               0905....BP HR..................................................... 126  82  64  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140995 -               0910....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140996 -               0910... 20 977140 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140997 -               0910... 80 208960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140998 -               0910... 05 2310 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140999 -               0910... 75 7250 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141000 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
141001 -               0930... Gabapentin 300MG  37000MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141002 -               0930....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141003 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141004 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141005 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141006 -          * cr 1040....miles...........  20.0  91.0  331  1524 minutes  temp  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141007 -               1403... Oxycodone HCL Plain  5  245 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141008 -               1403... Gabapentin 300MG  37300MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141009 -               1420... Simethicone 80  5600 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141010 -               1640... Simethicone 80  5680 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141011 -               1820....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141012 -               1910....BP HR..................................................... 112  68  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141013 -               1915....BP HR..................................................... 115  71  83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141014 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141015 -               1950... 40 62100 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
141016 -             1 0000............ 10 14250  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141017 -             1 0000............ 10 13840  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141018 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141019 -               2010... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141020 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141021 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141022 -               2100... 40 42060 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141023 -               2130... 1000  934000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141024 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141025 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
141026 -               2150... 05 2315 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141027 -               2200... 80 209040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141028 -               2320... Simethicone 80  5760 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141029 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141031 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141032 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141033 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
141034 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141035 - at top of mountain. ref SDS 69 2T9L  However today, could not do this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141036 - .5 mile uphill.  Also added Campus Road from Pine Hollow hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141037 - uphill to Cal State East Bay college, with 2 - 3 miles of loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141038 - through Visitor, faculty and student parking, and back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141039 - Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141041 -  ..
141042 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141043 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141044 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141045 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141046 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141047 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141048 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141049 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141050 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141051 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141052 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141053 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141054 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141056 -  ..
141057 - Peripheral neuropathy - no evident feeling in both feet this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141058 - after not statins last night, per above. ref SDS 0 NZ7F -- see study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141059 - on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141061 -  ..
141062 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141063 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141064 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141066 -  ..
141067 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141069 -  ..
141070 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141071 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141073 -  ..
141074 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141076 -  ..
141077 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141078 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141080 -  ..
141081 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141082 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141083 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141084 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141085 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141086 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141087 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141088 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141089 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141090 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141091 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141092 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141093 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141094 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141096 -  ..
141097 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141098 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141100 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141101 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141102 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141103 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141104 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141105 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141106 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141107 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141108 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141109 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141110 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141111 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141112 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141113 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141114 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141115 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141116 -        Knee left cruciate ligaments back of knee....   2         10  felt knee pain throughout most of hike; on 2nd loop going up Campus Drive from Pine Hollow took oxycodone and gabapentin at 1600; after about 20 minutes, did not feel further pain anywhere                                                                                                                                                                                                                                                                                                                                                 
141117 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141118 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141119 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141120 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141121 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141122 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141123 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141124 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141125 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141126 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141127 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141128 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141129 -        Metatarsalgia left foot...PRP 191009.........   2         30  mile 14 going downhill on Campus Road to Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141130 -        Metatarsalgia right foot..PRP 191009.........   2         30  mile 14 going downhill on Campus Road to Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141131 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141132 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141133 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141134 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141135 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141136 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141137 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141138 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141139 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141140 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141141 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141142 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141143 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141144 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141145 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141147 -  ..
141148 - Body feels okay after 2 hikes totallying 20 miles in 86 degrees over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141149 - continual steep 7% grade, short hills on 1st hike, then long, steep 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141150 - grade hills, following PRP on 191009 1500. ref SDS 78 0001
141152 - -
141153 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141154 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141155 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141157 -  ..
141158 - After hike did not for several hours feel little wobbly and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141159 - disoriented, light headed.  Falling asleep while writing up this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141160 - record.  Possibly vasodilation has drawn blood from head.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141162 -  ..
141163 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141165 -  ..
141166 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141167 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141168 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141170 -  ..
141171 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141172 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141173 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141174 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141175 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141177 -  ..
141178 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141179 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141181 -  ..
141182 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141183 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141184 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141186 -  ..
141187 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141188 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141189 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141190 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141191 - ref SDS 77 SM4M  After hike on 200926, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141192 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141193 - ref SDS 0 GA3F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141195 -  ..
141196 - Lafayette Reservoir 4-mile route - Kathy parked briefly at park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141197 - entrance on Mount Diablo Boulevard, then continued up the entry road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141198 - Hiked on foot path .25 mile up steep hill 8% - 9% grade from park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141199 - entrance to the North end of Reservoir dam.  This was primary purpose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141200 - of hiking today, conditioning to handle steep hills for Half Dome on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141201 - Wednesday.  Did not do this well today, breathing through nose only a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141202 - few steps up the final 100 yards to the top of the dam.  On reaching                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141203 - the reservoir, hiked .25 mile South and met up with Kathy.  Hiked very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141204 - slow to accomodate Kathy, went back to the North end of the Dam.  Went                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141205 - up 1st steep hill 7% grade.  Kathy made this without stopping.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141206 - about .75 mile, Kathy stopped to rest.  She will return to the dam,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141207 - and maybe hike the flatter route.  Continued hiking rest of 3 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141208 - loop.  Handled numberous short hills well breathing through nose all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141209 - the way.  Made Killer Ridge 7% grade with good pace; did not have to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141210 - breath through mouth at top of hill for 100 yards, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141211 - previously.  No chest pain and no stomach pain due to ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141212 - colitis.  Back at North end of the Dam, met Kathy returning from her                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141213 - hike.  We walked to the car, and drove home for 4 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141215 -  ..
141216 - Kardia recorded HR 67 at 0839 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141219 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200926-ecg-083907_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141222 -  ..
141223 - EKG chart looks perfect, after not taking metoprolol last night, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141224 - since 200830, per above. ref SDS 0 KM4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141228 -  ..
141229 - Polar HR GPS study for Lafayette Reservoir 4-mile hike shows HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141230 - profile that rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141232 -                  Lafyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141233 -       Date       200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 200708 2  
141234 -       Miles          4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     12     
141235 -       HR AVG       105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no    113     
141236 -         MAX        131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report   131  r  
141237 -         Min         66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            87     
141238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141240 -  ..
141241 - HR profile Lafayette Reservoir route showing average 105 and max 131                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141242 - reflects temperature 86, hiking Lafayette Reservoir route with many                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141243 - short steep hills 7% - 8% grade with expected HR changes; no AF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141244 - events, and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141245 - ref SDS 94 244I  HR less elevated after not taking metoprolol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141248 -              https://flow.polar.com/training/analysis/5168954086                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141252 -   
141253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141255 -  ..
141256 - After returning home...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141258 -  ..
141259 - Concord 16 mile route - starting energy okay.  Wearing Hoka Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141260 - shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141261 - knee injuries.  Wore 2-pair double-ply Wright socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141262 - 1344, ref SDS 79 SM4M, to prevent blisters.  Hiked from Cuneo uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141263 - to Treat.  Felt okay with backpack wearing for 2nd time today, getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141264 - acclimated for Half Dome next Wednesday.  Breathed easily through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141265 - entire hike.  Temperature reached 86.  Hiked East normal to fast pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141266 - on Treat 1 mile to Clayton.  Turned corner hiking South on Clayton 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141267 - miles at normal to fast pace, mostly on flat concrete sidewalk.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141268 - mile 3.5, turned West onto Ygnacio Valley Road hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141269 - sidewalk another .5 mile.  About mile 4 crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141270 - Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141271 - traffic.  At mile 5, stopped at Texaco gas station - EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141272 - 107 Tachycardia - see below. ref SDS 0 PUPX  Ate some avocado to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141273 - restore electrolytes, and ate 2 bites sandwich peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141274 - margarine, jam to restore carbohydrates for energy.  Took oxycodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141275 - and gabapentin pills.  Drank combination orange juice with coca cola.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141276 - Hiked .25 mile on Ygnacio Valley Road to Pine Hollow; turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141277 - hiked about 50 yards.  Turned right onto Campus Road.  Hiked 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141278 - West uphill 3% - 4% grade to California Sate University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141279 - campus.  Mild West Wind reduced effects of 86 degree temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141280 - Hiked 1-loop about 2 miles through adjoining Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141281 - Parking lots.  Seemed to feel vasodilation surge of energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141282 - strength hiking up last long hill in Student parking lot.  At mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141283 - back at Visitor Parking hiked North downhill 3% grade .3 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141284 - Ygnacio Valley Road.  Turned left and hiked West .5 mile on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141285 - Valley Road flat pavement.  At mile 7.5 turned South and hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141286 - up steep hill 5% grade on Crystal Ranch Road.  Not really feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141287 - backpack now.  Hiked another mile on flat pavement through residential                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141288 - area; then downhill .5 mile past Rolling Woods Way, and up another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141289 - steep hill 5% grade .5 mile to the end of Crystal Ranch Road.  Handled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141290 - these hills well maintaining speed and breathing easily through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141291 - all the way, despite hiking 4-miles at Lafayette Reservoir, earlier                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141292 - this morning, per above. ref SDS 0 PTPX  Hiked back downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141293 - Crystal Ranch Road.  Tacked across the street to reduce impact wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141294 - backpack.  Turned East on Rolling Woods Way.  Hiked up steep hill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141295 - grade .33 mile.  At summit, hiked downhill .66 mile and turned North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141296 - onto Pine Hillow.  Hiked 1 mile to Ygnacio Valley Road.  Mile 12,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141297 - stopped at Texaco Gas Station again - EKG reported HR 110 Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141298 - - see below. ref SDS 0 PURQ  Bought coke to hydrate.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141299 - on Ygnacio Valley Road to Pine Hollow; turned left and hiked about 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141300 - yards.  Turned right onto Campus Road.  Hiked 1-mile West uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141301 - 4% grade to California Sate University East Bay campus.  Hiked 1-loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141302 - of about 1.5 miles through adjoining Faculty and Student Parking lots;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141303 - did not added sub-loops of .5 mile.  Back at Visitor Parking mile 14.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141304 - Took Campus Drive North .33 mile downhill to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141305 - Feet hurting on long downhill - endorphins and drugs helped ignore                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141306 - pain.  Turned left onto Ygnacio Valley Road and hiked West .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141307 - Turned corner on Crystal Ranch Road and hiked .5 miles up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141308 - 5% grade again.  Kathy drove us home for 16 mile hike, making 20 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141309 - for the entire day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141312 -  ..
141313 - Polar HR GPS study for Lafayette Reservoir 16-mile hike shows HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141314 - profile that rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141316 -                  Concrd Lafyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141317 -       Date       200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 200709 2  
141318 -       Miles         16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15      0     
141319 -       HR AVG       112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     no     
141320 -         MAX        135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  report    
141321 -         Min         87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88            
141322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141324 -  ..
141325 - HR profile Concord route showing average 112 and max 135 reflects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141326 - temperature 86, hiking Concord route with some long steep hills 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141327 - grade with expected HR changes; no AF events.  There was some atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141328 - flutter for few seconds at mile 12 EKG, then returned to sinus,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141329 - following ablation on 200511 0546. ref SDS 94 244I  HR less elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141330 - after not taking metoprolol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141333 -              https://flow.polar.com/training/analysis/5168954146                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141337 -   
141338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141341 -  ..
141342 - EKG at mile 5 2nd hike HR 107 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141345 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200926-ecg-140347_mile_05_2nd-hike.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141348 -  ..
141349 - EKG looks little ragged with consistency, after not taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141350 - last night, paused on 200830, per above. ref SDS 0 KM4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141354 -  ..
141355 - EKG at mile 12 2nd hike HR 110 - Kardia reported Tachycardia  Did this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141356 - twice - 1st EKG seemed to show atrial flutter HR with continual short                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141357 - fast curves; so stopped it, and started 2nd EKG, showing...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141361 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200926-ecg-164259_mile_12_2nd-hike.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141364 -  ..
141365 - EKG looks more ragged than at mile 5 - some consistency, and after not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141366 - taking metoprolol last night, paused on 200830. ref SDS 0 KM4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141397 -  ..
141398 - Breakfast - cream of wheat - few bites; with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
141399 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141400 - Dinner - potatoe salad (eggs) broccoli avocado onion (few bites),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141401 - macaroni cheese broccoli, ice cream milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
141403 -  ..
141404 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141410 -         ..
141411 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141412 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141413 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141414 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141415 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141416 -  271.  200927 0830............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141417 -               0900....BP HR..................................................... 135  80  63  Kardia ECG reports HR normal, see below. ref SDS 0 PXTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141418 -               0905....BP HR..................................................... 129  77  64  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141419 -               0910....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141420 -               0910... 20 977160 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141421 -               0910... 80 209120 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141422 -               0910... 05 2320 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141423 -               0910... 75 7325 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141424 -               0930... Oxycodone HCL Plain  5  250 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141425 -               0930... Gabapentin 300MG  37600MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141426 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
141427 -               0930....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141428 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141429 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141430 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141431 -               1005....miles...........   8.0  99.0  133  1657 minutes  temp  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141432 -               1130... Simethicone 80  5840 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141433 -               0000... Simethicone 80  5840 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141434 -               1350....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141435 -               1450....BP HR..................................................... 116  70  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141436 -               1450....BP HR..................................................... 119  68  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141437 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141438 -               1950... 40 62140 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
141439 -               1830............ 10 14260  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141440 -               1830............ 10 13850  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141441 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141442 -               2010... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141443 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141444 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141445 -               2100... 40 42100 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141446 -               2130... 1000  935000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141447 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141448 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
141449 -               2150... 05 2325 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141450 -               2200... 80 209200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141451 -               0000... Simethicone 80  5840 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141452 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141454 -  ..
141455 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141456 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141457 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141458 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141459 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141460 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141461 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141462 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141463 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141464 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141465 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141466 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141467 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141469 -  ..
141470 - Peripheral neuropathy - no evident feeling in both feet this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141471 - after not statins last night, per above. ref SDS 0 NZ7F -- see study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141472 - on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141474 -  ..
141475 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141476 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141477 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141479 -  ..
141480 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141482 -  ..
141483 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141484 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141486 -  ..
141487 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141489 -  ..
141490 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141491 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141493 -  ..
141494 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141495 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141496 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141497 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141498 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141499 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141500 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141501 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141502 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141503 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141504 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141505 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141506 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141507 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141509 -  ..
141510 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141511 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141513 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141514 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141515 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141516 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141517 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141518 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141519 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141520 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141521 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141522 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141523 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141524 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141525 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141526 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141527 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141528 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141529 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141530 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141531 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141532 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141533 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141534 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141535 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141536 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141537 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141538 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141539 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141540 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141541 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141542 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141543 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141544 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141545 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141546 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141547 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141548 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141549 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141550 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141551 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141552 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141553 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141554 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141555 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141556 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141557 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141558 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141560 -  ..
141561 - Body feels okay after 2 hikes totallying 20 miles in 86 degrees over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141562 - continual steep 7% grade, short hills on 1st hike, then long, steep 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141563 - grade hills, following PRP on 191009 1500. ref SDS 78 0001
141565 - -
141566 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141567 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141568 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141570 -  ..
141571 - After hike did not for several hours feel little wobbly and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141572 - disoriented, light headed.  Falling asleep while writing up this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141573 - record.  Possibly vasodilation has drawn blood from head.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141575 -  ..
141576 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141578 -  ..
141579 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141580 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141581 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141583 -  ..
141584 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141585 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141586 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141587 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141588 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141590 -  ..
141591 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141592 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141594 -  ..
141595 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141596 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141597 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141599 -  ..
141600 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141601 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141602 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141603 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141604 - ref SDS 77 SM4M  After hike on 200926, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141605 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141606 - ref SDS 0 GA3F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141608 -  ..
141609 - Lafayette Reservoir 8-mile route - Kathy parked briefly at entrance to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141610 - foot path on Mount Diablo Boulevard, then continued up the entry road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141611 - Hiked on foot path .25 mile up steep hill 8% - 9% grade from park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141612 - entrance to the North end of Reservoir dam.  Did this better today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141613 - breathing through nose all the way to the top of the dam.  On reaching                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141614 - the reservoir, hiked .25 mile South and met up with Kathy.  Hiked very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141615 - slow to accomodate Kathy, went back to the North end of the Dam.  Went                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141616 - up 1st steep hill 7% grade.  Kathy made this without stopping, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141617 - she has lost a lot of weight.  At about .75 mile, Kathy stopped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141618 - rest.  She will return to the dam, and maybe hike the flatter route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141619 - Continued hiking rest of 3 mile loop.  Handled numberous short hills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141620 - well breathing through nose all the way.  Made Killer Ridge 7% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141621 - with good pace; did not have to breath through mouth at top of Killer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141622 - Ridge hill for 100 yards, as occurred previously.  No chest pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141623 - no stomach pain due to ischemic colitis.  Back at North end of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141624 - Dam, met Kathy returning from her hike.  Did 2nd loop, after first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141625 - descending on foot path back to Mount Diablo Boulevard.  Hiked back up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141626 - very steep foot path at places 9% grade - good conditioning for Half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141627 - Dome on Wednesday.  Hiked South on the dam about halfway, then turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141628 - around and hiked another 3-mile loop, completing 8 mile hike.  Met                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141629 - Kathy and drove home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141631 -  ..
141632 - Kardia recorded HR 63 at 0849 - Normal - HR continuing to tread down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141633 - back toward bradycardia, indicating strengthening cardiac function                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141634 - after 4 HR procedures this year.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141638 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200927-ecg-084908_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141641 -  ..
141642 - EKG chart shows initial very erratic HR, then looks perfect for rest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141643 - of 30 second test, after not taking metoprolol last night, and since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141644 - 200830, per above. ref SDS 0 KM4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141648 -  ..
141649 - Polar HR GPS study for Lafayette Reservoir 8-mile hike shows HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141650 - profile that rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141652 -                  Lafyt  Concrd Lafyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141653 -       Date       200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 2  
141654 -       Miles          8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0      5      4     15     
141655 -       HR AVG       114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no    115    115    115     
141656 -         MAX        137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report   130    136    135  r  
141657 -         Min         63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   80     87     88     
141658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141660 -  ..
141661 - HR profile Lafayette Reservoir route showing average 114 and max 137                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141662 - reflects temperature 89, hiking Lafayette Reservoir route with many                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141663 - short steep hills 7% - 8% grade with expected HR changes; no AF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141664 - events, and no atrial flutter, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141665 - ref SDS 94 244I  HR less elevated after pausing taking metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141666 - 200830, per above. ref SDS 0 RSSQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141669 -              https://flow.polar.com/training/analysis/5172702031#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141673 -   
141674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141677 -  ..
141678 - EKG at mile 8 HR 110 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141682 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200927-ecg-123052_mile_08.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141685 -  ..
141686 - EKG looks consistent, and after not taking metoprolol last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141687 - paused on 200830. ref SDS 0 KM4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141690 -  ..
141691 - EKG 2 hours after 8-mile hike HR 81 time 1436 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141692 - possible atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141695 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200927-ecg-143616_mile_08.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141698 -  ..
141699 - EKG seems to show p wave, and looks consistent.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141730 -  ..
141731 - Breakfast - NPO for lipid lap, no medications that require eating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141732 - Lunch - sandwich peanut butter jam margarine - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
141733 - Dinner - potatoe salad (eggs) broccoli avocado onion (few bites),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141734 - macaroni cheese broccoli, ice cream milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
141736 -  ..
141737 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141743 -         ..
141744 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141745 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141746 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141747 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141748 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141749 -  272.  200928 0720............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141750 -               0700....BP HR..................................................... 131  81  65  Kardia ECG reports HR normal, see below. ref SDS 0 QQWY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141751 -               0705....BP HR..................................................... 127  79  63  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141752 -               0710....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141753 -               0710... 20 977180 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141754 -               0710... 80 209280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141755 -               0710... 05 2330 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141756 -               0710... 75 7400 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141757 -               0000... Oxycodone HCL Plain  5  250 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141758 -               0000... Gabapentin 300MG  37600MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141759 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
141760 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141761 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141762 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141763 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141764 -               1700... 40 62180 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
141765 -             1 0000............ 10 14260  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141766 -             1 0000............ 10 13850  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141767 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141768 -               2010... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141769 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141770 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141771 -               2100... 40 42140 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141772 -               2130... 1000  936000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141773 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141774 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
141775 -               2150... 05 2335 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141776 -               2200... 80 209360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141777 -               2240... Simethicone 80  5920 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141778 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141780 -  ..
141781 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141782 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141783 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141784 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141785 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141786 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141787 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141788 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141789 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141790 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141791 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141792 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141793 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141795 -  ..
141796 - Peripheral neuropathy - no evident feeling in both feet this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141797 - after not statins last night, per above. ref SDS 0 NZ7F -- see study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141798 - on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141800 -  ..
141801 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141802 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141803 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141805 -  ..
141806 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141808 -  ..
141809 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141810 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141812 -  ..
141813 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141815 -  ..
141816 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141817 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141819 -  ..
141820 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141821 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141822 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141823 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141824 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141825 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141826 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141827 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141828 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141829 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141830 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141831 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141832 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141833 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141835 -  ..
141836 - Kardia recorded HR - none due to computer problems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141866 -  ..
141867 - Breakfast - ensure with medications that require eating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141868 - Lunch - half hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141869 - Dinner - potatoe salad, eggs sausage (few bites), ice cream milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141871 -  ..
141872 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141879 -         ..
141880 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141881 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141882 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141883 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141884 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141885 -  273.  200929 0605............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141886 -               0700....BP HR..................................................... 146  86  66  Kardia ECG reports HR normal, see below. ref SDS 0 QUQR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141887 -               0705....BP HR..................................................... 148  85  64  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141888 -               0720....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141889 -               0720... 20 977200 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141890 -               0720... 80 209440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141891 -               0720... 05 2340 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141892 -               0720... 75 7475 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141893 -               0000... Oxycodone HCL Plain  5  250 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141894 -               0000... Gabapentin 300MG  37600MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141895 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
141896 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141897 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141898 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141899 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141900 -               1700... 40 62220 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
141901 -               1830............ 10 14270  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141902 -               1830............ 10 13860  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141903 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141904 -               2010... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141905 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141906 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141907 -               2100... 40 42180 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141908 -               2130... 1000  937000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141909 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141910 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
141911 -               2150... 05 2345 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141912 -               2200... 80 209520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141913 -               2240... Simethicone 80  5920 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141914 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141916 -  ..
141917 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141918 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141919 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141920 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141921 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141922 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141923 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141924 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141925 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141926 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141927 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141928 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141929 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141931 -  ..
141932 - Peripheral neuropathy - no evident feeling in both feet this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141933 - after not statins last night, per above. ref SDS 0 NZ7F -- see study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141934 - on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141936 -  ..
141937 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141938 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141939 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141941 -  ..
141942 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141944 -  ..
141945 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141946 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141948 -  ..
141949 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141951 -  ..
141952 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141953 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141955 -  ..
141956 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141957 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141958 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141959 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141960 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141961 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141962 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141963 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141964 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141965 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141966 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141967 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141968 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141969 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141971 -  ..
141972 - Hiking - none, rest for Half Dome tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141975 -  ..
141976 - HR profile post-hike beginning 1916 until next day OA 0500 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141977 - mostly steady heart beat 69 +/-.  Max HR 128 and minimum HR 44 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141978 - with indoor activity; 0 spike above 130 may indicate no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141979 - fibrillatin (AF), while recovering from ablation procedures.  This may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141980 - decrease exposure to ischemic colitis, reported on 200612 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141981 - ref SDS A2 RK6F  HR profile today, may reflect heart recovering from 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141982 - coronary procedures this year, and also not taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141983 - succinct, which avoids beta blocker that lowers HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141986 -        ..
141987 -       Date      200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 200711 200710 20  
141988 -        Hours       10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14     14     14             
141989 -       HR AVG       69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63     64     72     no      
141990 -         MAX       128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154    126    141  report     
141991 -         Min        44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39     37     51             
141992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141994 -              https://flow.polar.com/training/analysis/5183740761                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141998 -   
141999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142002 -  ..
142003 - Breakfast - ensure with medications that require eating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142004 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142005 - Dinner - pizza before hiking Half Dome tomorrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142007 -  ..
142008 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142014 -         ..
142015 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142016 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142017 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142018 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142019 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142020 -  274.  200930 0503............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142021 -               0510....BP HR..................................................... 142  84  67  Kardia ECG reports HR normal, see below. ref SDS 0 QUQR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142022 -               0515....BP HR..................................................... 148  85  64  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142023 -               0520....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142024 -               0520... 20 977220 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142025 -               0520... 80 209600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142026 -               0520... 05 2350 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142027 -               0520... 75 7550 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142028 -               0000... Oxycodone HCL Plain  5  250 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142029 -               0000... Gabapentin 300MG  37600MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142030 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
142031 -               0520....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142032 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142033 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142034 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142035 -               0600....miles...........  10.0  10.0  214   214 minutes  temp  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142036 -               0000... Simethicone 80  5840 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142037 -               0000... Simethicone 80  5840 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142038 -               0920....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142039 -               0930....BP HR..................................................... 109  63  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142040 -               0935....BP HR..................................................... 111  65  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142041 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142042 -               1700... 40 62260 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
142043 -             1 0000............ 10 14270  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142044 -             1 0000............ 10 13860  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142045 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142046 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142047 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142048 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142049 -               2100... 40 42220 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142050 -               2130... 1000  938000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142051 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142052 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
142053 -               2150... 05 2355 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142054 -               2200... 80 209680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142055 -               2310... Simethicone 80  6000 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142056 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142058 -  ..
142059 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142060 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142061 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142062 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142063 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142064 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142065 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142066 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142067 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142068 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142069 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142070 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142071 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142073 -  ..
142074 - Peripheral neuropathy - no evident feeling in both feet this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142075 - after not statins last night, per above. ref SDS 0 NZ7F -- see study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142076 - on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142078 -  ..
142079 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142080 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142081 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142083 -  ..
142084 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142086 -  ..
142087 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142088 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142090 -  ..
142091 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142093 -  ..
142094 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142095 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142097 -  ..
142098 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142099 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142100 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142101 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142102 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142103 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142104 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142105 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142106 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142107 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142108 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142109 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142110 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142111 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142113 -  ..
142114 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142115 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142117 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142118 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142119 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142120 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142121 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142122 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142123 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142124 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142125 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142126 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142127 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142128 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142129 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142130 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142131 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142132 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142133 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142134 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142135 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142136 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142137 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142138 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142139 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142140 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142141 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142142 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142143 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142144 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142145 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142146 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142147 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142148 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142149 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142150 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142151 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142152 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142153 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142154 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142155 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142156 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142157 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142158 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142159 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142160 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142161 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142162 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142164 -  ..
142165 - Body feels good after partial hike 10 miles on Half Dome trail in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142166 - Yosemite in 61 degrees over continual steep 7% - 8% steep grade for 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142167 - mile to Wood Bridge, then 4% - 5% next 3 miles on John Muir Trail,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142168 - following PRP on 191009 1500. ref SDS 78 0001
142170 - -
142171 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142172 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142173 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142175 -  ..
142176 - After hike did not for several hours feel little wobbly and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142177 - disoriented, light headed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142179 -  ..
142180 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142182 -  ..
142183 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142184 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142185 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142187 -  ..
142188 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142189 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142190 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142191 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142192 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142194 -  ..
142195 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142196 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142198 -  ..
142199 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142200 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142201 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142203 -  ..
142204 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142205 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142206 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142207 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142208 - ref SDS 77 SM4M  After hike on 200926, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142209 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142210 - ref SDS 0 GA3F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142212 -  ..
142213 - Yosemite - starting air quality index (AQI) about 104; hoping this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142214 - would improve through the hike to Half Dome.  Hiked 1 mile on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142215 - pavement from Curry Village on Happy Isle Loop road to Happy Isle.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142216 - Headlamp was not very bright, could barely see the road in the dark at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142217 - 0600.  Mist trail construction crew pulled up at Happy Isle, and was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142218 - preparing horse/mule train for hauling workmen and supplies to work on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142219 - Mist trail above the Wood Bridge.  Took picture, but didn't come out                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142220 - well in the dark.  Crossed the bridge and took the path to trailhead.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142221 - Took Mist trail up steep mountain trail 7% - 10% grade to the Wood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142222 - Bridge.  Handled this well, with 3 rest stops.  Was coughing a little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142223 - at Wood Bridge.  After 10 minutes, had encountered no other hikers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142224 - doing Half Dome today.  Continued up Mist trail along the Merced river                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142225 - gorge about .25 miles to juncture with John Muir Trial (JMT).  Mist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142226 - trail was closed for construction, so took JMT another 3 miles up on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142227 - very rugged, steep trail 4% - 7% grade.  Began coughing along this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142228 - trail.  Seemed like haze was increasing with higher elevations.  Could                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142229 - not see adjacent cliffs due to thick haze.  Cellphone application                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142230 - reported AQI increased to 140.  I was the only hiker on the trail, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142231 - concerned would be alone doing Half Dome, high risk for medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142232 - history.  Starting up the Mist trail to the Wood Bridge there were 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142233 - hikers about 50 yards back.  They evidently quit, because they did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142234 - not reach the Wood Bridge where I stopped for 10 minutes.  Right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142235 - was hurting, which has been slight problem hiking on flat, uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142236 - pavement on daily hikes past 2 weeks at home.  Pain increased handling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142237 - dynamics of extremely rugged footing on JMT.  Decided to end hike to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142238 - avoid compounding injuries from air quality.  Hiked back to Wood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142239 - Bridge.  Encountered 3 groups coming up with 2 - 4 hikers.  One guy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142240 - asked if I had already summited?  Said I "chickened out" - too hazy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142241 - further up.  Hiked back to Happy Isle Loop Road, then took long route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142242 - back to Curry Village.  Kathy drove us back to Yosemite Lodge.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142243 - Checked out and drove home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142245 -  ..
142246 - Kardia recorded HR - none traveling to Yosemite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142249 -  ..
142250 - Polar HR GPS study for Half Dome partial 10-mile hike shows HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142251 - that rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142253 -                Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142254 -       Date       200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 2  
142255 -       Miles         10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4      0      0     14     14      0      0     
142256 -       HR AVG       115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     no     no    114    120     no     no     
142257 -         MAX        148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  report report   135    145  report report    
142258 -         Min         82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73                   78     98                   
142259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142261 -  ..
142262 - HR profile partial Half Dome route showing average 115 and max 148                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142263 - reflects temperature 61, hiking Mist Trail with steep 7% - 10% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142264 - causing expected HR changes; no AF events, and no atrial flutter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142265 - following ablation on 200511 0546. ref SDS 94 244I  HR less elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142266 - after pausing taking metoprolol on 200830, per above. ref SDS 0 RSSQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142269 -              https://flow.polar.com/training/analysis/5183740886                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142273 -   
142274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142277 -  ..
142278 - EKG at mile 8 HR 110 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142282 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200927-ecg-123052_mile_08.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142285 -  ..
142286 - EKG looks consistent, and after not taking metoprolol last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142287 - paused on 200830. ref SDS 0 KM4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142290 -  ..
142291 - EKG 2 hours after 8-mile hike HR 81 time 1436 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142292 - possible atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142295 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_200927-ecg-143616_mile_08.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142298 -  ..
142299 - EKG seems to show p wave, and looks consistent.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142330 -  ..
142331 - Breakfast - ensure with medications that require eating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142332 - Lunch - half hamburger                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142333 - Dinner - lettuce tomato onion avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142335 -  ..
142336 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142342 -         ..
142343 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142344 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142345 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142346 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142347 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142348 -  275.  201001 0600............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142349 -               0910....BP HR..................................................... 142  82  70  Kardia ECG reports HR normal, see below. ref SDS 0 QWXY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142350 -               0915....BP HR..................................................... 138  82  68  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142351 -               0920....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142352 -               0920... 20 977240 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142353 -               0920... 80 209760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142354 -               0920... 05 2360 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142355 -               0920... 75 7625 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142356 -               0000... Oxycodone HCL Plain  5  250 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142357 -               0000... Gabapentin 300MG  37600MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142358 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
142359 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142360 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142361 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142362 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142363 -               1700... 40 62300 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
142364 -               1830............ 10 14280  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142365 -               1830............ 10 13870  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142366 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142367 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142368 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142369 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142370 -               2100... 40 42260 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142371 -               2130... 1000  939000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142372 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142373 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
142374 -               2150... 05 2365 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142375 -               2200... 80 209840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142376 -               0000... Simethicone 80  6000 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142377 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142379 -  ..
142380 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142381 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142382 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142383 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142384 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142385 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142386 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142387 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142388 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142389 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142390 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142391 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142392 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142394 -  ..
142395 - Peripheral neuropathy - no evident feeling in both feet this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142396 - after not statins last night, per above. ref SDS 0 NZ7F -- see study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142397 - on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142399 -  ..
142400 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142401 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142402 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142404 -  ..
142405 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142407 -  ..
142408 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142409 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142411 -  ..
142412 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142414 -  ..
142415 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142416 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142418 -  ..
142419 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142420 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142421 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142422 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142423 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142424 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142425 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142426 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142427 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142428 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142429 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142430 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142431 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142432 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142434 -  ..
142435 - Kardia recorded HR 70 at 0943 - Normal - HR continuing to tread down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142436 - back toward bradycardia, indicating strengthening cardiac function                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142437 - after 4 cardiac procedures this year.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142441 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201001-ecg-094316_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142444 -  ..
142445 - EKG chart shows little ragged HR, after not taking metoprolol last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142446 - night, and since 200830, per above. ref SDS 0 KM4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142450 -  ..
142451 - HR profile post-hike beginning 0152 until next morning OA 0630 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142452 - mostly steady heart beat 59 +/-.  Max HR 93 and minimum HR 50 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142453 - with indoor activity; 0 spike above 130 may indicate no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142454 - fibrillatin (AF), while recovering from ablation procedures.  This may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142455 - decrease exposure to ischemic colitis, reported on 200612 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142456 - ref SDS A2 RK6F  HR profile today, may reflect heart recovering from 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142457 - coronary procedures this year, and also not taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142458 - succinct, which avoids beta blocker that lowers HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142461 -        ..
142462 -       Date      201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 200712 20  
142463 -        Hours        5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14     14      
142464 -       HR AVG       59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63     64      
142465 -         MAX        93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154    126      
142466 -         Min        50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39     37      
142467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142469 -              https://flow.polar.com/training/analysis/5188760706                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142473 -   
142474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142477 -  ..
142478 - Breakfast - ensure with medications that require eating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142479 - Lunch - lasagna                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142480 - Dinner - lettuce tomato onion avocado cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142482 -  ..
142483 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142490 -         ..
142491 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142492 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142493 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142494 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142495 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142496 -  276.  201002 0630............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142497 -               0620....BP HR..................................................... 142  82  71  Kardia ECG reports HR normal, see below. ref SDS 0 RQSP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142498 -               0625....BP HR..................................................... 134  79  68  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142499 -               0630....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142500 -               0630... 20 977260 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142501 -               0630... 80 209920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142502 -               0630... 05 2370 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142503 -               0630... 75 7700 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142504 -               0000... Oxycodone HCL Plain  5  250 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142505 -               0000... Gabapentin 300MG  37600MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142506 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
142507 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142508 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142509 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142510 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142511 -               1700... 40 62340 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
142512 -             1 0000............ 10 14280  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142513 -             1 0000............ 10 13870  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142514 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142515 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142516 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142517 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142518 -               2100... 40 42300 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142519 -               2130... 1000  940000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142520 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142521 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
142522 -               2150... 05 2375 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142523 -               2200... 80 210000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142524 -               0000... Simethicone 80  6000 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142525 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142527 -  ..
142528 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142529 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142530 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142531 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142532 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142533 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142534 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142535 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142536 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142537 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142538 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142539 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142540 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142542 -  ..
142543 - Peripheral neuropathy - feeling in both feet about 1000 this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142544 - after statins last night, per above. ref SDS 0 XN8N -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142545 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142547 -  ..
142548 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142549 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142550 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142552 -  ..
142553 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142555 -  ..
142556 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142557 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142559 -  ..
142560 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142562 -  ..
142563 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142564 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142566 -  ..
142567 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142568 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142569 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142570 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142571 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142572 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142573 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142574 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142575 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142576 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142577 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142578 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142579 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142580 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142583 -  ..
142584 - Kardia recorded HR 70 at 0637 - Normal - HR continuing to tread down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142585 - back toward bradycardia, indicating strengthening cardiac function                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142586 - after 4 cardiac procedures this year.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142590 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201002-ecg-063756_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142593 -  ..
142594 - EKG chart seems perfect, after not taking metoprolol last night, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142595 - since 200830, per above. ref SDS 0 KM4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142600 -  ..
142601 - HR profile post-hike beginning 0013 until next morning OA 0742 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142602 - mostly steady heart beat 74 +/-.  Max HR 117 and minimum HR 50 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142603 - with indoor activity; 0 spike above 130 may indicate no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142604 - fibrillatin (AF), while recovering from ablation procedures.  This may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142605 - decrease exposure to ischemic colitis, reported on 200612 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142606 - ref SDS A2 RK6F  HR profile today, may reflect heart recovering from 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142607 - coronary procedures this year, and also not taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142608 - succinct, which avoids beta blocker that lowers HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142611 -        ..
142612 -       Date      201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 200713 20  
142613 -        Hours        8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9     14      
142614 -       HR AVG       74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62     63      
142615 -         MAX       117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114    154      
142616 -         Min        50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45     39      
142617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142619 -              https://flow.polar.com/training/analysis/5192428376                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142623 -   
142624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142627 -  ..
142628 - Breakfast - ensure with medications that require eating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142629 - Lunch - half sandwich peanutbutter margarine jam, milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142630 - Dinner - broccoli lasagna fritos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142632 -  ..
142633 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142639 -         ..
142640 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142641 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142642 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142643 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142644 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142645 -  277.  201003 0750............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142646 -               0820....BP HR..................................................... 130  81  78  Kardia ECG reports HR normal, see below. ref SDS 0 RRWW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142647 -               0825....BP HR..................................................... 122  74  76  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142648 -               0830....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142649 -               0830... 20 977280 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142650 -               0830... 80 210080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142651 -               0830... 05 2380 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142652 -               0830... 75 7775 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142653 -               0000... Oxycodone HCL Plain  5  250 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142654 -               0000... Gabapentin 300MG  37600MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142655 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
142656 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142657 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142658 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142659 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142660 -               1700... 40 62380 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
142661 -               1830............ 10 14290  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142662 -               1830............ 10 13880  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142663 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142664 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142665 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142666 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142667 -               2100... 40 42340 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142668 -               2130... 1000  941000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142669 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142670 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
142671 -               2150... 05 2385 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142672 -               2200... 80 210160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142673 -               0000... Simethicone 80  6000 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142674 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142676 -  ..
142677 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142678 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142679 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142680 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142681 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142682 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142683 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142684 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142685 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142686 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142687 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142688 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142689 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142691 -  ..
142692 - Peripheral neuropathy - feeling in both feet about 1000 this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142693 - after statins last night, per above. ref SDS 0 XN8N -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142694 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142696 -  ..
142697 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142698 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142699 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142701 -  ..
142702 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142704 -  ..
142705 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142706 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142708 -  ..
142709 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142711 -  ..
142712 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142713 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142715 -  ..
142716 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142717 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142718 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142719 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142720 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142721 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142722 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142723 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142724 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142725 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142726 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142727 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142728 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142729 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142731 -  ..
142732 - Kardia recorded HR 76 at 0855 - Unclassified - HR pauses tread down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142733 - back toward bradycardia, indicating strengthening cardiac function                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142734 - after 4 cardiac procedures this year.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142738 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201003-ecg-085552_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142741 -  ..
142742 - EKG chart seems perfect, verey consistent, after not taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142743 - last night, and since 200830, per above. ref SDS 0 KM4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142748 -  ..
142749 - HR profile post-hike beginning 0214 until next morning OA 0540 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142750 - mostly steady heart beat 60 +/-.  Max HR 85 and minimum HR 51 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142751 - with indoor activity - sleeping; 0 spike above 130 may indicate no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142752 - atrial fibrillatin (AF), while recovering from ablation procedures.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142753 - This may decrease exposure to ischemic colitis, reported on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142754 - 0700. ref SDS A2 RK6F  HR profile today, may reflect heart recovering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142755 - from 4 coronary procedures this year, and also not taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142756 - succinct, which avoids beta blocker that lowers HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142759 -        ..
142760 -       Date      201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 200714 20  
142761 -        Hours        3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      9      
142762 -       HR AVG       60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58     62      
142763 -         MAX        85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113    114      
142764 -         Min        51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44     45      
142765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142767 -              https://flow.polar.com/training/analysis/5196270671                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142771 -   
142772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142775 -  ..
142776 - Breakfast - ensure with medications that require eating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142777 - Lunch - half sandwich peanutbutter margarine jam, milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142778 - Dinner - lettuce asparagus onion tomato cheese avocado, egg toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142780 -  ..
142781 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142788 -         ..
142789 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142790 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142791 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142792 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142793 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142794 -  278.  201004 0550............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142795 -               0720....BP HR..................................................... 123  77  72  Kardia ECG reports HR normal, see below. ref SDS 0 RTRV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142796 -               0725....BP HR..................................................... 123  77  72  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142797 -               0730....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142798 -               0730... 20 977300 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142799 -               0730... 80 210240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142800 -               0730... 05 2390 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142801 -               0730... 75 7850 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142802 -               0000... Oxycodone HCL Plain  5  250 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142803 -               0000... Gabapentin 300MG  37600MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142804 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
142805 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142806 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142807 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142808 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142809 -               1700... 40 62420 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
142810 -             1 0000............ 10 14290  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142811 -             1 0000............ 10 13880  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142812 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142813 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142814 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142815 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142816 -               2100... 40 42380 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142817 -               2130... 1000  942000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142818 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142819 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
142820 -               2150... 05 2395 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142821 -               2200... 80 210320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142822 -               0000... Simethicone 80  6000 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142823 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142825 -  ..
142826 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142827 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142828 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142829 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142830 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142831 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142832 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142833 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142834 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142835 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142836 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142837 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142838 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142840 -  ..
142841 - Peripheral neuropathy - feeling in both feet about 1400 this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142842 - afternoon, after statins last night, per above. ref SDS 0 XS7L -- see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142843 - study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142845 -  ..
142846 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142847 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142848 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142850 -  ..
142851 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142853 -  ..
142854 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142855 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142857 -  ..
142858 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142860 -  ..
142861 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142862 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142864 -  ..
142865 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142866 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142867 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142868 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142869 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142870 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142871 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142872 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142873 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142874 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142875 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142876 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142877 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142878 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142881 -  ..
142882 - Kardia recorded HR 73 at 0840 - Normal - HR pauses tread down back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142883 - toward bradycardia, indicating strengthening cardiac function after 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142884 - cardiac procedures this year.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142888 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201004-ecg-084019_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142891 -  ..
142892 - EKG chart looks good, little ragged on some beats, after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142893 - metoprolol last night, and since 200830, per above. ref SDS 0 KM4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142897 -  ..
142898 - HR profile post-hike beginning 2349 until next morning OA 0630 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142899 - mostly steady heart beat 60 +/-.  Max HR 103 and minimum HR 44 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142900 - with indoor activity - sleeping; 0 spike above 130 may indicate no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142901 - atrial fibrillatin (AF), while recovering from ablation procedures.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142902 - This may decrease exposure to ischemic colitis, reported on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142903 - 0700. ref SDS A2 RK6F  HR profile today, may reflect heart recovering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142904 - from 4 coronary procedures this year, and also not taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142905 - succinct, which avoids beta blocker that lowers HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142908 -        ..
142909 -       Date      201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 200715 20  
142910 -        Hours        7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      7      
142911 -       HR AVG       60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74     58      
142912 -         MAX       103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159    113      
142913 -         Min        44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45     44      
142914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142916 -              https://flow.polar.com/training/analysis/5199196711                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142920 -   
142921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142924 -  ..
142925 - Breakfast - ensure with medications that require eating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142926 - Lunch - slice balogna cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142927 - Dinner - broccoli tomato avocado onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142929 -  ..
142930 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142936 -         ..
142937 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142938 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142939 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142940 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142941 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142942 -  279.  201005 0640............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142943 -               0620....BP HR..................................................... 144  82  88  Kardia ECG reports HR normal, see below. ref SDS 0 RWVV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142944 -               0625....BP HR..................................................... 126  72  70  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142945 -               0630....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142946 -               0630... 20 977320 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142947 -               0630... 80 210400 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142948 -               0630... 05 2400 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142949 -               0630... 75 7925 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142950 -               0000... Oxycodone HCL Plain  5  250 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142951 -               0000... Gabapentin 300MG  37600MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142952 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
142953 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142954 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142955 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142956 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142957 -               1700... 40 62460 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
142958 -               1830............ 10 14300  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142959 -               1830............ 10 13890  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142960 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142961 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142962 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142963 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142964 -               2100... 40 42420 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142965 -               2130... 1000  943000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142966 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142967 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
142968 -               2150... 05 2405 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142969 -               2200... 80 210480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142970 -               0000... Simethicone 80  6000 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142971 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142973 -  ..
142974 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142975 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142976 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142977 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142978 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142979 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142980 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142981 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142982 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142983 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142984 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142985 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142986 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142988 -  ..
142989 - Peripheral neuropathy - feeling in both feet about 0842 this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142990 - after no statins last night, per above. ref SDS 0 MV6K -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142991 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142993 -  ..
142994 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142995 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142996 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142998 -  ..
142999 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143001 -  ..
143002 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143003 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143005 -  ..
143006 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143008 -  ..
143009 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143010 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143012 -  ..
143013 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143014 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143015 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143016 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143017 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143018 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143019 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143020 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143021 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143022 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143023 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143024 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143025 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143026 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143029 -  ..
143030 - Kardia recorded HR 69 at 0639 - Normal - HR pauses tread down back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143031 - toward bradycardia, indicating strengthening cardiac function after 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143032 - cardiac procedures this year.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143036 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201005-ecg-063927_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143039 -  ..
143040 - EKG chart looks perfect, after not taking metoprolol last night, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143041 - since 200830, per above. ref SDS 0 KM4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143045 -  ..
143046 - HR profile post-hike beginning 2219 until next morning OA 0730 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143047 - mostly steady heart beat 67 +/-.  Max HR 118 and minimum HR 49 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143048 - with indoor activity - sleeping; 0 spike above 130 may indicate no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143049 - atrial fibrillatin (AF), while recovering from ablation procedures.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143050 - This may decrease exposure to ischemic colitis, reported on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143051 - 0700. ref SDS A2 RK6F  HR profile today, may reflect heart recovering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143052 - from 4 coronary procedures this year, and also not taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143053 - succinct, which avoids beta blocker that lowers HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143056 -        ..
143057 -       Date      201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 200716 20  
143058 -        Hours       10      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13     12      
143059 -       HR AVG       67     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72     74      
143060 -         MAX       118    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135    159      
143061 -         Min        49     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40     45      
143062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143064 -              https://flow.polar.com/training/analysis/5203044481                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143068 -   
143069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143072 -  ..
143073 - Breakfast - ensure with medications that require eating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143074 - Lunch - half sandwich tuna                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143075 - Dinner - tomato avocado onion tuna mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143077 -  ..
143078 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143085 -         ..
143086 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143087 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143088 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143089 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143090 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143091 -  280.  201006 0730............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143092 -               0740....BP HR..................................................... 135  83  71  Kardia ECG reports HR normal, see below. ref SDS 0 RYQU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143093 -               0745....BP HR..................................................... 133  80  71  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143094 -               0750....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143095 -               0750... 20 977340 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143096 -               0750... 80 210560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143097 -               0750... 05 2410 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143098 -               0750... 75 8000 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143099 -               0000... Oxycodone HCL Plain  5  250 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143100 -               1100... Gabapentin 300MG  37900MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143101 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
143102 -               1100....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143103 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143104 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143105 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143106 -               1140....miles...........  11.0  11.0  183   183 minutes  temp  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143107 -               0000... Simethicone 80  6000 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143108 -               0000... Simethicone 80  6000 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143109 -               1520....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143110 -               1615....BP HR.....................................................  98  64  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143111 -               1625....BP HR.....................................................  95  62  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143112 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143113 -               1700... 40 62500 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
143114 -             1 0000............ 10 14300  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143115 -             1 0000............ 10 13890  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143116 -           **  0000... 25   2000.0 Metoprolol Succinct - paused on 200830 to avoid beta blocker lowering HDL and disrupting sexual function                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143117 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143118 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143119 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143120 -               2100... 40 42460 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143121 -               2130... 1000  944000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143122 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143123 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
143124 -               2150... 05 2415 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143125 -               2200... 80 210640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143126 -               0000... Simethicone 80  6000 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143127 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143129 -  ..
143130 - ** Metoprolol Succinct - on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143131 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143132 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143133 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143134 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143135 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143136 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143137 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143138 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143139 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143140 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143141 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143142 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143144 -  ..
143145 - Peripheral neuropathy - feeling in both feet about 1009 this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143146 - after statins last night, per above. ref SDS 0 4W6K -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143147 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143149 -  ..
143150 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143151 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143152 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143154 -  ..
143155 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143157 -  ..
143158 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143159 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143161 -  ..
143162 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143164 -  ..
143165 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143166 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143168 -  ..
143169 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143170 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143171 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143172 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143173 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143174 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143175 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143176 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143177 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143178 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143179 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143180 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143181 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143182 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143184 -  ..
143185 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143186 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143188 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143189 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143190 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143191 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143192 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143193 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143194 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143195 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143196 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143197 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143198 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143199 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143200 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143201 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143202 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143203 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143204 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143205 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143206 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143207 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143208 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143209 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143210 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143211 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143212 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143213 -        Tailor's Bunion left foot.. PRP 190612.......   2         15  flared up last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143214 -        Tailor's Bunion right foot..PRP 190816.......   2         15  flared up last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143215 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143216 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143217 -        Metatarsalgia left foot...PRP 191009.........   2         20  flared up last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143218 -        Metatarsalgia right foot..PRP 191009.........   2         20  flared up last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143219 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143220 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143221 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143222 -        Callus big toe left foot.....................   3         20  flared up last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143223 -        Callus big toe right foot....................   3         20  flared up last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143224 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143225 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143226 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143227 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143228 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143229 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143230 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143231 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143232 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143233 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143235 -  ..
143236 - Body feels more fatigued than expected after hiking only 11 miles in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143237 - 91 degrees over shallow hills 2% - 4% grade.
143239 - -
143240 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143241 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143242 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143244 -  ..
143245 - After hike and for several hours feel little wobbly and disoriented,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143246 - light headed.  Reflects not hiking past 2 weeks due to adverse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143247 - unhealthy Air Quality Index.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143249 -  ..
143250 - Several hours after hike, feet pain level 2; left knee pain level 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143252 -  ..
143253 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143254 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143255 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143257 -  ..
143258 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143259 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143260 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143261 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143262 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143264 -  ..
143265 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143266 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143268 -  ..
143269 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143270 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143271 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143273 -  ..
143274 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143275 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143276 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143277 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143278 - ref SDS 77 SM4M  After hike on 201006, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143279 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143280 - ref SDS 0 EB5J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143282 -  ..
143283 - Concord 11 mile route - Air Quality Index fell from 178 last night to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143284 - 104 this morning, so did hike.  Starting energy okay.  Wearing Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143285 - Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M, that prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143286 - feet and knee injuries.  Wore 2-pair double-ply Wright socks received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143287 - on 191010 1344, ref SDS 79 SM4M, to prevent blisters.  Hiked from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143288 - Cuneo uphill to Treat.  Sky seems hazy from fires in Napa and Sonoma                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143289 - area - can barely see some of surrounding hills today.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143290 - easily through nose entire hike.  Temperature reached 90.  Hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143291 - normal to fast pace on Treat 1 mile to Clayton.  Time for 1.25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143292 - 19 minutes.  Turned corner hiking South on Clayton 2 miles at normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143293 - to fast pace, mostly on flat concrete sidewalk.  At mile 3.5, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143294 - corner hiking West on Ygnacio Valley Road.  Contined using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143295 - sidewalk another .5 mile.  About mile 4 crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143296 - Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143297 - traffic.  At mile 5, stopped at Texaco gas station - EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143298 - 120 Tachycardia - see below. ref SDS 0 RYUY  Hiked .25 mile on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143299 - Valley Road to Pine Hollow; turned left and hiked about 50 yards.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143300 - Turned right onto Campus Road.  Hiked 1-mile West uphill 3% - 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143301 - to California Sate University East Bay campus.  Mild West Wind reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143302 - effects of 86 degree temperature.  Hiked 1-loop of about 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143303 - through adjoining Faculty and Student Parking lots.  Seemed to feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143304 - vasodilation surge of energy and strength hiking up last long hill in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143305 - Student parking lot.  At mile 7 back at Visitor Parking hiked North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143306 - downhill 3% grade .3 mile to Ygnacio Valley Road.  Turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143307 - hiked West .5 mile on Ygnacio Valley Road flat pavement.  At mile 7.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143308 - feet hurting so could not do Crystal Ranch Road loops today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143309 - Continued West past Crystal Ranch Road on Ygnacio Valley Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143310 - past Cowell.  At mile 8, crossed to North side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143311 - avoid severd slope on paved shoulder.  Hiked West over the summit, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143312 - then downhill to mile 9.  Turned around and hiked East uphill to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143313 - summit, then downhill to Cowell at mile 10.  Turned left and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143314 - North downhill 1 mile on Cowell.  Turned left onto Treat hiked West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143315 - .25 mile to Cuneo, turned onto Cueno and hiked home for 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143317 -  ..
143318 - Kardia recorded HR 72 at 0807 - Normal - HR tread down back toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143319 - bradycardia, indicating strengthening cardiac function after 4 cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143320 - procedures this year.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143324 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201006-ecg-080735_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143327 -  ..
143328 - EKG chart looks perfect, after not taking metoprolol last night, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143329 - since 200830, per above. ref SDS 0 KM4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143333 -  ..
143334 - Polar HR GPS study for Concord 11-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143335 - rises and falls with changes in terrain elevations...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143337 -                                                          Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143338 -       Date       201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 2  
143339 -       Miles         11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5      4     
143340 -       HR AVG       123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109    110     
143341 -         MAX        137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125    134  r  
143342 -         Min         99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     73     
143343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143345 -  ..
143346 - HR profile Concord route showing average 123 and max 137 reflects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143347 - temperature 90, hiking Concord route with some long steep hills 4%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143348 - grade with expected HR changes; no AF events.  There was possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143349 - atrial fibrillation at mile 5 EKG, following ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143350 - ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143353 -              https://flow.polar.com/training/analysis/5204711361                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143358 -   
143359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143362 -  ..
143363 - EKG at mile 5 HR 120 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143367 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201006-ecg-130207_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143370 -  ..
143371 - EKG looks little ragged initially, but last 15 beats look very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143372 - irregular, after taking metoprolol last night, paused on 200830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143373 - ref SDS 0 KM4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143376 -  ..
143377 - EKG 15 minutes after 11-mile hike HR 120 time 1513 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143378 - possible atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143381 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201006-ecg-151322_mile_11.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143384 -  ..
143385 - EKG looks little ragged, but consistent - seems better than EKG at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143386 - mile 5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143390 -  ..
143391 - HR profile post-hike beginning 0051 until next morning OA 0830 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143392 - mostly steady heart beat 71 +/-.  Max HR 109 and minimum HR 53 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143393 - with indoor activity - sleeping; 0 spikes above 130 may indicate no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143394 - atrial fibrillatin (AF), while recovering from ablation procedures.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143395 - This may decrease exposure to ischemic colitis, reported on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143396 - 0700. ref SDS A2 RK6F  HR profile today, may reflect heart recovering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143397 - from 4 coronary procedures this year, and also not taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143398 - succinct, which avoids beta blocker that lowers HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143401 -        ..
143402 -       Date      201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 200718 200717 20  
143403 -        Hours        7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19            13      
143404 -       HR AVG       71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61     no     72      
143405 -         MAX       109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  report   135      
143406 -         Min        53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41            40      
143407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143408 -              https://flow.polar.com/training/analysis/5206740366                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143413 -   
143414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143417 -  ..
143418 - Breakfast - cream of wheat - few bites, ensure with medications that require eating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143419 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143420 - Dinner - broccoli tomato avocado onion tuna mushrooms pasta hamburger                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143423 -  ..
143424 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143431 -         ..
143432 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143433 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143434 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143435 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143436 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143437 -  281.  201007 0830............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143438 -               0840....BP HR..................................................... 117  79  81  Kardia ECG reports HR normal, see below. ref SDS 0 RXWY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143439 -               0845....BP HR..................................................... 118  72  77  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143440 -               0850....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143441 -               0850... 20 977360 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143442 -               0850... 80 210720 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143443 -               0850... 05 2420 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143444 -               0850... 75 8075 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143445 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
143446 -               1140... Gabapentin 300MG  38200MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143447 -               1140....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143448 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143449 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143450 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143451 -          * cr 1150....miles...........  17.0  28.0  281   464 minutes  temp  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143452 -               1320... Oxycodone HCL Plain  5  255 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143453 -               1320... Gabapentin 300MG  38500MB took with oxycodone and with food few bites sandwich rye bread margaine peanut butter jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143454 -               1520... Simethicone 80  6080 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143455 -               1720....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143456 -               1800....BP HR.....................................................  87  70 152                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143457 -               1805....BP HR.....................................................  94  82 152                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143458 -               1910....BP HR.....................................................  99  82 148                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143459 -               1935....BP HR..................................................... 101  83 150                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143460 -               2137....BP HR.....................................................  85  78  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143461 -               2142....BP HR..Kardia EKG.........................................         158                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143462 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143463 -               2000... 40 62540 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
143464 -               2130............ 10 14310  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143465 -               2130............ 10 13900  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143466 -           **  0000... 25   2000.0 Metoprolol Succinct - on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143467 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143468 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143469 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143470 -               2200... 40 42500 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143471 -               2330... 1000  945000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143472 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143473 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
143474 -               2250... 05 2425 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143475 -               2330... 80 210800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143476 -               0000... Simethicone 80  6080 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143477 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143479 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143480 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143481 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
143482 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143483 - at top of mountain. ref SDS 69 2T9L  However today, could not do this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143484 - .5 mile uphill.  Also added Campus Road from Pine Hollow hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143485 - uphill to Cal State East Bay college, with 2 - 3 miles of loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143486 - through Visitor, faculty and student parking, and back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143487 - Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143489 -  ..
143490 - ** Metoprolol Succinct - on 201007 episode atrial flutter HR 160,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143491 - ref SDS 0 RXYU, metoprolol through IV in ER lowered HR; Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143492 - Pellegrini ordered experimenting with Metoprolol pills again, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143493 - lower HDL in this case, to see if this will control HR, rather perform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143494 - 2nd ablation on right atrial to prevent erratic electrial signals from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143495 - causing erratic HR; previously on 200830 paused to avoid beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143496 - lowering HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143497 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143498 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143499 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143500 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143501 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143502 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143503 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143504 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143505 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143506 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143507 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143509 -  ..
143510 - Peripheral neuropathy - feeling in both feet about 1009 this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143511 - after statins last night, per above. ref SDS 0 4W6K -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143512 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143514 -  ..
143515 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143516 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143517 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143519 -  ..
143520 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143522 -  ..
143523 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143524 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143526 -  ..
143527 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143529 -  ..
143530 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143531 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143533 -  ..
143534 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143535 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143536 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143537 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143538 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143539 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143540 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143541 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143542 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143543 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143544 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143545 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143546 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143547 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143549 -  ..
143550 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143551 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143553 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143554 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143555 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143556 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143557 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143558 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143559 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143560 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143561 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143562 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143563 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143564 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143565 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143566 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143567 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143568 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143569 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143570 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143571 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143572 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143573 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143574 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143575 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143576 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143577 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143578 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143579 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143580 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143581 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143582 -        Metatarsalgia left foot...PRP 191009.........   2         20  break through pain last 3 miles despite takine gabapentin and oxycodone at mile 5                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143583 -        Metatarsalgia right foot..PRP 191009.........   2         20  break through pain last 3 miles despite takine gabapentin and oxycodone at mile 5                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143584 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143585 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143586 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143587 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143588 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143589 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143590 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143591 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143592 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143593 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143594 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143595 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143596 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143597 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143598 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143600 -  ..
143601 - Body feels fatigued expected after hiking 17 miles in 80 degrees over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143602 - moderate hills 4% - 7% grade.
143604 - -
143605 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143606 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143607 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143609 -  ..
143610 - After hike and for several hours feel little wobbly and disoriented,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143611 - light headed.  Reflects not hiking past 2 weeks due to adverse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143612 - unhealthy Air Quality Index.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143614 -  ..
143615 - Several hours after hike, feet pain level 2; left knee pain level 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143617 -  ..
143618 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143619 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143620 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143622 -  ..
143623 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143624 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143625 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143626 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143627 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143629 -  ..
143630 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143631 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143633 -  ..
143634 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143635 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143636 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143638 -  ..
143639 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143640 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143641 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143642 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143643 - ref SDS 77 SM4M  After hike on 201006, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143644 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143645 - ref SDS 0 EB5J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143647 -  ..
143648 - Concord 17 mile route - Air Quality Index fell from 178 last night to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143649 - 98 this morning, so did hike.  Starting energy okay.  Wearing Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143650 - Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M, that prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143651 - feet and knee injuries.  Wore 2-pair double-ply Wright socks received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143652 - on 191010 1344, ref SDS 79 SM4M, to prevent blisters.  Hiked from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143653 - Cuneo uphill to Treat.  Sky seems less hazy from fires in Napa and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143654 - Sonoma area - can see some of surrounding hills today.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143655 - easily through nose entire hike.  Temperature reached 80.  Hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143656 - normal to fast pace on Treat 1 mile to Clayton.  Time for 1.25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143657 - 20 minutes.  Turned corner hiking South on Clayton 2 miles at normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143658 - to fast pace, mostly on flat concrete sidewalk.  At mile 3.5, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143659 - corner hiking West on Ygnacio Valley Road.  Contined using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143660 - sidewalk another .5 mile.  About mile 4 crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143661 - Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143662 - traffic.  At mile 5, stopped at Texaco gas station - EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143663 - 113 Tachycardia - see below. ref SDS 0 RYRT  Took gabapentin and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143664 - oxycodone to prevent feet pain that occurred yesterday at end of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143665 - Bought large softdrink, and drank most of it with few bites from half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143666 - sandwich with peanut butter, which Doctor Yee said restores                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143667 - carbohydrates during hiking exercise, reported on 200923 1004.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143668 - ref SDS B2 WL59  Hiked .25 mile on Ygnacio Valley Road to Pine Hollow;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143669 - turned left and hiked about 50 yards.  Turned right onto Campus Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143670 - Hiked 1-mile West uphill 3% - 4% grade to California Sate University                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143671 - East Bay campus.  Mild West Wind reduced effects of 86 degree                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143672 - temperature.  Hiked 1-loop of about 2 miles through adjoining Faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143673 - and Student Parking lots.  Seemed to feel vasodilation surge of energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143674 - and strength hiking up last long hill in Student parking lot.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143675 - 7 back at Visitor Parking hiked North downhill 3% grade .3 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143676 - Ygnacio Valley Road.  Turned left and hiked West .5 mile on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143677 - Valley Road flat pavement.  At mile 7.5 feet not hurting because took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143678 - pain meds at mile 5, per above.  Turned South and hiked 1 mile up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143679 - steep hill 5% grade on Crystal Ranch Road.  Hiked another mile on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143680 - pavement through residential area; then downhill .5 mile past Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143681 - Woods Way, and up another steep hill 5% grade .5 mile to the end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143682 - Crystal Ranch Road.  Raced another hiker partway up this hill, he                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143683 - passed me, but turned off on a street before reaching the top.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143684 - Handled these hills well maintaining speed and breathing easily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143685 - through nose all the way.  Hiked back downhill on Crystal Ranch Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143686 - zig zagging to reduce stress on forfoot.  Turned East on Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143687 - Way.  Hiked up steep hill 5% grade .33 mile, then downhill and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143688 - North onto Pine Hollow.  Noticed HR spiked to what looked like 190                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143689 - while going downhill.  Still going downhill Polar HR monitor showed HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143690 - 160 consistently.  Hiked 1 mile to Ygnacio Valley Road.  Mile 12,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143691 - stopped at Texaco Gas Station again - could not get EKG report on HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143692 - because Samsong cellphone failed to operate.  Ate few bites of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143693 - sandwich and threw rest away.  Drank most of large softdrink.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143694 - Continued hike on Ygnacio Valley Road to Pine Hollow; turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143695 - hiked about 50 yards.  Turned right onto Campus Road.  Hiked 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143696 - West uphill 3% - 4% grade to California Sate University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143697 - campus.  Hiked 2-loops of about 1.5 miles through adjoining Faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143698 - and Student Parking lots; did not added sub-loops of .5 mile.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143699 - Visitor Parking mile 14.  Took Campus Drive North .33 mile downhill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143700 - Ygnacio Valley Road.  Feet hurting on long downhill despite taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143701 - oxycodone and gabapentin at mile 5, per above.  Seem a little wobbly,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143702 - possibly from vasodilation drawing blood from brain.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143703 - Ygnacio Valley Road and hiked West .5 miles.  Adrenalin seemed to kick                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143704 - in, because increased pace.  Continued West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143705 - uphill 2% grade past Cowell.  At mile 15 crossed from South side of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143706 - Ygnacio Valley Road to the North side in order to avoid severely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143707 - sloped shoulder on South Side.  On North side continued East downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143708 - .25 miles.  Turned left onto Cowell and hiked North downhill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143709 - 1 mile to Treat.  Balls of feet hurting going downhill.  Ran 300 yards                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143710 - to make green traffic light.  This spiked HR to 176.  After crossing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143711 - Treat hiked West to Cuneo and home for 17 miles.  HR came down and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143712 - remained steay at 160.  This record seems to show atrial flutter.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143714 -  ..
143715 - Kardia recorded HR 77 at 0844 - Normal - HR tread indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143716 - strengthening cardiac function after 4 cardiac procedures this year.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143720 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201007-ecg-084436_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143723 -  ..
143724 - EKG chart looks perfect, after not taking metoprolol last night, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143725 - since 200830, per above. ref SDS 0 KM4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143729 -  ..
143730 - Polar HR GPS study for Concord 17-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143731 - rises and falls with changes in terrain elevations, until mile 12,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143732 - then steady HR 160 to end of hike indicating atrial flutter in right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143733 - atrial.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143735 -                                                                 Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143736 -       Date       201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 2  
143737 -       Miles         17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0      6      5     
143738 -       HR AVG       131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no    121    109     
143739 -         MAX        174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report   135    125     
143740 -         Min        102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83           104     77     
143741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143743 -  ..
143744 - HR profile Concord route showing average 131 and max 174 reflects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143745 - temperature 81, hiking Concord route with some long steep hills 4%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143746 - grade with expected HR changes; atrial flutter began about mile 11,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143747 - and continued to end of hike and beyond, atrial fibrillation at mile 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143748 - following cardiac ablation on 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143751 -              https://flow.polar.com/training/analysis/5208420081                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143756 -   
143757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143760 -  ..
143761 - EKG at mile 5 HR 113 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143765 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201007-ecg-130741_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143768 -  ..
143769 - EKG looks very erratic, espcially last 15 beats or so are very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143770 - irregular, after taking metoprolol last night, paused on 200830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143771 - ref SDS 0 KM4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143776 -  ..
143777 - EKG at mile 12 could not do this because Samsung cellphone failed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143778 - operate.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
143779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143783 -  ..
143784 - EKG 15 minutes after 17-mile hike HR 157 time 1722 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143785 - Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143788 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201007-ecg-172253_mile_17.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143791 -  ..
143792 - EKG looks very erratic in beginning, near the end looks better and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143793 - consistent.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143797 -  ..
143798 - EKG 2 hours after 17-mile hike HR 150 time 1938 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143799 - Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143802 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201007-ecg-193852_mile_17_2_Hours_after_hike.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143805 -  ..
143806 - EKG looks very consistent, but elevated at 150, suggesting atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143807 - flutter.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
143808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143840 -  ..
143841 - Breakfast - cream of wheat - few bites, ensure with medications that require eating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143842 - Lunch - half sandwitch rey bread margarine peanut butter jam few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143843 - at mile 5 in hike taken with oxycodone and gabapentin, ate rest at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143844 - mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143845 - Dinner - tomato avocado onion tuna mushrooms - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
143846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143848 -  ..
143849 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143856 -         ..
143857 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143858 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143859 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143860 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143861 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143862 -  282.  201008 0900............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143863 -               0920....BP HR..................................................... 120  67  68  Kardia ECG reports HR normal, see below. ref SDS 0 SSSQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143864 -               0925....BP HR..................................................... 114  71  67  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143865 -               0930....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143866 -               0930... 20 977380 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143867 -               0930... 80 210880 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143868 -               0930... 05 2430 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143869 -               0930... 75 8150 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143870 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
143871 -               0000... Gabapentin 300MG  38500MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143872 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143873 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143874 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143875 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143876 -               1700... 40 62580 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
143877 -           **  1800... 25   2025.0 Metoprolol Succinct - on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143878 -             1 0000............ 10 14310  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143879 -             1 0000............ 10 13900  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143880 -               1940... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143881 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143882 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143883 -               2030... 40 42540 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143884 -               2100... 1000  946000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143885 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143886 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
143887 -               2200... 05 2435 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143888 -               2200... 80 210960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143889 -               0000... Simethicone 80  6080 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143890 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143892 -  ..
143893 - ** Metoprolol Succinct - on 201007 episode atrial flutter HR 160,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143894 - ref SDS 0 RXYU, metoprolol through IV in ER lowered HR; Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143895 - Pellegrini ordered experimenting with Metoprolol pills again, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143896 - lower HDL in this case, to see if this will control HR, rather perform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143897 - 2nd ablation on right atrial to prevent erratic electrial signals from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143898 - causing atrial flutter; previously on 200830 paused metoprolol to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143899 - avoid beta blocker lowering HDL and disrupting sexual function; On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143900 - 200724 Doctor Simpson recommended taking Metoprolol at night, rather                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143901 - than in the morning, and if HR is below 60, then skip taking the pill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143902 - ref SDS A9 WA5O  Doctor Pellegrini switchted from Tartrate, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143903 - on 200527 0930. ref SDS 97 MU4H  On 200612 resumed Metoprolol,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143904 - clopidogrel and Apixaban - meeting with Doctor Pellegrini in hospital;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143905 - can end Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143906 - ischemic colotis based on CT test finding inflammation in colon,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143907 - caused by vasodilation hiking long distances in combination with 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143908 - coronary medical procedures (angiogram on 200124, stent on 200128,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143909 - ablation on 200430, another ablation on 200511) reported on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143910 - 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143912 -  ..
143913 - Peripheral neuropathy - feeling in both feet about 1009 this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143914 - after statins last night, per above. ref SDS 0 4W6K -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143915 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143917 -  ..
143918 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143919 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143920 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143922 -  ..
143923 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143925 -  ..
143926 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143927 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143929 -  ..
143930 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143932 -  ..
143933 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143934 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143936 -  ..
143937 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143938 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143939 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143940 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143941 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143942 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143943 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143944 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143945 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143946 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143947 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143948 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143949 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143950 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143952 -  ..
143953 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143954 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143955 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143956 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143957 - ref SDS 77 SM4M  In evening on 201008, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143958 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143959 - ref SDS 0 6G9H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143961 -  ..
143962 - Kardia recorded HR 70 at 0927 - Unclassified - after resuming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143963 - metoprolol on 201007.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143966 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201008-ecg-092708_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143969 -  ..
143970 - EKG chart looks disturbed and erratic though may be in sinus after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143971 - starting metoprolol in ER on 200107 to control atrial flutter, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143972 - above. ref SDS 0 RVYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143975 -  ..
143976 - HR profile post-hike beginning 0011 until next morning OA 0720 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143977 - mostly steady heart beat 63 +/-.  Max HR 102 and minimum HR 51 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143978 - with indoor activity - sleeping; 0 spikes above 130 may indicate no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143979 - atrial fibrillatin (AF), and no atrial flutter while recovering from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143980 - ablation procedures.  This may decrease exposure to ischemic colitis,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143981 - reported on 200612 0700. ref SDS A2 RK6F  HR profile today, may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143982 - reflect heart recovering from 4 coronary procedures this year, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143983 - also taking metoprolol succinct, which is a beta blocker that lowers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143984 - HDL, and was resumed on 201007, per above. ref SDS 0 SQPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143987 -        ..
143988 -       Date      201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 200721 200720 200719 20  
143989 -        Hours        7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15     14     15     19      
143990 -       HR AVG       63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66     66     60     61      
143991 -         MAX       102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135    114    141    116  re  
143992 -         Min        51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43     53     39     41      
143993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143995 -              https://flow.polar.com/training/analysis/5213406156                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144000 -   
144001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144004 -  ..
144005 - Breakfast - eggs toast ensure with medications that require eating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144006 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144007 - Dinner - tomato avocado onion tuna mushrooms, ice cream milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144009 -  ..
144010 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144017 -         ..
144018 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144019 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144020 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144021 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144022 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144023 -  283.  201009 0720............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144024 -               0730....BP HR..................................................... 123  70  61  Kardia ECG reports HR normal, see below. ref SDS 0 STXS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144025 -               0735....BP HR..................................................... 122  72  59  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144026 -               0740....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144027 -               0740... 20 977400 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144028 -               0740... 80 211040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144029 -               0740... 05 2440 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144030 -               0740... 75 8225 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144031 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
144032 -               1040....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144033 -               1040... Gabapentin 300MG  38800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144034 -               1040... Oxycodone HCL Plain  5  260 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144035 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144036 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144037 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144038 -          * cr 1055....miles...........  21.0  49.0  348   812 minutes  temp  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144039 -               1220... Oxycodone HCL Plain  5  265 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144040 -               1220... Gabapentin 300MG  39100 MB took with oxycodone and with food few bites sandwich rye bread margaine peanut butter jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144041 -               1560... Simethicone 80  6160 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144042 -               1750....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144043 -               1815....BP HR..................................................... 114  62  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144044 -               1820....BP HR..................................................... 115  62  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144045 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144046 -               1900... 40 62620 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
144047 -           **  1920... 25   2050.0 Metoprolol Succinct - on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144048 -               1940............ 10 14320  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144049 -               1940............ 10 13910  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144050 -               2010... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144051 -               0000... Naproxen (Aleve) 1 pill 250 mg - for feet - more than 6 weeks after PRP on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144052 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144053 -               2030... 40 42580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144054 -               2100... 1000  947000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144055 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144056 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144057 -               2200... 05 2445 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144058 -               2200... 80 211120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144059 -               0000... Simethicone 80  6160 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144060 -               0000... Baking soda relieve reflux symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144062 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144063 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144064 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144065 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144066 - at top of mountain. ref SDS 69 2T9L  However today, could not do this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144067 - .5 mile uphill.  Also added Campus Road from Pine Hollow hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144068 - uphill to Cal State East Bay college, with 2 - 3 miles of loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144069 - through Visitor, faculty and student parking, and back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144070 - Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144072 -  ..
144073 - ** Metoprolol Succinct - on 201007 episode atrial flutter HR 160,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144074 - ref SDS 0 RXYU, metoprolol through IV in ER lowered HR; Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144075 - Pellegrini ordered experimenting with Metoprolol pills again, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144076 - lower HDL in this case, to see if this will control HR, rather perform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144077 - 2nd ablation on right atrial to prevent erratic electrial signals from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144078 - causing atrial flutter; previously on 200830 paused metoprolol to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144079 - avoid beta blocker lowering HDL and disrupting sexual function; On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144080 - 200724 Doctor Simpson recommended taking Metoprolol at night, rather                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144081 - than in the morning, and if HR is below 60, then skip taking the pill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144082 - ref SDS A9 WA5O  Doctor Pellegrini switchted from Tartrate, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144083 - on 200527 0930. ref SDS 97 MU4H  On 200612 resumed Metoprolol,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144084 - clopidogrel and Apixaban - meeting with Doctor Pellegrini in hospital;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144085 - can end Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144086 - ischemic colotis based on CT test finding inflammation in colon,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144087 - caused by vasodilation hiking long distances in combination with 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144088 - coronary medical procedures (angiogram on 200124, stent on 200128,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144089 - ablation on 200430, another ablation on 200511) reported on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144090 - 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144092 -  ..
144093 - Peripheral neuropathy - feeling in both feet about 1009 this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144094 - after statins last night, per above. ref SDS 0 4W6K -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144095 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144097 -  ..
144098 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144099 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144100 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144102 -  ..
144103 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144105 -  ..
144106 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144107 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144109 -  ..
144110 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144112 -  ..
144113 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144114 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144116 -  ..
144117 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144118 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144119 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144120 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144121 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144122 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144123 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144124 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144125 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144126 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144127 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144128 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144129 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144130 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144132 -  ..
144133 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144134 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144136 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144137 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144138 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144139 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144140 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144141 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144142 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144143 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144144 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144145 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144146 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144147 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144148 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144149 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144150 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144151 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144152 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144153 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144154 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144155 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144156 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144157 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144158 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144159 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144160 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144161 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144162 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144163 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144164 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144165 -        Metatarsalgia left foot...PRP 191009.........   2         20  break through pain last 3 miles despite takine gabapentin and oxycodone at mile 5                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144166 -        Metatarsalgia right foot..PRP 191009.........   2         20  break through pain last 3 miles despite takine gabapentin and oxycodone at mile 5                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144167 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144168 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144169 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144170 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144171 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144172 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144173 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144174 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144175 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144176 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144177 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144178 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144179 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144180 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144181 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144183 -  ..
144184 - Body feels fatigued expected after hiking 21 miles in 75 degrees over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144185 - moderate hills 4% - 7% grade.
144187 - -
144188 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144189 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144190 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144192 -  ..
144193 - After hike and for several hours feel little wobbly and disoriented,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144194 - light headed.  Reflects not hiking past 2 weeks due to adverse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144195 - unhealthy Air Quality Index.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144197 -  ..
144198 - Several hours after hike, feet pain level 2; left knee pain level 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144200 -  ..
144201 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144202 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144203 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144205 -  ..
144206 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144207 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144208 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144209 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144210 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144212 -  ..
144213 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144214 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144216 -  ..
144217 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144218 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144219 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144221 -  ..
144222 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144223 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144224 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144225 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144226 - ref SDS 77 SM4M  After hike on 201009, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144227 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144228 - ref SDS 0 RX4J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144230 -  ..
144231 - Concord 21 mile route - Air Quality Index fell from 178 last night to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144232 - 1 this morning, so did hike.  Starting energy okay.  Wearing Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144233 - Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M, that prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144234 - feet and knee injuries.  Wore 2-pair double-ply Wright socks received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144235 - on 191010 1344, ref SDS 79 SM4M, to prevent blisters.  Hiked from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144236 - Cuneo uphill to Treat.  Sky looks perfect today - can see surrounding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144237 - hills perfectly.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144238 - Temperature reached 75.  Hiked East normal to fast pace on Treat 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144239 - mile to Clayton.  Time for 1.25 miles 20 minutes.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144240 - hiking South on Clayton 2 miles at normal to fast pace, mostly on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144241 - concrete sidewalk.  At mile 3.5, turned corner hiking West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144242 - Valley Road.  Both feet hurting on sides pain level 2.  Contined using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144243 - concrete sidewalk another .5 mile.  About mile 4 crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144244 - Ygnacio Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144245 - traffic.  At mile 5, stopped at Texaco gas station - EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144246 - 94 - possible atrial fibrillation - see below. ref SDS 0 SSWW  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144247 - gabapentin and oxycodone to prevent feet pain that occurred yesterday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144248 - at end of hike.  Bought large softdrink, and drank most of it with few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144249 - bites from half sandwich with peanut butter, which Doctor Yee said                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144250 - restores carbohydrates during hiking exercise, reported on 200923                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144251 - 1004. ref SDS B2 WL59  Hiked .25 mile on Ygnacio Valley Road to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144252 - Hollow; turned left and hiked about 50 yards.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144253 - Campus Road.  Hiked 1-mile West uphill 3% - 4% grade to California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144254 - Sate University East Bay campus.  Mild West Wind.  Hiked 1-loop of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144255 - about 2 miles through adjoining Faculty and Student Parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144256 - Seemed to feel vasodilation surge of energy and strength hiking up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144257 - last long hill in Student parking lot.  At mile 7 back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144258 - Parking hiked North downhill 3% grade .3 mile to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144259 - Turned left and hiked West .5 mile on Ygnacio Valley Road flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144260 - pavement.  At mile 7.5 feet not hurting because took pain meds at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144261 - 5, per above.  Turned South and hiked 1 mile up steep hill 5% grade on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144262 - Crystal Ranch Road.  Hiked another mile on flat pavement through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144263 - residential area; then downhill .5 mile past Rolling Woods Way, and up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144264 - another steep hill 5% grade .5 mile to the end of Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144265 - Raced another hiker partway up this hill, he passed me, but turned off                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144266 - on a street before reaching the top.  Handled these hills well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144267 - maintaining speed and breathing easily through nose all the way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144268 - Hiked back downhill on Crystal Ranch Road, zig zagging to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144269 - stress on forfoot.  Turned East on Rolling Woods Way.  Hiked up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144270 - hill 5% grade .33 mile, then downhill and turned North onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144271 - Hollow.  Noticed HR did not spike to 160 while going downhill, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144272 - occurred 2 days ago, leading to getting treatment in the ER, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144273 - resuming metoprolol, reported on 201007 2218. ref SDS B3 8R4H  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144274 - mile to Ygnacio Valley Road.  Mile 12, stopped at Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144275 - again - EKG reported HR 102 - Trachycardia - see below. ref SDS 0 SSYS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144276 - Ate few bites of sandwich and threw rest away.  Bought lemonade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144277 - softdrink; mixed in cup of ice - drank most of it to hydrate.  Feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144278 - stronger than usual today, so want to maintian.  Continued hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144279 - Ygnacio Valley Road to Pine Hollow; turned left and hiked about 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144280 - yards.  Turned right onto Campus Road.  Hiked 1-mile West uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144281 - 4% grade to California Sate University East Bay campus.  Hiked 1-loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144282 - of about 1.5 miles through adjoining Faculty and Student Parking lots;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144283 - did not added sub-loops of .5 mile.  Back at Visitor Parking mile 14.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144284 - Took Campus Drive North .33 mile downhill to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144285 - Feet hurting - breakthrough pain level 3 - on long downhill despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144286 - taking oxycodone and gabapentin at mile 5, per above.  No feeling of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144287 - being wobbly, possibly from vasodilation drawing blood from brain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144288 - Turned left onto Ygnacio Valley Road and hiked West .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144289 - Adrenalin seemed to kick in, because increased pace.  Continued West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144290 - on Ygnacio Valley Road past Crystal Ranch Road - decided not to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144291 - 2nd loop - so hiked uphill 2% grade past Cowell against strong wind.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144292 - At mile 15 crossed from South side of Ygnacio Valley Road to the North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144293 - side in order to avoid severely sloped shoulder on South Side.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144294 - North side continued West .5 miles over summit to end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144295 - traffic barriar.  Crossed back to South side of Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144296 - Hiked downhill 2 miles against strong wind.  Crossed to North side of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144297 - Ygnacio Valley Road.  At traffic light hiked across Oak Grove and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144298 - contined West .25 miles on paved path parallel to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144299 - Turned right ant Via Monte continued on paved path North .25 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144300 - Continued around complex, back to corner of Oak Grove and Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144301 - Valley Road.  Hiked around Safeway complex again, back to Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144302 - Turned Left onto Oak Grove, and hiked .75 miles to Treat.  Kathy drove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144303 - us home for 21 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144305 -  ..
144306 - Kardia recorded HR 70 at 0712 - Normal - after resuming metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144307 - 201007, per above. ref SDS 0 RVYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144310 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201009-ecg-071204_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144313 -  ..
144314 - EKG chart looks perfect, after starting metoprolol in ER on 200107 to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144315 - control atrial flutter, per above. ref SDS 0 RVYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144319 -  ..
144320 - Polar HR GPS study for Concord 21-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144321 - rises and falls with changes in terrain elevations, indicating no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144322 - atrial fibrillation nor atrial flutter...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144325 -                                                                               Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144326 -       Date       201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 2  
144327 -       Miles         21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11      0     
144328 -       HR AVG       110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     no     
144329 -         MAX        132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  report    
144330 -         Min         74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83            
144331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144333 -  ..
144334 - HR profile Concord route today, is much improved coronary performance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144335 - showing average 110 and max 132 reflects temperature 75, hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144336 - Concord route with some long steep hills 5% grade with expected HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144337 - changes following cardiac ablation on 200511 0546. ref SDS 94 244I and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144338 - following treatment in the ER infusing through IV catheter high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144339 - concentrate metoprolol that slowed heart beat from atrial flutter at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144340 - HR 160, down to 60s and 70s, on 201007 2218. ref SDS B3 X36J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144343 -              https://flow.polar.com/training/analysis/5214945301                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144348 -   
144349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144352 -  ..
144353 - EKG at mile 5 HR 94 - Kardia reported possible atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144357 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201009-ecg-121324_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144360 -  ..
144361 - EKG looks erratic throughout test, after taking metoprolol last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144362 - resumed on 201008, per above, ref SDS 0 SQPV, and paused on 200830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144363 - ref SDS 0 KM4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144368 -  ..
144369 - EKG at mile 12 HR 102 - Kardia reported Trachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144373 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201009-ecg-143529_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144376 -  ..
144377 - EKG looks erratic for few beats, then consistent after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144378 - metoprolol last night, resumed on 201008, per above, ref SDS 0 SQPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144379 - and paused on 200830. ref SDS 0 KM4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144384 -  ..
144385 - EKG 1 minute after 21-mile hike HR 107 time 1713 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144386 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144389 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201009-ecg-171353_mile_21.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144392 -  ..
144393 - EKG looks ragged, but consistent after taking metoprolol last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144394 - resumed on 201008, per above, ref SDS 0 SQPV, and paused on 200830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144395 - ref SDS 0 KM4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144430 -  ..
144431 - Breakfast - eggs toast ensure with medications that require eating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144432 - Lunch - half sandwich rey bread margarine peanut butter jam .25 at 5 miles .25t at 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144433 - Dinner - rice cheese potatoes eggs onion broccoli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144435 -  ..
144436 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144441 -         ..
144442 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144443 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144444 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144445 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144446 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144447 -  284.  201010 0840............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144448 -               0910....BP HR..................................................... 130  79  58  Kardia ECG reports HR normal, see below. ref SDS 0 SYQV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144449 -               0915....BP HR..................................................... 132  75  60  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144450 -               0920....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144451 -               0920... 20 977420 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144452 -               0920... 80 211200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144453 -               0920... 05 2450 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144454 -               0920... 75 8300 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144455 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
144456 -               1040....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144457 -               1040... Gabapentin 300MG  39400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144458 -               1040... Oxycodone HCL Plain  5  270 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144459 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144460 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144461 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144462 -          * cr 1050....miles...........  22.0  49.0  363  1175 minutes  temp  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144463 -               1220... Oxycodone HCL Plain  5  275 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144464 -               1220... Gabapentin 300MG  39700 MB took with oxycodone and with food few bites sandwich rye bread margaine peanut butter jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144465 -               1560... Simethicone 80  6160 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144466 -               1815....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144467 -               1820....BP HR..................................................... 110  65  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144468 -               1825....BP HR..................................................... 109  68  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144469 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144470 -               1830... 40 62660 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
144471 -           **  0000... 25   2050.0 Metoprolol Succinct - on 201010 paused after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                                                               
144472 -             1 1830............ 10 14320  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144473 -             1 1830............ 10 13910  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144474 -               2010... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144475 -               2030... 40 42620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144476 -               2100... 1000  948000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144477 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144478 -               2200... 05 2455 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144479 -               2200... 80 211280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144480 -               0000... Simethicone 80  6160 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144482 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144483 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144484 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144485 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144486 - at top of mountain. ref SDS 69 2T9L  However today, could not do this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144487 - .5 mile uphill.  Also added Campus Road from Pine Hollow hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144488 - uphill to Cal State East Bay college, with 2 - 3 miles of loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144489 - through Visitor, faculty and student parking, and back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144490 - Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144492 -  ..
144493 - ** Metoprolol Succinct - on 201010 paused because past 2 days have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144494 - been terrific HR profiles (very low), so testing if taking high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144495 - concentration metoprolol in hospital shocked heart into lower profile;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144496 - on 201007 episode atrial flutter HR 160, ref SDS 0 RXYU, metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144497 - high concentration through IV in ER lowered HR; Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144498 - ordered experimenting with Metoprolol pills again, which lower HDL in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144499 - this case, to see if this will control HR, rather perform 2nd ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144500 - on right atrial to prevent erratic electrial signals from causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144501 - atrial flutter; previously on 200830 paused metoprolol to avoid beta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144502 - blocker lowering HDL and disrupting sexual function; On 200724 Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144503 - Simpson recommended taking Metoprolol at night, rather than in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144504 - morning, and if HR is below 60, then skip taking the pill. ref SDS A9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144505 - WA5O Doctor Pellegrini switchted from Tartrate, reported on 200527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144506 - 0930. ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144507 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144508 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144509 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144510 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144511 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144512 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144513 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144515 -  ..
144516 - Peripheral neuropathy - feeling in both feet about 1009 this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144517 - after statins last night, per above. ref SDS 0 4W6K -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144518 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144520 -  ..
144521 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144522 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144523 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144525 -  ..
144526 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144528 -  ..
144529 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144530 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144532 -  ..
144533 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144535 -  ..
144536 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144537 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144539 -  ..
144540 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144541 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144542 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144543 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144544 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144545 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144546 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144547 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144548 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144549 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144550 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144551 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144552 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144553 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144555 -  ..
144556 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144557 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144559 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144560 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144561 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144562 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144563 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144564 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144565 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144566 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144567 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144568 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144569 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144570 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144571 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144572 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144573 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144574 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144575 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144576 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144577 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144578 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144579 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144580 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144581 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144582 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144583 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144584 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144585 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144586 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144587 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144588 -        Metatarsalgia left foot...PRP 191009.........   2         20  break through pain last 3 miles despite takine gabapentin and oxycodone at mile 5                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144589 -        Metatarsalgia right foot..PRP 191009.........   2         20  break through pain last 3 miles despite takine gabapentin and oxycodone at mile 5                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144590 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144591 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144592 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144593 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144594 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144595 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144596 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144597 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144598 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144599 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144600 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144601 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144602 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144603 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144604 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144606 -  ..
144607 - Body feels fatigued expected after hiking 22 miles in 73 degrees over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144608 - moderate hills 4% - 7% grade.  Feel better today, than after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144609 - 21 miles yesterday.
144611 - -
144612 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144613 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144614 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144616 -  ..
144617 - After hike and for several hours feel little wobbly and disoriented,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144618 - light headed.  Reflects not hiking past 2 weeks due to adverse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144619 - unhealthy Air Quality Index.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144621 -  ..
144622 - Several hours after hike, feet pain level 2; left knee pain level 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144624 -  ..
144625 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144626 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144627 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144629 -  ..
144630 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144631 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144632 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144633 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144634 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144636 -  ..
144637 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144638 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144640 -  ..
144641 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144642 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144643 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144645 -  ..
144646 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144647 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144648 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144649 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144650 - ref SDS 77 SM4M  After hike on 201010, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144651 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144652 - ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144654 -  ..
144655 - Concord 22 mile route - Air Quality Index 1 this morning, so did hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144656 - Starting energy okay.  Wearing Hoka Bondi 6 shoes received on 190927                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144657 - 1110, ref SDS 77 SM4M, that prevent feet and knee injuries.  Wore                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144658 - 2-pair double-ply Wright socks received on 191010 1344, ref SDS 79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144659 - SM4M, to prevent blisters.  Hiked from Cuneo uphill to Treat.  Sky                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144660 - looks perfect today - can see surrounding hills perfectly.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144661 - easily through nose entire hike.  Temperature reached 75.  Hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144662 - normal to fast pace on Treat 1 mile to Clayton.  Time for 1.25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144663 - 20 minutes.  Turned corner hiking South on Clayton 2 miles at normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144664 - to fast pace, mostly on flat concrete sidewalk.  At mile 3.5, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144665 - corner hiking West on Ygnacio Valley Road.  Both feet hurting on sides                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144666 - pain level 2.  Contined using concrete sidewalk another .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144667 - About mile 4 crossed to South side Ygnacio Valley Road hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144668 - asphalt shoulder aganist East bound traffic.  At mile 5, stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144669 - Texaco gas station - EKG reported HR 90 - Unclassified - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144670 - ref SDS 0 SYVS  Bought large softdrink, and drank most of it with few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144671 - bites from half sandwich with peanut butter, which Doctor Yee said                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144672 - restores carbohydrates during hiking exercise, reported on 200923                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144673 - 1004. ref SDS B2 WL59  Hiked .25 mile on Ygnacio Valley Road to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144674 - Hollow; turned left and hiked about 50 yards.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144675 - Campus Road.  Hiked 1-mile West uphill 3% - 4% grade to California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144676 - Sate University East Bay campus.  Mild West Wind.  Hiked 1-loop of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144677 - about 2 miles through adjoining Faculty and Student Parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144678 - Seemed to feel vasodilation surge of energy and strength hiking up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144679 - last long hill in Student parking lot.  At mile 7 back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144680 - Parking hiked North downhill 3% grade .3 mile to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144681 - Turned left and hiked West .5 mile on Ygnacio Valley Road flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144682 - pavement.  At mile 7.5 turned left and hiked South 1 mile up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144683 - hill 5% grade on Crystal Ranch Road.  Hiked another mile on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144684 - pavement through residential area; then downhill .5 mile past Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144685 - Woods Way, and up another steep hill 5% grade .5 mile to the end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144686 - Crystal Ranch Road.  Handled these hills well maintaining speed and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144687 - breathing easily through nose all the way.  Hiked back downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144688 - Crystal Ranch Road, zig zagging to reduce stress on forfoot.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144689 - East on Rolling Woods Way.  Hiked up steep hill 5% grade .33 mile,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144690 - then downhill and turned North onto Pine Hollow.  Noticed HR did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144691 - spike to 160 while going downhill, which occurred 4 days ago, leading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144692 - to getting treatment in the ER, and resuming metoprolol, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144693 - 201007 2218. ref SDS B3 8R4H  Hiked 1 mile to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144694 - Mile 12, stopped at Texaco Gas Station again - EKG reported HR 96 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144695 - Unclassified - see below. ref SDS 0 SYWY  Took gabapentin and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144696 - oxycodone to prevent feet pain at end of hike.  Ate rest of peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144697 - butter and jam sandwich.  Bought lemonade - drank to hydrate.  Feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144698 - stronger than usual today, so want to maintian.  Continued hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144699 - Ygnacio Valley Road to Pine Hollow; turned left and hiked about 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144700 - yards.  Turned right onto Campus Road.  Hiked 1-mile West uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144701 - 4% grade to California Sate University East Bay campus.  Hiked 1-loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144702 - of about 1.5 miles through adjoining Faculty and Student Parking lots;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144703 - did not added sub-loops of .5 mile.  Back at Visitor Parking mile 15.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144704 - Took Campus Drive North .33 mile downhill to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144705 - Feet hurting - breakthrough pain level 3 - on long downhill despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144706 - taking oxycodone and gabapentin at mile 5, per above.  No feeling of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144707 - being wobbly, possibly from vasodilation drawing blood from brain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144708 - Turned left onto Ygnacio Valley Road and hiked West .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144709 - Adrenalin seemed to kick in, because increased pace.  Continued West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144710 - on Ygnacio Valley Road past Crystal Ranch Road - decided not to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144711 - 2nd loop - so hiked uphill 2% grade past Cowell against strong wind.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144712 - At mile 15 crossed from South side of Ygnacio Valley Road to the North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144713 - side in order to avoid severely sloped shoulder on South Side.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144714 - North side continued West .5 miles over summit to end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144715 - traffic barriar.  Crossed back to South side of Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144716 - Hiked downhill 2 miles against moderate wind.  Crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144717 - of Ygnacio Valley Road.  At traffic light hiked across Oak Grove and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144718 - continued West .25 miles on paved path parallel to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144719 - Road.  Turned right and continued on paved path parallel to Via Monte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144720 - heading North .25 miles.  Hiked around complex, back to corner of Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144721 - Grove and Ygnacio Valley Road.  Hiked around Safeway complex again,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144722 - back to Oak Grove.  Turned Left onto Oak Grove, and hiked .75 miles to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144723 - Treat.  Kathy drove us home for 22 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144725 -  ..
144726 - Kardia recorded HR 60 at 0916 - Normal - after resuming metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144727 - 201007, per above. ref SDS 0 RVYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144730 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201010-ecg-091610_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144733 -  ..
144734 - EKG chart looks perfect, after starting metoprolol in ER on 200107 to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144735 - control atrial flutter, per above. ref SDS 0 RVYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144739 -  ..
144740 - Polar HR GPS study for Concord 22-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144741 - rises and falls with changes in terrain elevations, indicating no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144742 - atrial fibrillation nor atrial flutter...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144745 -                                                                                      Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144746 -       Date       201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 2  
144747 -       Miles         22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     11     
144748 -       HR AVG       104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no    122     
144749 -         MAX        127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report   140  r  
144750 -         Min         73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            83     
144751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144753 -  ..
144754 - HR profile Concord route today, is best coronary performance for hikes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144755 - post-ablation and over 18 miles, showing average 104 and max 127                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144756 - reflects temperature 73 (temp is major factor - it was much cooler                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144757 - today), hiking Concord route with some long steep hills 5% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144758 - expected HR changes following cardiac ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144759 - ref SDS 94 244I and following treatment in the ER infusing through IV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144760 - catheter high concentrate metoprolol that slowed heart beat from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144761 - atrial flutter at HR 160, down to 60s and 70s, on 201007 2218.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144762 - ref SDS B3 X36J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144765 -              https://flow.polar.com/training/analysis/5218285081                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144770 -   
144771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144774 -  ..
144775 - EKG at mile 5 HR 90 - Kardia reported Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144779 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201010-ecg-121004_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144782 -  ..
144783 - EKG initial beats erratic, then some are ragged, but rest look                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144784 - consistently normal, after taking metoprolol last night, resumed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144785 - 201008, per above, ref SDS 0 SQPV, and paused on 200830. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144786 - KM4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144791 -  ..
144792 - EKG at mile 12 HR 95 - Kardia reported Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144796 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201010-ecg-143528_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144799 -  ..
144800 - EKG looks raggedy but consistent, after taking metoprolol last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144801 - resumed on 201008, per above, ref SDS 0 SQPV, and paused on 200830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144802 - ref SDS 0 KM4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144807 -  ..
144808 - EKG 1 minute after 22-mile hike HR 101 time 1713 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144809 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144812 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201010-ecg-172607_mile_22.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144815 -  ..
144816 - EKG looks ragged, but consistent after taking metoprolol last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144817 - resumed on 201008, per above, ref SDS 0 SQPV, and paused on 200830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144818 - ref SDS 0 KM4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144853 -  ..
144854 - Breakfast - cream of wheat rasin with medications that require eating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144855 - Lunch - .25 sandwich rey bread margarine peanut butter jam .25 at 5 miles .25t at 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144856 - Dinner - rice cheese potatoes eggs onion broccoli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144858 -  ..
144859 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144866 -         ..
144867 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144868 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144869 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144870 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144871 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144872 -  285.  201011 0730............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144873 -               0730....BP HR..................................................... 116  72  60  Kardia ECG reports HR normal, see below. ref SDS 0 TSRW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144874 -               0735....BP HR..................................................... 128  76  61  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144875 -               0740....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144876 -               0740... 20 977460 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144877 -               0740... 80 211360 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144878 -               0740... 05 2470 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144879 -               0740... 75 8450 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144880 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
144881 -               1040....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144882 -               1040... Gabapentin 300MG  40000MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144883 -               1040... Oxycodone HCL Plain  5  280 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144884 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144885 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144886 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144887 -               1120....miles...........   6.0  77.0   98  1273 minutes  temp  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144888 -               0000... Oxycodone HCL Plain  5  285 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144889 -               0000... Gabapentin 300MG  40300 MB took with oxycodone and with food few bites sandwich rye bread margaine peanut butter jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144890 -               0000... Simethicone 80  6160 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144891 -               1305....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144892 -               1310....BP HR..................................................... 113  71  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144893 -               1315....BP HR..................................................... 115  69  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144894 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144895 -               1700... 40 62740 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
144896 -           **  0000... 25   2050.0 Metoprolol Succinct - on 201010 paused after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                                                               
144897 -             1 0000............ 10 14340  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144898 -             1 0000............ 10 13930  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144899 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144900 -               2030... 40 42700 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144901 -               2100... 1000  950000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144902 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144903 -               2200... 05 2475 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144904 -               2200... 80 211440 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144905 -               0000... Simethicone 80  6160 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144907 -  ..
144908 - ** Metoprolol Succinct - on 201010 paused because past 2 days have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144909 - been terrific HR profiles (very low), so testing if taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144910 - in hospital shocked heart into lower profile; on 201007 episode atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144911 - flutter HR 160, ref SDS 0 RXYU, metoprolol high concentration through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144912 - IV in ER lowered HR; Doctor Pellegrini ordered experimenting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144913 - Metoprolol pills again, which lower HDL in this case, to see if this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144914 - will control HR, rather perform 2nd ablation on right atrial to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144915 - prevent erratic electrial signals from causing atrial flutter;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144916 - previously on 200830 paused metoprolol to avoid beta blocker lowering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144917 - HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144918 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144919 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144920 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144921 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144922 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144923 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144924 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144925 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144926 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144927 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144928 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144930 -  ..
144931 - Peripheral neuropathy - feeling in both feet about 1009 this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144932 - after statins last night, per above. ref SDS 0 4W6K -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144933 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144935 -  ..
144936 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144937 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144938 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144940 -  ..
144941 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144943 -  ..
144944 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144945 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144947 -  ..
144948 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144950 -  ..
144951 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144952 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144954 -  ..
144955 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144956 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144957 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144958 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144959 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144960 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144961 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144962 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144963 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144964 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144965 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144966 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144967 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144968 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144970 -  ..
144971 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144972 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144974 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144975 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144976 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144977 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144978 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144979 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144980 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144981 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144982 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144983 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144984 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144985 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144986 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144987 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144988 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144989 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144990 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144991 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144992 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144993 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144994 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144995 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144996 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144997 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144998 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144999 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145000 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145001 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145002 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145003 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145004 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145005 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145006 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145007 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145008 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145009 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145010 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145011 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145012 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145013 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145014 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145015 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145016 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145017 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145018 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145019 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145021 -  ..
145022 - Body feels fatigued expected after hiking 22 miles in 73 degrees over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145023 - moderate hills 4% - 7% grade.  Feel better today, than after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145024 - 21 miles yesterday.
145026 - -
145027 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145028 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145029 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145031 -  ..
145032 - After hike and for several hours feel little wobbly and disoriented,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145033 - light headed.  Reflects not hiking past 2 weeks due to adverse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145034 - unhealthy Air Quality Index.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145036 -  ..
145037 - Several hours after hike, feet pain level 2; left knee pain level 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145039 -  ..
145040 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145041 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145042 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145044 -  ..
145045 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145046 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145047 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145048 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145049 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145051 -  ..
145052 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145053 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145055 -  ..
145056 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145057 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145058 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145060 -  ..
145061 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145062 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145063 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145064 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145065 - ref SDS 77 SM4M  After hike on 201010, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145066 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145067 - ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145069 -  ..
145070 - Lafayette Reservoir 6-mile route - Hiked very slow to accomodate Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145071 - around North end of the Dam.  Went up 1st steep hill 7% grade.  Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145072 - made this without stopping, because she has lost a lot of weight.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145073 - about .75 mile, Kathy stopped to rest.  She hiked back to the dam,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145074 - continued South across the dam and up to the playground area, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145075 - back for 2 miles.  Continued hiking rest of 3 mile loop.  Handled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145076 - numerous short hills well breathing through nose all the way.  Made                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145077 - Killer Ridge 7% grade with good pace; did not have to breath through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145078 - mouth at top of Killer Ridge hill for 100 yards, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145079 - previously.  Coming up last long hill, heard footsteps of another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145080 - hiker coming up to pass.  Increased pace.  Footsteps continued to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145081 - approach to increased pace and this became a race for about .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145082 - through playground area and down the last hill to the South end of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145083 - Dam.  Was suprised by how fast could walk for .5 miles.  Was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145084 - passed in the race.  Each time the other hiker began to pass, was able                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145085 - to find another gear.  No chest pain and no stomach pain due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145086 - ischemic colitis.  Back at North end of the Dam, met Kathy returning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145087 - from her hike.  We drove home, then went to Costco.  Hiked 1.5+ miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145088 - through the parking lot and the aisles for 6 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145090 -  ..
145091 - Kardia recorded HR 62 at 0727 - Normal - after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145092 - 201010, per above. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145095 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201011-ecg-072748_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145098 -  ..
145099 - EKG erratic initial 2 beats, then perfect, after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145100 - 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145104 -  ..
145105 - Polar HR GPS study for Lafayette Reservoir 4-mile hike, plus 1.6 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145106 - at Costco shows HR profile that rises and falls with changes in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145107 - terrain elevations, indicating no atrial fibrillation nor atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145108 - flutter...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145111 -                                                                                      Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145112 -       Date       201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 2  
145113 -       Miles          6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7      0     
145114 -       HR AVG       112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     no     
145115 -         MAX        127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  report    
145116 -         Min         73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83            
145117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145119 -  ..
145120 - HR profile Lafayette Reservoir, and walking at Costco. showing average                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145121 - 112 and max 136 reflects temperature 78 hiking some short steep hills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145122 - 7% grade plus racing another hiker .5 miles, with expected HR changes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145123 - following cardiac ablation on 200511 0546. ref SDS 94 244I and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145124 - following treatment in the ER infusing through IV catheter high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145125 - concentrate metoprolol that slowed heart beat from atrial flutter at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145126 - HR 160, down to 60s and 70s, on 201007 2218. ref SDS B3 X36J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145129 -              https://flow.polar.com/training/analysis/5221860536                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145134 -   
145135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145139 -  ..
145140 - EKG at mile 5 HR 107 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145144 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201011-ecg-123058_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145147 -  ..
145148 - EKG initial beats ragged, but rest look consistent, after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145149 - metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145155 -  ..
145156 - HR profile post-hike beginning 2328 until next morning OA 0630 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145157 - mostly steady heart beat 59 +/-.  Max HR 123, and minimum HR 47 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145158 - with indoor activity - sleeping; 0 spikes above 130 may indicate no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145159 - atrial fibrillatin (AF), and no atrial flutter while recovering from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145160 - ablation procedures.  This may decrease exposure to ischemic colitis,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145161 - reported on 200612 0700. ref SDS A2 RK6F  HR profile today, may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145162 - reflect heart recovering from 4 coronary procedures this year, and not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145163 - taking metoprolol succinct, which is a beta blocker that lowers HDL,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145164 - beginning on 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145167 -        ..
145168 -       Date      201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 200722 20  
145169 -        Hours        7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17     15      
145170 -       HR AVG       59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71     66      
145171 -         MAX       123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153    135      
145172 -         Min        47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44     43      
145173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145176 -              https://flow.polar.com/training/analysis/5223657191                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145181 -   
145182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145185 -  ..
145186 - Breakfast - cream of wheat rasin with medications that require eating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145187 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145188 - Dinner - steak potatoes eggs onion broccoli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145190 -  ..
145191 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145197 -         ..
145198 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145199 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145200 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145201 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145202 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145203 -  286.  201012 0630............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145204 -               0730....BP HR..................................................... 140  84  69  Kardia ECG reports HR normal, see below. ref SDS 0 T4TX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145205 -               0735....BP HR..................................................... 137  81  65  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145206 -               0740....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145207 -               0740... 20 977440 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145208 -               0740... 80 211520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145209 -               0740... 05 2460 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145210 -               0740... 75 8375 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145211 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
145212 -               1040....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145213 -               1040... Gabapentin 300MG  39700MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145214 -               1040... Oxycodone HCL Plain  5  275 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145215 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145216 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145217 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145218 -          * cr 1050....miles...........  23.0  23.0  390   390 minutes  temp  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145220 -               1305... Oxycodone HCL Plain  5  280 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145221 -               1305... Gabapentin 300MG  40100 MB took with oxycodone and with food few bites sandwich rye bread margaine peanut butter jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145223 -               0000... Simethicone 80  6160 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145224 -               1845....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145225 -               1915....BP HR..................................................... 108  70  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145226 -               1920....BP HR..................................................... 106  69  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145227 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145228 -               1935... 40 62700 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
145229 -           **  0000... 25   2050.0 Metoprolol Succinct - on 201010 paused after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                                                               
145230 -             1 0000............ 10 14340  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145231 -             1 0000............ 10 13930  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145232 -               2020... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145233 -               2030... 40 42660 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145234 -               2100... 1000  949000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145235 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145236 -               2200... 05 2465 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145237 -               2200... 80 211600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145238 -               0000... Simethicone 80  6160 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145240 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145241 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145242 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145243 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145244 - at top of mountain. ref SDS 69 2T9L  However today, could not do this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145245 - .5 mile uphill.  Also added Campus Road from Pine Hollow hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145246 - uphill to Cal State East Bay college, with 2 - 3 miles of loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145247 - through Visitor, faculty and student parking, and back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145248 - Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145250 -  ..
145251 - ** Metoprolol Succinct - on 201010 paused because past 2 days have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145252 - been terrific HR profiles (very low), so testing if taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145253 - in hospital shocked heart into lower profile; on 201007 episode atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145254 - flutter HR 160, ref SDS 0 RXYU, metoprolol high concentration through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145255 - IV in ER lowered HR; Doctor Pellegrini ordered experimenting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145256 - Metoprolol pills again, which lower HDL in this case, to see if this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145257 - will control HR, rather perform 2nd ablation on right atrial to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145258 - prevent erratic electrial signals from causing atrial flutter;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145259 - previously on 200830 paused metoprolol to avoid beta blocker lowering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145260 - HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145261 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145262 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145263 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145264 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145265 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145266 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145267 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145268 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145269 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145270 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145271 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145273 -  ..
145274 - Peripheral neuropathy - feeling in both feet about 1009 this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145275 - after statins last night, per above. ref SDS 0 4W6K -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145276 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145278 -  ..
145279 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145280 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145281 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145283 -  ..
145284 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145286 -  ..
145287 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145288 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145290 -  ..
145291 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145293 -  ..
145294 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145295 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145297 -  ..
145298 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145299 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145300 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145301 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145302 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145303 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145304 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145305 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145306 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145307 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145308 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145309 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145310 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145311 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145313 -  ..
145314 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145315 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145317 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145318 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145319 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145320 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145321 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145322 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145323 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145324 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145325 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145326 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145327 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145328 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145329 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145330 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145331 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145332 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145333 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145334 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145335 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145336 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145337 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145338 -        Hamstring right leg..........................   2          5  about mile 15 going down Campus Drive to Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145339 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145340 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145341 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145342 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145343 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145344 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145345 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145346 -        Metatarsalgia left foot...PRP 191009.........   2         25  break through pain last 4 miles despite taking gabapentin and oxycodone at mile 5                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145347 -        Metatarsalgia right foot..PRP 191009.........   2         25  break through pain last 4 miles despite taking gabapentin and oxycodone at mile 5                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145348 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145349 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145350 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145351 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145352 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145353 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145354 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145355 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145356 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145357 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145358 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145359 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145360 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145361 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145362 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145364 -  ..
145365 - Body feels fatigued expected after hiking 23 miles in 88 degrees over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145366 - moderate hills 4% - 7% grade.
145368 - -
145369 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145370 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145371 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145373 -  ..
145374 - After hike and for several hours feel little wobbly and disoriented,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145375 - light headed.  Reflects not hiking past 2 weeks due to adverse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145376 - unhealthy Air Quality Index.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145378 -  ..
145379 - Several hours after hike, feet pain level 2; left knee pain level 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145381 -  ..
145382 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145383 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145384 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145386 -  ..
145387 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145388 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145389 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145390 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145391 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145393 -  ..
145394 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145395 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145397 -  ..
145398 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145399 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145400 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145402 -  ..
145403 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145404 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145405 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145406 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145407 - ref SDS 77 SM4M  After hike on 201012, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145408 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145409 - ref SDS 0 KW4J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145411 -  ..
145412 - Concord 23 mile route - Air Quality Index 29 (good) this morning, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145413 - did hike.  Starting energy okay.  Wearing Hoka Bondi 6 shoes received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145414 - on 190927 1110, ref SDS 77 SM4M, that prevent feet and knee injuries.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145415 - Wore 2-pair double-ply Wright socks received on 191010 1344,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145416 - ref SDS 79 SM4M, to prevent blisters.  Hiked from Cuneo uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145417 - Treat.  Sky looks perfect today - can see surrounding hills perfectly.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145418 - Breathed easily through nose entire hike.  Temperature reached 88.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145419 - Hiked East normal to fast pace on Treat 1 mile to Clayton.  Time for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145420 - 1.25 miles 19 minutes.  Turned corner hiking South on Clayton 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145421 - at normal to fast pace, mostly on flat concrete sidewalk.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145422 - 3.5, turned corner hiking West on Ygnacio Valley Road.  Contined using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145423 - concrete sidewalk another .5 mile.  About mile 4 crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145424 - Ygnacio Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145425 - traffic.  At mile 5, stopped at Texaco gas station - EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145426 - 108 - Tachycardia - see below. ref SDS 0 TXPT  Bought large softdrink,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145427 - and drank most of it with few bites from half sandwich with peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145428 - butter, which Doctor Yee said restores carbohydrates during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145429 - exercise, reported on 200923 1004. ref SDS B2 WL59  Hiked .25 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145430 - Ygnacio Valley Road to Pine Hollow; turned left and hiked about 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145431 - yards.  Turned right onto Campus Road.  Hiked 1-mile West uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145432 - 4% grade to California Sate University East Bay campus.  Mild West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145433 - wind.  Hiked 1-loop of about 2 miles through adjoining Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145434 - Student Parking lots.  Seemed to feel vasodilation surge of energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145435 - strength hiking up last long hill in Student parking lot.  At mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145436 - back at Visitor Parking hiked North downhill 3% grade .3 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145437 - Ygnacio Valley Road.  Turned left and hiked West .5 mile on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145438 - Valley Road flat pavement.  At mile 7.5 turned left and hiked South 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145439 - mile up steep hill 5% grade on Crystal Ranch Road.  Hiked another mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145440 - on flat pavement through residential area; then downhill .5 mile past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145441 - Rolling Woods Way, and up another steep hill 5% grade .5 mile to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145442 - end of Crystal Ranch Road.  Handled these hills well maintaining speed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145443 - and breathing easily through nose all the way.  Hiked back downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145444 - Crystal Ranch Road, zig zagging to reduce stress on forfeet.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145445 - East on Rolling Woods Way.  Hiked up steep hill 5% grade .33 mile,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145446 - then downhill and turned North onto Pine Hollow.  Noticed HR did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145447 - spike to 160 while going downhill, which required getting treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145448 - for atrial flutter in the ER, and resuming metoprolol, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145449 - 201007 2218. ref SDS B3 8R4H  Hiked 1 mile to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145450 - Mile 12, stopped at Texaco Gas Station again - EKG reported HR 115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145451 - Tachycardia - see below. ref SDS 0 TXRQ  Took gabapentin and oxycodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145452 - to prevent feet pain for rest of hike.  Ate rest of peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145453 - jam sandwich.  Bought Coca Cola - drank to hydrate.  Continued hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145454 - Ygnacio Valley Road to Pine Hollow; turned left and hiked about 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145455 - yards.  Turned right onto Campus Road.  Hiked 1-mile West uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145456 - 4% grade to California Sate University East Bay campus.  Hiked 1-loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145457 - of about 1.5 miles through adjoining Faculty and Student Parking lots;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145458 - did not added sub-loops of .5 mile.  Back at Visitor Parking mile 15.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145459 - Took Campus Drive North .33 mile downhill to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145460 - Feet hurting - breakthrough pain level 2 - on long downhill despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145461 - taking oxycodone and gabapentin at mile 12, per above.  No feeling of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145462 - being wobbly, possibly from vasodilation drawing blood from brain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145463 - Turned left onto Ygnacio Valley Road and hiked West .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145464 - Adrenalin seemed to kick in, because increased pace.  Continued West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145465 - on Ygnacio Valley Road past Crystal Ranch Road - decided not to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145466 - 2nd loop - so hiked uphill 2% grade past Cowell against mild wind.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145467 - mile 16 crossed from South side of Ygnacio Valley Road to the North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145468 - side in order to avoid severely sloped shoulder on South Side.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145469 - North side continued West .5 miles over summit to end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145470 - traffic barriar.  Feeling good, so crossed back to South side of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145471 - Ygnacio Valley Road.  Hiked downhill 2 miles against mild wind.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145472 - Crossed to North side of Ygnacio Valley Road.  At traffic light hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145473 - across Oak Grove and continued West .25 miles on paved path parallel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145474 - to Ygnacio Valley Road.  Turned right and continued on paved path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145475 - parallel to Via Monte heading North .25 miles.  At Shadelands Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145476 - turned arond and hiked on paved path back to Ignacio Valley Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145477 - then turned left and hiked East back to Oak Grove.  Turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145478 - hiked North on Oak Grove 1 mile to Treat.  Turned right and hiked 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145479 - miles on Treat to Cuneo, then home for 23 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145481 -  ..
145482 - Kardia recorded HR 65 at 0631 - Normal - after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145483 - 201010, per above. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145486 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201012-ecg-063110_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145489 -  ..
145490 - EKG looks perfect, after pausing metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145494 -  ..
145495 - Polar HR GPS study for Concord 23-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145496 - rises and falls with changes in terrain elevations, indicating no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145497 - atrial fibrillation nor atrial flutter...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145500 -                                                                                                    Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145501 -       Date       201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 2  
145502 -       Miles         23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7      7     
145503 -       HR AVG       118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116    118     
145504 -         MAX        140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137    139  r  
145505 -         Min         88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     83     
145506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145508 -  ..
145509 - HR profile Concord 23 mile route today, showing average 118 and max                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145510 - 140 reflects temperature 88 (temp is major factor - it was much warmer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145511 - today), hiking Concord route with some long steep hills 5% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145512 - expected HR changes following cardiac ablation on 200511 0546.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145513 - ref SDS 94 244I and following treatment in the ER infusing through IV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145514 - catheter high concentrate metoprolol that slowed heart beat from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145515 - atrial flutter at HR 160, down to 60s and 70s, on 201007 2218.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145516 - ref SDS B3 X36J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145519 -              https://flow.polar.com/training/analysis/5225723216                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145524 -   
145525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145529 -  ..
145530 - EKG at mile 5 HR 108 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145534 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201012-ecg-130054_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145537 -  ..
145538 - EKG initial beats ragged, rest look consistently normal, after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145539 - metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145544 -  ..
145545 - EKG at mile 12 HR 115 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145549 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201012-ecg-152610_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145552 -  ..
145553 - EKG looks ragged but consistent, until a few beats near the end, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145554 - pausing metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145559 -  ..
145560 - EKG 1 minute after 23-mile hike HR 118 time 1837 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145561 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145565 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201012-ecg-183748_mile_23.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145568 -  ..
145569 - EKG looks consistent after not taking metoprolol last night, paused on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145570 - 201010, ref SDS 0 SVXS, resumed on 201008, per above, ref SDS 0 SQPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145571 - and paused on 200830. ref SDS 0 KM4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145576 -  ..
145577 - HR profile post-hike beginning 0004 until next morning OA 0920 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145578 - mostly steady heart beat 66 +/-.  Max HR 150, and minimum HR 48 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145579 - with indoor activity - sleeping; 2 spikes above 130 may indicate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145580 - atrial fibrillatin (AF), and no atrial flutter while recovering from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145581 - ablation procedures.  This may increase exposure to ischemic colitis,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145582 - reported on 200612 0700. ref SDS A2 RK6F  HR profile today, may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145583 - reflect heart recovering from 4 coronary procedures this year, and not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145584 - taking metoprolol succinct, which is a beta blocker that lowers HDL,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145585 - beginning on 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145588 -        ..
145589 -       Date      201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 200723 20  
145590 -        Hours        8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12     17      
145591 -       HR AVG       66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68     71      
145592 -         MAX       150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170    153      
145593 -         Min        48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49     44      
145594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145597 -              https://flow.polar.com/training/analysis/5227837412                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145602 -   
145603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145606 -  ..
145607 - Breakfast - cream of wheat rasin with medications that require eating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145608 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145609 - Dinner - broccoli potatoes eggs pasta hamburger onion - few bites,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145610 - half peach half cookie milk chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145612 -  ..
145613 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145620 -         ..
145621 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145622 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145623 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145624 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145625 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145626 -  287.  201013 0740............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145627 -               0750....BP HR..................................................... 132  82  67  Kardia ECG reports HR normal, see below. ref SDS 0 UPWQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145628 -               0755....BP HR..................................................... 126  81  67  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145629 -               0810....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145630 -               0810... 20 977460 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145631 -               0810... 80 211660 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145632 -               0810... 05 2470 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145633 -               0810... 75 8450 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145634 -               1100... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
145635 -               1100....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145636 -               1040... Gabapentin 300MG  40400MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145637 -               0000... Oxycodone HCL Plain  5  275 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145638 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145639 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145640 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145641 -          * cr 1310....miles...........  12.0  35.0  203   390 minutes  temp  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145643 -               0000... Oxycodone HCL Plain  5  280 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145644 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
145645 -               0000... Gabapentin 300MG  40100 MB took with oxycodone and with food few bites sandwich rye bread margaine peanut butter jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145646 -               1530... Simethicone 80  6240 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145648 -               1745....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145649 -               1810....BP HR..................................................... 113  72  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145650 -               1815....BP HR..................................................... 114  72  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145651 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145652 -               1820... 40 62740 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
145653 -           **  0000... 25   2050.0 Metoprolol Succinct - on 201010 paused after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                                                               
145654 -               1830............ 10 14350  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145655 -               1830............ 10 13940  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145656 -               2020... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145657 -               2030... 40 42700 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145658 -               2100... 1000  950000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145659 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145660 -               2200... 05 2475 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145661 -               2200... 80 211740 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145662 -               0000... Simethicone 80  6240 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145664 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145665 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145666 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145667 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145668 - at top of mountain. ref SDS 69 2T9L  However today, could not do this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145669 - .5 mile uphill.  Also added Campus Road from Pine Hollow hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145670 - uphill to Cal State East Bay college, with 2 - 3 miles of loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145671 - through Visitor, faculty and student parking, and back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145672 - Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145674 -  ..
145675 - ** Metoprolol Succinct - on 201010 paused because past 2 days have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145676 - been terrific HR profiles (very low), so testing if taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145677 - in hospital shocked heart into lower profile; on 201007 episode atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145678 - flutter HR 160, ref SDS 0 RXYU, metoprolol high concentration through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145679 - IV in ER lowered HR; Doctor Pellegrini ordered experimenting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145680 - Metoprolol pills again, which lower HDL in this case, to see if this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145681 - will control HR, rather perform 2nd ablation on right atrial to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145682 - prevent erratic electrial signals from causing atrial flutter;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145683 - previously on 200830 paused metoprolol to avoid beta blocker lowering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145684 - HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145685 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145686 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145687 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145688 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145689 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145690 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145691 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145692 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145693 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145694 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145695 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145697 -  ..
145698 - Peripheral neuropathy - not feeling in feet today, after no statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145699 - last night, per above. ref SDS 0 KW4J -- see study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145700 - ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145702 -  ..
145703 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145704 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145705 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145707 -  ..
145708 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145710 -  ..
145711 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145712 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145714 -  ..
145715 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145717 -  ..
145718 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145719 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145721 -  ..
145722 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145723 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145724 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145725 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145726 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145727 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145728 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145729 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145730 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145731 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145732 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145733 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145734 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145735 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145737 -  ..
145738 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145739 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145741 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145742 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145743 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145744 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145745 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145746 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145747 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145748 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145749 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145750 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145751 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145752 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145753 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145754 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145755 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145756 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145757 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145758 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145759 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145760 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145761 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145762 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145763 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145764 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145765 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145766 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145767 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145768 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145769 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145770 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145771 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145772 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145773 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145774 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145775 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145776 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145777 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145778 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145779 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145780 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145781 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145782 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145783 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145784 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145785 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145786 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145788 -  ..
145789 - Body feels good after hiking 12 miles in 93 degrees over steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145790 - hills 4% - 7% grade.
145792 - -
145793 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145794 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145795 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145797 -  ..
145798 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145800 -  ..
145801 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145802 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145803 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145805 -  ..
145806 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145807 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145808 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145809 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145810 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145812 -  ..
145813 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145814 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145816 -  ..
145817 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145818 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145819 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145821 -  ..
145822 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145823 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145824 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145825 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145826 - ref SDS 77 SM4M  After hike on 201012, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145827 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145828 - ref SDS 0 KW4J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145830 -  ..
145831 - Concord 12 mile route - Air Quality Index 42 (good) this morning, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145832 - did hike.  Starting energy okay.  Wearing Hoka Bondi 6 shoes received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145833 - on 190927 1110, ref SDS 77 SM4M, that prevent feet and knee injuries.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145834 - Wore 2-pair double-ply Wright socks received on 191010 1344,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145835 - ref SDS 79 SM4M, to prevent blisters.  Hiked from Cuneo uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145836 - Treat.  Sky looks perfect today - can see surrounding hills perfectly.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145837 - Breathed easily through nose entire hike.  Temperature reached 93.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145838 - Hiked East normal to fast pace on Treat 1 mile to Clayton.  Time for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145839 - 1.25 miles 19 minutes.  Turned corner hiking South on Clayton 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145840 - at normal to fast pace, mostly on flat concrete sidewalk.  About mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145841 - 2.75 hiked past Ayers road.  A woman caught up and passed me.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145842 - Increased pace to keep up racing for .75 miles to Ygnacio Valley Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145843 - where she continued on Clayton.  At mile 3.5, turned corner hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145844 - West on Ygnacio Valley Road.  Contined using concrete sidewalk another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145845 - .5 mile.  About mile 4 crossed to South side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145846 - hiking West on asphalt shoulder aganist East bound traffic.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145847 - 5, stopped at Texaco gas station - EKG reported HR 113 - Tachycardia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145848 - see below. ref SDS 0 UQQY  Bought large softdrink, and drank most of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145849 - it with few bites from half sandwich with margarine, jam and peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145850 - butter, which Doctor Yee said restores carbohydrates during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145851 - exercise, reported on 200923 1004. ref SDS B2 WL59  Hiked .25 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145852 - Ygnacio Valley Road to Pine Hollow; turned left and hiked about 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145853 - yards.  Turned right onto Campus Road.  Hiked 1-mile West uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145854 - 4% grade to California Sate University East Bay campus.  Mild West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145855 - wind.  Hiked 1-loop of about 2 miles through adjoining Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145856 - Student Parking lots.  Seemed to feel vasodilation surge of energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145857 - strength hiking up last long hill in Student parking lot.  At mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145858 - back at Visitor Parking hiked North downhill 3% grade .3 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145859 - Ygnacio Valley Road.  Turned left and hiked West .5 mile on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145860 - Valley Road flat pavement.  At mile 7.5 turned left and hiked South 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145861 - mile up steep hill 5% grade on Crystal Ranch Road.  Hiked another mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145862 - on flat pavement through residential area; then downhill .5 mile past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145863 - Rolling Woods Way, and up another steep hill 5% grade .5 mile to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145864 - end of Crystal Ranch Road.  Handled these hills well maintaining speed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145865 - and breathing easily through nose all the way.  Hiked back downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145866 - Crystal Ranch Road.  Turned East on Rolling Woods Way.  Hiked up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145867 - hill 5% grade .33 mile, then downhill and turned North onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145868 - Hollow.  Noticed HR did not spike to 160 while going downhill, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145869 - required getting treatment for atrial flutter in the ER, and resuming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145870 - metoprolol, reported on 201007 2218. ref SDS B3 8R4H  Hiked 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145871 - Ygnacio Valley Road.  Mile 12, stopped at Texaco Gas Station again -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145872 - EKG reported HR 122 - Tachycardia - see below. ref SDS 0 UQST  Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145873 - drove us home for 12 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145875 -  ..
145876 - Kardia recorded HR 68 at 0938 - Normal - after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145877 - 201010, per above. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145880 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201013-ecg-093844_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145883 -  ..
145884 - EKG looks perfect, after pausing metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145888 -  ..
145889 - Polar HR GPS study for Concord 12-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145890 - rises and falls with changes in terrain elevations, indicating no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145891 - atrial fibrillation nor atrial flutter...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145894 -                                                                                                           Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145895 -       Date       201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 2  
145896 -       Miles         12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10      7     
145897 -       HR AVG       119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120    116     
145898 -         MAX        144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144    137     
145899 -         Min         86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     83     
145900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145902 -  ..
145903 - HR profile Concord 12 mile route today, showing average 119 and max                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145904 - 144 reflects temperature 91, and raced another hiker .75 miles; hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145905 - Concord route with some long steep hills 5% grade with expected HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145906 - changes following cardiac ablation on 200511 0546. ref SDS 94 244I and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145907 - following treatment in the ER infusing through IV catheter high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145908 - concentrate metoprolol that slowed heart beat from atrial flutter at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145909 - HR 160, down to 60s and 70s, on 201007 2218. ref SDS B3 X36J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145912 -              https://flow.polar.com/training/analysis/5229185492                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145917 -   
145918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145922 -  ..
145923 - EKG at mile 5 HR 113 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145927 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201013-ecg-142508_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145930 -  ..
145931 - EKG generally consistent, few beats in middle ragged, after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145932 - metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145937 -  ..
145938 - EKG at mile 12 HR 122 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145942 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201013-ecg-170251_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145945 -  ..
145946 - EKG looks okay - consistent, with few beats little ragged, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145947 - pausing metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145953 -  ..
145954 - HR profile post-hike beginning 2256 until next morning OA 0800 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145955 - mostly steady heart beat 69 +/-.  Max HR 108, and minimum HR 53 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145956 - with indoor activity - sleeping; 0 spikes above 130 may indicate no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145957 - atrial fibrillatin (AF), and no atrial flutter while recovering from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145958 - ablation procedures.  This may increase exposure to ischemic colitis,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145959 - reported on 200612 0700. ref SDS A2 RK6F  HR profile today, may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145960 - reflect heart recovering from 4 coronary procedures this year, and not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145961 - taking metoprolol succinct, which is a beta blocker that lowers HDL,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145962 - beginning on 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145965 -        ..
145966 -       Date      201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 200724 20  
145967 -        Hours        9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12     12      
145968 -       HR AVG       69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70     68      
145969 -         MAX       108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136    170      
145970 -         Min        53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48     49      
145971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145974 -              https://flow.polar.com/training/analysis/5230942447                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145979 -   
145980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145983 -  ..
145984 - Breakfast - cream of wheat rasin with medications that require eating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145985 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145986 - Dinner - broccoli potatoes eggs pasta hamburger onion - few bites,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145988 -  ..
145989 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145996 -         ..
145997 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145998 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145999 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146000 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146001 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146002 -  288.  201014 0800............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146003 -               0810....BP HR..................................................... 119  73  70  Kardia ECG reports HR normal, see below. ref SDS 0 UTPX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146004 -               0815....BP HR..................................................... 119  77  70  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146005 -               0820....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146006 -               0820... 20 977480 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146007 -               0820... 80 211820 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146008 -               0820... 05 2480 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146009 -               0820... 75 8525 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146010 -               0850... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
146011 -               0850....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146012 -               0850... Gabapentin 300MG  40700MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146013 -               0000... Oxycodone HCL Plain  5  275 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146014 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146015 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146016 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146017 -          * cr 0900....miles...........   9.0  44.0  149   390 minutes  temp  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146019 -               0000... Oxycodone HCL Plain  5  280 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146020 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
146021 -               0000... Gabapentin 300MG  40100 MB took with oxycodone and with food few bites sandwich rye bread margaine peanut butter jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146022 -               0000... Simethicone 80  6240 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146024 -               1215....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146025 -               1220....BP HR..................................................... 117  73 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146026 -               1225....BP HR..................................................... 131  81  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146027 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146028 -               1700... 40 62780 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
146029 -           **  0000... 25   2050.0 Metoprolol Succinct - on 201010 paused after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                                                               
146030 -             1 0000............ 10 14350  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146031 -             1 0000............ 10 13940  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146032 -               2020... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146033 -               2030... 40 42700 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146034 -               2100... 1000  951000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146035 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146036 -               2200... 05 2495 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146037 -               2200... 80 211900 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146038 -               0000... Simethicone 80  6240 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146040 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146041 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146042 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146043 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146044 - at top of mountain. ref SDS 69 2T9L  However today, could not do this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146045 - .5 mile uphill.  Also added Campus Road from Pine Hollow hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146046 - uphill to Cal State East Bay college, with 2 - 3 miles of loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146047 - through Visitor, faculty and student parking, and back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146048 - Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146050 -  ..
146051 - ** Metoprolol Succinct - on 201010 paused because past 2 days have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146052 - been terrific HR profiles (very low), so testing if taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146053 - in hospital shocked heart into lower profile; on 201007 episode atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146054 - flutter HR 160, ref SDS 0 RXYU, metoprolol high concentration through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146055 - IV in ER lowered HR; Doctor Pellegrini ordered experimenting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146056 - Metoprolol pills again, which lower HDL in this case, to see if this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146057 - will control HR, rather perform 2nd ablation on right atrial to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146058 - prevent erratic electrial signals from causing atrial flutter;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146059 - previously on 200830 paused metoprolol to avoid beta blocker lowering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146060 - HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146061 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146062 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146063 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146064 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146065 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146066 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146067 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146068 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146069 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146070 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146071 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146073 -  ..
146074 - Peripheral neuropathy - not feeling in feet today, after no statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146075 - last night, per above. ref SDS 0 KW4J -- see study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146076 - ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146078 -  ..
146079 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146080 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146081 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146083 -  ..
146084 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146086 -  ..
146087 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146088 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146090 -  ..
146091 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146093 -  ..
146094 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146095 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146097 -  ..
146098 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146099 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146100 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146101 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146102 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146103 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146104 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146105 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146106 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146107 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146108 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146109 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146110 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146111 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146113 -  ..
146114 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146115 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146117 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146118 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146119 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146120 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146121 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146122 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146123 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146124 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146125 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146126 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146127 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146128 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146129 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146130 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146131 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146132 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146133 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146134 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146135 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146136 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146137 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146138 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146139 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146140 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146141 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146142 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146143 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146144 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146145 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146146 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146147 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146148 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146149 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146150 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146151 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146152 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146153 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146154 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146155 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146156 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146157 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146158 -        Blister top long and middle toes left foot...   3         50  had difficulty walking - thought it was sock misalignment, but turned out to be blister                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146159 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146160 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146161 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146162 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146163 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146165 -  ..
146166 - Body feels good after hiking 9 miles in 86 degrees over steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146167 - hills 4% - 7% grade, except blisters top long and middle toes left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146168 - foot pain level 2.
146170 - -
146171 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146172 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146173 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146175 -  ..
146176 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146178 -  ..
146179 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146180 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146181 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146183 -  ..
146184 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146185 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146186 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146187 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146188 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146190 -  ..
146191 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146192 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146194 -  ..
146195 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146196 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146197 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146199 -  ..
146200 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146201 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146202 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146203 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146204 - ref SDS 77 SM4M  After hike on 201012, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146205 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146206 - ref SDS 0 KW4J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146208 -  ..
146209 - Concord 9 mile route - Air Quality Index 12 (good) this morning, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146210 - did hike.  Starting energy okay.  Wearing Hoka Bondi 6 shoes received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146211 - on 190927 1110, ref SDS 77 SM4M, that prevent feet and knee injuries.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146212 - Wore 2-pair double-ply Wright socks received on 191010 1344,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146213 - ref SDS 79 SM4M, to prevent blisters.  Hiked from Cuneo uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146214 - Treat.  Sky looks perfect today - can see surrounding hills perfectly.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146215 - Breathed easily through nose entire hike.  Temperature reached 86.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146216 - Hiked East fast pace on Treat 1 mile to Clayton.  Time for 1.25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146217 - 18 minutes.  Turned corner hiking South on Clayton 2 miles at normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146218 - to fast pace, mostly on flat concrete sidewalk.  Blister pain level 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146219 - at times with top of long and middle toes left foot.  At mile 3.5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146220 - turned corner hiking West on Ygnacio Valley Road.  Contined using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146221 - concrete sidewalk another .5 mile.  About mile 4 crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146222 - Ygnacio Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146223 - traffic.  At mile 5, stopped at Texaco gas station - EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146224 - 107 - Tachycardia - see below. ref SDS 0 AF8J  Slower HR reflects not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146225 - racing today, as occurred yesterday.  Bought large softdrink, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146226 - drank most of it with few bites from half sandwich with margarine, jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146227 - and peanut butter, which Doctor Yee said restores carbohydrates during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146228 - hiking exercise, reported on 200923 1004. ref SDS B2 WL59  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146229 - mile West on Ygnacio Valley Road (skipping route through parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146230 - at California State University at Concord, today) to Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146231 - road.  Blister toes left foot continued pain level 3 at times, if road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146232 - sloped left to righ pain level 0.  Turned left and hiked South 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146233 - up steep hill 5% grade on Crystal Ranch Road.  Hiked another mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146234 - flat pavement through residential area; then downhill .5 mile past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146235 - Rolling Woods Way, and up another steep hill 5% grade .5 mile to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146236 - end of Crystal Ranch Road.  Handled these hills well maintaining speed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146237 - and breathing easily through nose all the way.  Hiked back downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146238 - Crystal Ranch Road.  Turned East on Rolling Woods Way.  Hiked up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146239 - hill 5% grade .33 mile, then downhill partway to Pine Hollow.  Noticed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146240 - HR did not spike to 160 while going downhill, which required getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146241 - treatment for atrial flutter in the ER, and resuming metoprolol,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146242 - reported on 201007 2218. ref SDS B3 8R4H  Hiked back uphill on Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146243 - Woods Way Kathy drove us home for 9 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146245 -  ..
146246 - Kardia recorded HR 69 at 0816 - Normal - after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146247 - 201010, per above. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146250 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201014-ecg-081656_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146253 -  ..
146254 - EKG looks perfect, after pausing metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146258 -  ..
146259 - Polar HR GPS study for Concord 9-mile hike shows HR profile that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146260 - rises and falls with changes in terrain elevations, indicating no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146261 - atrial fibrillation nor atrial flutter...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146264 -                                                                                                           Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146265 -       Date       201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 2  
146266 -       Miles          9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     10     
146267 -       HR AVG       120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117    120     
146268 -         MAX        146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134    144     
146269 -         Min         93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     79     
146270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146272 -  ..
146273 - HR profile Concord 9 mile route today, showing average 120 and max 146                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146274 - reflects temperature 86, some long steep hills 5% grade with expected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146275 - HR changes following cardiac ablation on 200511 0546. ref SDS 94 244I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146276 - and following treatment in the ER infusing through IV catheter high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146277 - concentrate metoprolol that slowed heart beat from atrial flutter at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146278 - HR 160, down to 60s and 70s, on 201007 2218. ref SDS B3 X36J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146281 -              https://flow.polar.com/training/analysis/5232015497                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146286 -   
146287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146291 -  ..
146292 - EKG at mile 5 HR 107 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146296 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201014-ecg-101556_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146299 -  ..
146300 - EKG looks perfect, after pausing metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146305 -  ..
146306 - EKG at mile 9 HR 131 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146310 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201014-ecg-113839_mile_09.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146313 -  ..
146314 - EKG looks consistent, after pausing metoprolol on 201010. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146315 - SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146321 -  ..
146322 - HR profile post-hike beginning 2205 until next morning OA 0730 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146323 - mostly steady heart beat 81 +/-.  Max HR 115, and minimum HR 64 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146324 - with indoor activity - sleeping; approximate 20% rise may reflect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146325 - having 2 margaritias last night; 0 spikes above 130 may indicate no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146326 - atrial fibrillatin (AF), and no atrial flutter while recovering from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146327 - ablation procedures.  This may increase exposure to ischemic colitis,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146328 - reported on 200612 0700. ref SDS A2 RK6F  HR profile today, may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146329 - reflect heart recovering from 4 coronary procedures this year, and not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146330 - taking metoprolol succinct, which is a beta blocker that lowers HDL,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146331 - beginning on 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146334 -        ..
146335 -       Date      201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 200725 20  
146336 -        Hours        9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15     12      
146337 -       HR AVG       81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63     70      
146338 -         MAX       115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116    136      
146339 -         Min        64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44     48      
146340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146343 -              https://flow.polar.com/training/analysis/5234289037                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146348 -   
146349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146352 -  ..
146353 - Breakfast - cream of wheat rasin with medications that require eating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146354 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146355 - Dinner - chicken potatoes zuccinni squash mushrooms apple pie ice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146356 - cream - 2 margeritias with Hornitos taquilla                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146358 -  ..
146359 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146365 -         ..
146366 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146367 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146368 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146369 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146370 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146371 -  289.  201015 0810............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146372 -               0820....BP HR..................................................... 129  73  71  Kardia ECG reports HR normal, see below. ref SDS 0 UWVS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146373 -               0825....BP HR..................................................... 126  71  69  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146374 -               0830....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146375 -               0830... 20 977500 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146376 -               0830... 80 211980 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146377 -               0830... 05 2500 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146378 -               0830... 75 8525 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146379 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
146380 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146381 -               0000... Gabapentin 300MG  40700MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146382 -               0000... Oxycodone HCL Plain  5  275 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146383 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146384 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146385 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146386 -               0950....miles...........  16.0  60.0  282  1000 minutes  temp  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146388 -               0000... Oxycodone HCL Plain  5  280 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146389 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
146390 -               0000... Gabapentin 300MG  40100 MB took with oxycodone and with food few bites sandwich rye bread margaine peanut butter jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146391 -               0000... Simethicone 80  6240 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146393 -               1650....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146394 -               1710....BP HR..................................................... 105  69  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146395 -               1715....BP HR..................................................... 111  72  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146396 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146397 -               1700... 40 62820 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
146398 -           **  0000... 25   2050.0 Metoprolol Succinct - on 201010 paused after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                                                               
146399 -               1830............ 10 14360  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146400 -               1830............ 10 13950  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146401 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146402 -               2030... 40 42740 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146403 -               2100... 1000  952000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146404 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146405 -               2200... 05 2505 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146406 -               2200... 80 212060 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146407 -               0000... Simethicone 80  6240 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146409 -  ..
146410 - ** Metoprolol Succinct - on 201010 paused because past 2 days have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146411 - been terrific HR profiles (very low), so testing if taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146412 - in hospital shocked heart into lower profile; on 201007 episode atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146413 - flutter HR 160, ref SDS 0 RXYU, metoprolol high concentration through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146414 - IV in ER lowered HR; Doctor Pellegrini ordered experimenting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146415 - Metoprolol pills again, which lower HDL in this case, to see if this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146416 - will control HR, rather perform 2nd ablation on right atrial to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146417 - prevent erratic electrial signals from causing atrial flutter;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146418 - previously on 200830 paused metoprolol to avoid beta blocker lowering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146419 - HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146420 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146421 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146422 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146423 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146424 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146425 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146426 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146427 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146428 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146429 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146430 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146432 -  ..
146433 - Peripheral neuropathy - not feeling in feet today, after no statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146434 - last night, per above. ref SDS 0 KW4J -- see study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146435 - ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146437 -  ..
146438 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146439 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146440 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146442 -  ..
146443 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146445 -  ..
146446 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146447 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146449 -  ..
146450 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146452 -  ..
146453 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146454 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146456 -  ..
146457 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146458 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146459 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146460 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146461 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146462 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146463 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146464 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146465 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146466 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146467 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146468 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146469 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146470 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146472 -  ..
146473 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146474 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146476 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146477 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146478 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146479 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146480 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146481 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146482 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146483 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146484 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146485 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146486 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146487 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146488 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146489 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146490 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146491 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146492 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146493 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146494 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146495 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146496 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146497 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146498 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146499 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146500 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146501 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146502 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146503 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146504 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146505 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146506 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146507 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146508 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146509 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146510 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146511 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146512 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146513 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146514 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146515 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146516 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146517 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146518 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146519 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146520 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146521 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146522 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146524 -  ..
146525 - Body feels okay after hiking 16 miles in 71 degrees over moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146526 - hills 3% - 5% grade, except blisters top long and middle toes left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146527 - foot pain level 2.
146529 - -
146530 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146531 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146532 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146534 -  ..
146535 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146537 -  ..
146538 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146539 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146540 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146542 -  ..
146543 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146544 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146545 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146546 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146547 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146549 -  ..
146550 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146551 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146553 -  ..
146554 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146555 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146556 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146558 -  ..
146559 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146560 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146561 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146562 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146563 - ref SDS 77 SM4M  After hike on 201012, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146564 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146565 - ref SDS 0 KW4J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146567 -  ..
146568 - Sparks, Nevada at elevation 4400 16 mile route - Air Quality Index 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146569 - (good) this morning.  Starting energy good hiking with Ross and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146570 - Claudia.  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146571 - ref SDS 77 SM4M, that prevent feet and knee injuries.  Wore 2-pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146572 - double-ply Wright socks received on 191010 1344, ref SDS 79 SM4M, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146573 - prevent blisters.  Hiked from Silver King Drive to Winfield Springs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146574 - Road, hiked 1 mile and turned left onto South Wingfield Parkway,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146575 - crossed Vista and continued on South Wingfield Parkway, turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146576 - and hiked uphill grade 5% at places on Winfield Hills Road, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146577 - turned left onto Old Waveryly Drive.  Hiked uphill grade 4% about 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146578 - mile to summit at mile 2.8.  Turned left onto Pala Messa Drive to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146579 - Singing Hille Drive, turned onto Wingfield Hills Road to Vista                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146580 - Boulevard, turned onto Vista and hiked back to Wingfield Parkway,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146581 - turned right to Wingfield Springs Road, hiked back to Silver King                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146582 - Drive.  Breathed easily through nose entire hike.  Temperature reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146583 - 71.  Did this again in afternoon by myself, and hiked additional route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146584 - on Astronomer Way, to Falcon Ridge, then to Ambush Ridge then to Old                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146585 - Waverly Way again.  Did this twice for total 16 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146587 -  ..
146588 - Kardia recorded HR 74 at 0756 - Normal - after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146589 - 201010, per above. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146592 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201015-ecg-075646_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146595 -  ..
146596 - EKG looks little ragged, then perfect, after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146597 - 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146601 -  ..
146602 - Polar HR GPS study for Sparks, NV elevation 4400, 6-mile hike shows HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146603 - profile that rises and falls with changes in terrain elevations,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146604 - indicating no atrial fibrillation nor atrial flutter...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146607 -                                                                                                           Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146608 -       Date     201015a1 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 2  
146609 -       Miles          6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11      7     
146610 -       HR AVG       119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126    117     
146611 -         MAX        138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148    134     
146612 -         Min         82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79     90     
146613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146615 -  ..
146616 - HR profile Sparks, NV at elevation 4000, 6 mile route today, showing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146617 - average 119 and max 138 reflects temperature 71, some long steep hills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146618 - 5% grade with expected HR changes following cardiac ablation on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146619 - 0546. ref SDS 94 244I and following treatment in the ER infusing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146620 - through IV catheter high concentrate metoprolol that slowed heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146621 - from atrial flutter at HR 160, down to 60s and 70s, on 201007 2218.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146622 - ref SDS B3 X36J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146625 -              https://flow.polar.com/training/analysis/5235221752                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146629 -   
146630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146633 -  ..
146634 - Hiked same route in afternoon at 1351...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146636 -                                                                                                                    Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146637 -       Date     201015a2 201015a1 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729  
146638 -       Miles         10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     11     11   
146639 -       HR AVG       126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    112    126   
146640 -         MAX        143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   127    148   
146641 -         Min         97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            75     79   
146642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146644 -              https://flow.polar.com/training/analysis/5235877832                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146647 -               ..
146649 -   
146650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146652 -  ..
146653 - HR profile Sparks, NV elevation 4400, 9 mile route in the afternoon,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146654 - showing average 126 and max 143 reflects temperature 74, some long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146655 - steep hills 5% grade with expected HR changes following cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146656 - ablation on 200511 0546. ref SDS 94 244I and following treatment in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146657 - the ER infusing through IV catheter high concentrate metoprolol that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146658 - slowed heart beat from atrial flutter at HR 160, down to 60s and 70s,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146659 - on 201007 2218. ref SDS B3 X36J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146664 -  ..
146665 - EKG at mile 6 HR 103 at elevation 4400 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146669 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201015-ecg-113735_mile_06.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146672 -  ..
146673 - EKG looks little ragged, then perfect, after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146674 - 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146679 -  ..
146680 - EKG at mile 16 HR 90 at elevation 4400 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146684 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201015-ecg-174212_mile_16.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146687 -  ..
146688 - EKG has significant deviations, after pausing metoprolol on 201010.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146689 - ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146695 -  ..
146696 - HR profile post-hike beginning 2205 until next morning OA 0730 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146697 - mostly steady heart beat 81 +/-.  Max HR 115, and minimum HR 64 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146698 - with indoor activity - sleeping; approximate 20% rise may reflect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146699 - having 2 margaritias last night; 0 spikes above 130 may indicate no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146700 - atrial fibrillatin (AF), and no atrial flutter while recovering from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146701 - ablation procedures.  This may increase exposure to ischemic colitis,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146702 - reported on 200612 0700. ref SDS A2 RK6F  HR profile today, may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146703 - reflect heart recovering from 4 coronary procedures this year, and not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146704 - taking metoprolol succinct, which is a beta blocker that lowers HDL,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146705 - beginning on 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146708 -        ..
146709 -       Date      201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 200726 20  
146710 -        Hours       10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14     15      
146711 -       HR AVG       72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67     63      
146712 -         MAX       115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129    116      
146713 -         Min        54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42     44      
146714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146717 -              https://flow.polar.com/training/analysis/5237590122                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146722 -   
146723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146726 -  ..
146727 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146728 - Lunch - hamburger fries - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146729 - Dinner - ravioli sausage apple pie ice cream - 1 margeritia with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146730 - Hornitos taquilla                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146732 -  ..
146733 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146740 -         ..
146741 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146742 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146743 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146744 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146745 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146746 -  290.  201016 0740............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146747 -               0750....BP HR..................................................... 129  73  71  Kardia ECG reports HR normal, see below. ref SDS 0 VQWX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146748 -               0755....BP HR..................................................... 128  68  72  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146749 -               0800....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146750 -               0800... 20 977500 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146751 -               0800... 80 212140 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146752 -               0800... 05 2510 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146753 -               0800... 75 8600 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146754 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
146755 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146756 -               0000... Gabapentin 300MG  40700MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146757 -               0000... Oxycodone HCL Plain  5  275 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146758 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146759 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146760 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146761 -               0855....miles...........  10.0  70.0  168  1168 minutes  temp  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146763 -               0000... Oxycodone HCL Plain  5  280 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146764 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
146765 -               0000... Gabapentin 300MG  40100 MB took with oxycodone and with food few bites sandwich rye bread margaine peanut butter jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146766 -               0000... Simethicone 80  6240 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146768 -               1710....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146769 -               1715....BP HR..................................................... 113  69 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146770 -               1720....BP HR..................................................... 118  72  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146771 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146772 -               1700... 40 62860 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
146773 -           **  0000... 25   2050.0 Metoprolol Succinct - on 201010 paused after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                                                               
146774 -             1 0000............ 10 14360  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146775 -             1 0000............ 10 13950  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146776 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146777 -               2030... 40 42780 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146778 -               2100... 1000  953000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146779 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146780 -               2200... 05 2515 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146781 -               2200... 80 212220 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146782 -               0000... Simethicone 80  6240 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146784 -  ..
146785 - ** Metoprolol Succinct - on 201010 paused because past 2 days have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146786 - been terrific HR profiles (very low), so testing if taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146787 - in hospital shocked heart into lower profile; on 201007 episode atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146788 - flutter HR 160, ref SDS 0 RXYU, metoprolol high concentration through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146789 - IV in ER lowered HR; Doctor Pellegrini ordered experimenting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146790 - Metoprolol pills again, which lower HDL in this case, to see if this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146791 - will control HR, rather perform 2nd ablation on right atrial to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146792 - prevent erratic electrial signals from causing atrial flutter;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146793 - previously on 200830 paused metoprolol to avoid beta blocker lowering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146794 - HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146795 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146796 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146797 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146798 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146799 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146800 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146801 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146802 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146803 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146804 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146805 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146807 -  ..
146808 - Peripheral neuropathy - not feeling in feet today, after statins last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146809 - night, per above. ref SDS 0 4U5J -- see study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146810 - ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146812 -  ..
146813 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146814 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146815 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146817 -  ..
146818 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146820 -  ..
146821 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146822 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146824 -  ..
146825 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146827 -  ..
146828 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146829 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146831 -  ..
146832 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146833 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146834 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146835 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146836 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146837 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146838 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146839 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146840 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146841 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146842 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146843 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146844 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146845 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146847 -  ..
146848 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146849 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146851 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146852 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146853 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146854 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146855 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146856 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146857 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146858 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146859 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146860 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146861 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146862 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146863 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146864 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146865 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146866 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146867 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146868 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146869 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146870 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146871 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146872 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146873 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146874 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146875 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146876 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146877 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146878 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146879 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146880 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146881 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146882 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146883 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146884 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146885 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146886 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146887 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146888 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146889 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146890 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146891 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146892 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146893 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146894 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146895 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146896 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146897 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146899 -  ..
146900 - Body feels okay after hiking 16 miles in 71 degrees over moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146901 - hills 3% - 5% grade, except blisters top long and middle toes left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146902 - foot pain level 2.
146904 - -
146905 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146906 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146907 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146909 -  ..
146910 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146912 -  ..
146913 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146914 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146915 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146917 -  ..
146918 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146919 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146920 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146921 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146922 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146924 -  ..
146925 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146926 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146928 -  ..
146929 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146930 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146931 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146933 -  ..
146934 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146935 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146936 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146937 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146938 - ref SDS 77 SM4M  After hike on 201012, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146939 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146940 - ref SDS 0 KW4J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146942 -  ..
146943 - Sparks, Nevada at elevation 4400 10 mile route - Air Quality Index 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146944 - (good) this morning.  Starting energy good hiking with Ross and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146945 - Claudia.  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146946 - ref SDS 77 SM4M, that prevent feet and knee injuries.  Wore 2-pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146947 - double-ply Wright socks received on 191010 1344, ref SDS 79 SM4M, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146948 - prevent blisters.  Hiked from Silver King Drive to Winfield Springs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146949 - Road, hiked 1 mile and turned left onto South Wingfield Parkway,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146950 - crossed Vista and continued on South Wingfield Parkway, turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146951 - and hiked uphill grade 5% at places on Winfield Hills Road, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146952 - turned left onto Old Waveryly Drive.  Hiked uphill grade 4% about 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146953 - mile to summit at mile 2.8.  Turned left onto Pala Messa Drive to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146954 - Singing Hille Drive, turned onto Wingfield Hills Road to Vista                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146955 - Boulevard, turned onto Vista and hiked back to Wingfield Parkway,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146956 - turned right to Wingfield Springs Road, hiked back to Silver King                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146957 - Drive.  Breathed easily through nose entire hike.  Temperature reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146958 - 71.  Did this again in afternoon by myself, and hiked additional route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146959 - on Astronomer Way, to Falcon Ridge, then to Ambush Ridge then to Old                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146960 - Waverly Way again.  Hiked further at Sand Harbor in Incline Village                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146961 - during kayaking at Lake Tahoe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146963 -  ..
146964 - Kardia recorded HR 70 at 0745 - Normal - after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146965 - 201010, per above. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146968 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201016-ecg-074552_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146971 -  ..
146972 - EKG looks perfect, after pausing metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146976 -  ..
146977 - Polar HR GPS study for Sparks, NV elevation 4400, 6-mile hike shows HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146978 - profile that rises and falls with changes in terrain elevations,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146979 - indicating no atrial fibrillation nor atrial flutter...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146981 -                                                                                                                    Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146982 -       Date       201016 201015a2 201015a1 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 2007  
146983 -       Miles         10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13      0     1  
146984 -       HR AVG       116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     no    11  
146985 -         MAX        135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  report   12  
146986 -         Min        101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93            7  
146987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146989 -              https://flow.polar.com/training/analysis/5240868592                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146992 -               ..
146994 -   
146995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146997 -  ..
146998 - HR profile Sparks, NV elevation 4400, 10 mile route showing average                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146999 - 116 and max 135 reflects temperature 75, some long steep hills 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147000 - grade with expected HR changes following cardiac ablation on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147001 - 0546. ref SDS 94 244I and following treatment in the ER infusing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147002 - through IV catheter high concentrate metoprolol that slowed heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147003 - from atrial flutter at HR 160, down to 60s and 70s, on 201007 2218.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147004 - ref SDS B3 X36J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147009 -  ..
147010 - HR profile post-hike beginning 2303 until next morning OA 0700 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147011 - mostly steady heart beat 81 +/-.  Max HR 112, and minimum HR 61 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147012 - with indoor activity - sleeping; approximate 20% rise may reflect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147013 - having 2 margaritias last night; 0 spikes above 130 may indicate no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147014 - atrial fibrillatin (AF), and no atrial flutter while recovering from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147015 - ablation procedures.  This may decrease exposure to ischemic colitis,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147016 - reported on 200612 0700. ref SDS A2 RK6F  HR profile today, may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147017 - reflect heart recovering from 4 coronary procedures this year, and not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147018 - taking metoprolol succinct, which is a beta blocker that lowers HDL,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147019 - beginning on 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147022 -        ..
147023 -       Date      201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 200727 20  
147024 -        Hours        8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15     14      
147025 -       HR AVG       81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68     67      
147026 -         MAX       112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114    129      
147027 -         Min        61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45     42      
147028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147031 -              https://flow.polar.com/training/analysis/5240869092                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147036 -   
147037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147040 -  ..
147041 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147042 - Lunch - cheese balogna crackers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147043 - Dinner - lamb chops lettuce onion tomato avocado brussel sprouts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147044 - potatoes, apple pie ice cream - 1 margeritia with Hornitos taquilla                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147046 -  ..
147047 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147052 -         ..
147053 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147054 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147055 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147056 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147057 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147058 -  291.  201017 0730............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147059 -               0730....BP HR..................................................... 124  74  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147060 -               0735....BP HR..................................................... 126  70  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147061 -               0740....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147062 -               0740... 20 977520 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147063 -               0740... 80 212300 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147064 -               0740... 05 2520 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147065 -               0740... 75 8675 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147066 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
147067 -               0950....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147068 -               0000... Gabapentin 300MG  40700MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147069 -               0000... Oxycodone HCL Plain  5  275 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147070 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147071 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147072 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147073 -               0955....miles...........   7.0  77.0  125   390 minutes  temp  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147075 -               0000... Oxycodone HCL Plain  5  280 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147076 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
147077 -               0000... Gabapentin 300MG  40100 MB took with oxycodone and with food few bites sandwich rye bread margaine peanut butter jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147078 -               0000... Simethicone 80  6240 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147080 -               1220....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147081 -               1230....BP HR..................................................... 111  72  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147082 -               1235....BP HR..................................................... 114  71  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147083 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147084 -               1700... 40 62900 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
147085 -           **  0000... 25   2050.0 Metoprolol Succinct - on 201010 paused after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                                                               
147086 -               1830............ 10 14370  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147087 -               1830............ 10 13960  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147088 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147089 -               2030... 40 42820 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147090 -               2100... 1000  954000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147091 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147092 -               2200... 05 2525 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147093 -               2200... 80 212380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147094 -               0000... Simethicone 80  6240 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147096 -  ..
147097 - ** Metoprolol Succinct - on 201010 paused because past 2 days have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147098 - been terrific HR profiles (very low), so testing if taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147099 - in hospital shocked heart into lower profile; on 201007 episode atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147100 - flutter HR 160, ref SDS 0 RXYU, metoprolol high concentration through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147101 - IV in ER lowered HR; Doctor Pellegrini ordered experimenting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147102 - Metoprolol pills again, which lower HDL in this case, to see if this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147103 - will control HR, rather perform 2nd ablation on right atrial to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147104 - prevent erratic electrial signals from causing atrial flutter;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147105 - previously on 200830 paused metoprolol to avoid beta blocker lowering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147106 - HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147107 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147108 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147109 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147110 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147111 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147112 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147113 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147114 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147115 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147116 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147117 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147119 -  ..
147120 - Peripheral neuropathy - not feeling in feet today, after no statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147121 - last night, per above. ref SDS 0 P18L -- see study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147122 - ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147124 -  ..
147125 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147126 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147127 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147129 -  ..
147130 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147132 -  ..
147133 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147134 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147136 -  ..
147137 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147139 -  ..
147140 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147141 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147143 -  ..
147144 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147145 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147146 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147147 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147148 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147149 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147150 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147151 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147152 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147153 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147154 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147155 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147156 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147157 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147159 -  ..
147160 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147161 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147163 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147164 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147165 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147166 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147167 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147168 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147169 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147170 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147171 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147172 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147173 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147174 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147175 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147176 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147177 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147178 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147179 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147180 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147181 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147182 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147183 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147184 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147185 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147186 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147187 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147188 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147189 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147190 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147191 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147192 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147193 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147194 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147195 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147196 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147197 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147198 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147199 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147200 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147201 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147202 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147203 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147204 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147205 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147206 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147207 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147208 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147209 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147211 -  ..
147212 - Body feels okay after hiking 7 miles in 67 degrees over moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147213 - hills 3% - 5% grade.
147215 - -
147216 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147217 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147218 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147220 -  ..
147221 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147223 -  ..
147224 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147225 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147226 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147228 -  ..
147229 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147230 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147231 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147232 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147233 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147235 -  ..
147236 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147237 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147239 -  ..
147240 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147241 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147242 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147244 -  ..
147245 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147246 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147247 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147248 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147249 - ref SDS 77 SM4M  After hike on 201012, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147250 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147251 - ref SDS 0 KW4J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147253 -  ..
147254 - Sparks, Nevada at elevation 4400 10 mile route - Air Quality Index 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147255 - (good) this morning.  Hiked with Ross and Claudia.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147256 - good hiking with Ross and Claudia.  Wearing Hoka Bondi 6 shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147257 - received on 190927 1110, ref SDS 77 SM4M, that prevent feet and knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147258 - injuries.  Wore 2-pair double-ply Wright socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147259 - 1344, ref SDS 79 SM4M, to prevent blisters.  Hiked from Silver King                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147260 - Drive to Winfield Springs Road, hiked 1 mile and turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147261 - South Wingfield Parkway, crossed Vista and continued on South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147262 - Wingfield Parkway, turned right and hiked uphill grade 5% at places on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147263 - Winfield Hills Road, then turned left onto Old Waveryly Drive.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147264 - uphill grade 4% about 1 mile to summit at mile 2.8.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147265 - Pala Messa Drive to Singing Hille Drive, turned onto Wingfield Hills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147266 - Road to Vista Boulevard, turned onto Vista and hiked back to Wingfield                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147267 - Parkway, turned right to Wingfield Springs Road, hiked back to Silver                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147268 - King Drive.  Breathed easily through nose entire hike.  Temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147269 - reached 71.  Did this again in afternoon by myself, and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147270 - additional route on Astronomer Way, to Falcon Ridge, then to Ambush                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147271 - Ridge then to Old Waverly Way again.  Actually, hiked this route in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147272 - reverse today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147274 -  ..
147275 - Polar HR GPS study for Sparks, NV elevation 4400, 6-mile hike shows HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147276 - profile that rises and falls with changes in terrain elevations,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147277 - indicating no atrial fibrillation nor atrial flutter...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147279 -                                                                                                                    Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147280 -       Date       201017 201016 201015a2 201015a1 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 2007  
147281 -       Miles          7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0      7     13        
147282 -       HR AVG       117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    115    125     n  
147283 -         MAX        133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   134    149  repo  
147284 -         Min         83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            81     93        
147285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147287 -              https://flow.polar.com/training/analysis/5244373537                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147290 -               ..
147291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147294 -  ..
147295 - HR profile Sparks, NV elevation 4400, 10 mile route showing average                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147296 - 116 and max 135 reflects temperature 75, some long steep hills 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147297 - grade with expected HR changes following cardiac ablation on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147298 - 0546. ref SDS 94 244I and following treatment in the ER infusing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147299 - through IV catheter high concentrate metoprolol that slowed heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147300 - from atrial flutter at HR 160, down to 60s and 70s, on 201007 2218.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147301 - ref SDS B3 X36J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147306 -  ..
147307 - HR profile post-hike beginning 2147 until next morning OA 0700 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147308 - mostly steady heart beat 65 +/-.  Max HR 102, and minimum HR 49 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147309 - with indoor activity - sleeping; 0 spikes above 130 may indicate no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147310 - atrial fibrillatin (AF), and no atrial flutter while recovering from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147311 - ablation procedures.  This may decrease exposure to ischemic colitis,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147312 - reported on 200612 0700. ref SDS A2 RK6F  HR profile today, may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147313 - reflect heart recovering from 4 coronary procedures this year, and not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147314 - taking metoprolol succinct, which is a beta blocker that lowers HDL,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147315 - beginning on 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147318 -        ..
147319 -       Date      201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 200728 20  
147320 -        Hours        9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15     15      
147321 -       HR AVG       65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70     68      
147322 -         MAX       102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134    114      
147323 -         Min        49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40     45      
147324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147327 -              https://flow.polar.com/training/analysis/5240869092                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147332 -   
147333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147336 -  ..
147337 - Breakfast - waffle milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147338 - Lunch - chips driving home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147339 - Dinner - steak broccoli potatoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147341 -  ..
147342 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147348 -         ..
147349 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147350 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147351 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147352 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147353 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147354 -  292.  201018 0700............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147355 -               0710....BP HR..................................................... 131  78  72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147356 -               0715....BP HR..................................................... 127  77  70                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147357 -               0720....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147358 -               0720... 20 977540 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147359 -               0720... 80 212460 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147360 -               0720... 05 2530 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147361 -               0720... 75 8750 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147362 -               1110... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
147363 -               1110....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147364 -               1110... Gabapentin 300MG  41000MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147365 -               0000... Oxycodone HCL Plain  5  275 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147366 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147367 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147368 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147369 -               1700... 40 62940 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
147370 -           **  0000... 25   2050.0 Metoprolol Succinct - on 201010 paused after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                                                               
147371 -             1 0000............ 10 14370  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147372 -             1 0000............ 10 13960  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147373 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147374 -               2030... 40 42860 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147375 -               2100... 1000  955000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147376 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147377 -               2200... 05 2535 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147378 -               2200... 80 212540 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147379 -               0000... Simethicone 80  6240 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147381 -  ..
147382 - ** Metoprolol Succinct - on 201010 paused because past 2 days have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147383 - been terrific HR profiles (very low), so testing if taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147384 - in hospital shocked heart into lower profile; on 201007 episode atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147385 - flutter HR 160, ref SDS 0 RXYU, metoprolol high concentration through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147386 - IV in ER lowered HR; Doctor Pellegrini ordered experimenting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147387 - Metoprolol pills again, which lower HDL in this case, to see if this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147388 - will control HR, rather perform 2nd ablation on right atrial to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147389 - prevent erratic electrial signals from causing atrial flutter;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147390 - previously on 200830 paused metoprolol to avoid beta blocker lowering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147391 - HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147392 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147393 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147394 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147395 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147396 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147397 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147398 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147399 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147400 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147401 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147402 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147404 -  ..
147405 - Peripheral neuropathy - not feeling in feet today, after no statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147406 - last night, per above. ref SDS 0 P18L -- see study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147407 - ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147409 -  ..
147410 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147411 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147412 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147414 -  ..
147415 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147417 -  ..
147418 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147419 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147421 -  ..
147422 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147424 -  ..
147425 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147426 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147428 -  ..
147429 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147430 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147431 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147432 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147433 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147434 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147435 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147436 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147437 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147438 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147439 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147440 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147441 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147442 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147444 -  ..
147445 - Hiking - none, got dressed and took medication, but ring toe left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147446 - foot injured from shaving callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147449 -  ..
147450 - HR profile post-hike beginning 2317 until next morning OA 0800 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147451 - mostly steady heart beat 62 +/-.  Max HR 108, and minimum HR 46 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147452 - with indoor activity - sleeping; 0 spikes above 130 may indicate no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147453 - atrial fibrillatin (AF), and no atrial flutter while recovering from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147454 - ablation procedures.  This may decrease exposure to ischemic colitis,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147455 - reported on 200612 0700. ref SDS A2 RK6F  HR profile today, may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147456 - reflect heart recovering from 4 coronary procedures this year, and not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147457 - taking metoprolol succinct, which is a beta blocker that lowers HDL,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147458 - beginning on 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147461 -        ..
147462 -       Date      201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 200730 200729 20  
147463 -        Hours        8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15     15     15      
147464 -       HR AVG       62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74     73     70      
147465 -         MAX       108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109    130    134      
147466 -         Min        46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55     45     40      
147467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147470 -              https://flow.polar.com/training/analysis/5247898957                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147475 -   
147476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147479 -  ..
147480 - Breakfast - cream of wheat rasins few bites with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147481 - Lunch - cheese chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147482 - Dinner - lettuce onion broccoli tomato avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147484 -  ..
147485 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147491 -         ..
147492 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147493 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147494 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147495 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147496 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147497 -  293.  201019 0740............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147498 -               0810....BP HR..................................................... 155  82  66  Kardia ECG reports HR normal, see below. ref SDS 0 VYRT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147499 -               081 ....BP HR..................................................... 139  81  65  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147500 -               0820....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147501 -               0820... 20 977560 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147502 -               0820... 80 212620 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147503 -               0820... 05 2540 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147504 -               0820... 75 8825 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147505 -               1130... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
147506 -               1130....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147507 -               1130... Gabapentin 300MG  41300MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147508 -               0000... Oxycodone HCL Plain  5  275 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147509 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147510 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147511 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147512 -         * cr  1320....miles...........  18.0  18.0  298  298  minutes  temp  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147514 -               0000... Oxycodone HCL Plain  5  280 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147515 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
147516 -               0000... Gabapentin 300MG  40100 MB took with oxycodone and with food few bites sandwich rye bread margaine peanut butter jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147517 -               0000... Simethicone 80  6240 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147519 -               1850....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147520 -               1940....BP HR..................................................... 118  75 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147521 -               1945....BP HR..................................................... 127  74  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147522 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147523 -               1950... 40 62980 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
147524 -           **  0000... 25   2050.0 Metoprolol Succinct - on 201010 paused after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                                                               
147525 -               2030............ 10 14380  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147526 -               2030............ 10 13970  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147527 -               2040... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 0 VWUU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147528 -               2050... 40 42900 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147529 -               2100... 1000  956000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147530 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147531 -               2200... 05 2545 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147532 -               2200... 80 212700 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147533 -               0000... Simethicone 80  6240 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147535 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147536 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147537 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147538 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147539 - at top of mountain. ref SDS 69 2T9L  However today, could not do this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147540 - .5 mile uphill.  Also added Campus Road from Pine Hollow hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147541 - uphill to Cal State East Bay college, with 2 - 3 miles of loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147542 - through Visitor, faculty and student parking, and back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147543 - Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147545 -  ..
147546 - ** Metoprolol Succinct - on 201010 paused because past 2 days have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147547 - been terrific HR profiles (very low), so testing if taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147548 - in hospital shocked heart into lower profile; on 201007 episode atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147549 - flutter HR 160, ref SDS 0 RXYU, metoprolol high concentration through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147550 - IV in ER lowered HR; Doctor Pellegrini ordered experimenting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147551 - Metoprolol pills again, which lower HDL in this case, to see if this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147552 - will control HR, rather perform 2nd ablation on right atrial to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147553 - prevent erratic electrial signals from causing atrial flutter;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147554 - previously on 200830 paused metoprolol to avoid beta blocker lowering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147555 - HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147556 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147557 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147558 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147559 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147560 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147561 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147562 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147563 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147564 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147565 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147566 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147568 -  ..
147569 - Peripheral neuropathy - not feeling in feet today, after no statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147570 - last night, per above. ref SDS 0 P18L -- see study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147571 - ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147573 -  ..
147574 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147575 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147576 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147578 -  ..
147579 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147581 -  ..
147582 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147583 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147585 -  ..
147586 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147588 -  ..
147589 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147590 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147592 -  ..
147593 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147594 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147595 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147596 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147597 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147598 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147599 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147600 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147601 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147602 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147603 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147604 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147605 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147606 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147608 -  ..
147609 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147610 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147612 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147613 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147614 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147615 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147616 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147617 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147618 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147619 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147620 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147621 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147622 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147623 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147624 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147625 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147626 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147627 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147628 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147629 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147630 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147631 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147632 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147633 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147634 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147635 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147636 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147637 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147638 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147639 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147640 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147641 -        Metatarsalgia left foot...PRP 191009.........   3          5  pain on Cowell last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147642 -        Metatarsalgia right foot..PRP 191009.........   3          5  pain on Cowell last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147643 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147644 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147645 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147646 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147647 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147648 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147649 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147650 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147651 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147652 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147653 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147654 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147655 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147656 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147657 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147658 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147660 -  ..
147661 - Body feels okay after hiking 18 miles in 90 degrees over moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147662 - hills 3% - 5% grade.  Beginning hike felt very tired, wobbly.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147663 - 5 miles stopped at Texaco bought coke and ate half of half sandwich                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147664 - peanut butter, margarine and jan.  Energy increased.
147666 - -
147667 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147668 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147669 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147671 -  ..
147672 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147674 -  ..
147675 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147676 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147677 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147679 -  ..
147680 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147681 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147682 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147683 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147684 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147686 -  ..
147687 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147688 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147690 -  ..
147691 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147692 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147693 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147695 -  ..
147696 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147697 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147698 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147699 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147700 - ref SDS 77 SM4M  After hike on 201012, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147701 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147702 - ref SDS 0 VWPR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147704 -  ..
147705 - Concord 18 mile route - starting energy low.  Wearing Hoka Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147706 - shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147707 - knee injuries.  Wore 2-pair double-ply Wright socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147708 - 1344, ref SDS 79 SM4M, to prevent blisters.  Hiked from Cuneo uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147709 - to Treat.  Breathed easily through nose entire hike.  Temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147710 - reached 90.  Hiked East normal to fast pace on Treat 1 mile to Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147711 - - time to 1.25 miles 21 minutes.  Turned corner hiking South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147712 - Clayton 2 miles at normal to fast pace, mostly on flat concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147713 - sidewalk.  Feeling drained of energy - wobbly - disoriented.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147714 - 3.5, turned West onto Ygnacio Valley Road hiking on concrete sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147715 - another .5 mile.  About mile 4 crossed to South side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147716 - Road hiking West on asphalt shoulder aganist East bound traffic.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147717 - mile 5, stopped at Texaco gas station - EKG reported HR 115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147718 - Tachycardia - see below. ref SDS 0 614H  Bought Coca Cola - drank for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147719 - hydration and ate half of half sandwich peanut butter, margarine, jam.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147720 - Hiked .25 mile on Ygnacio Valley Road to Pine Hollow; turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147721 - hiked about 50 yards.  Turned right onto Campus Road.  Hiked 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147722 - West uphill 3% - 4% grade to California Sate University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147723 - campus.  Energy seemed to improve.  Hiked 1-loop of about 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147724 - through adjoining Faculty and Student Parking lots.  Seemed to feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147725 - vasodilation surge of energy and strength hiking up last long hill in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147726 - Student parking lot.  At mile 7 back at Visitor Parking hiked North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147727 - downhill 3% grade .3 mile to Ygnacio Valley Road.  Turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147728 - hiked West .5 mile on Ygnacio Valley Road flat pavement.  At mile 7.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147729 - turned South and hiked 1 mile up steep hill 5% grade on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147730 - Road.  Hiked another mile on flat pavement through residential area.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147731 - Along this stretch a guy asked how far the hike is today.  Said 12 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147732 - 15 miles, because if folks are told 18 - 20, it seems unbelievable.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147733 - Hiked downhill .5 mile past Rolling Woods Way.  Hiked up another steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147734 - hill 5% grade .5 mile to the end of Crystal Ranch Road.  Handled these                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147735 - hills well with energy that maintained speed, and breathing easily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147736 - through nose all the way.  Hiked back downhill on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147737 - Turned East on Rolling Woods Way.  Hiked up steep hill 5% grade .33                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147738 - mile, then downhill .66 miles.  On this downhill, a man and his son                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147739 - passed coming up Rolling Woods Way.  He said "Hello, Rod."  Apologized                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147740 - could not recall meeting him.  He explained we have passed previously.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147741 - His name is Derrik, and his son, about 10 is Gabrial.  Turned North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147742 - onto Pine Hillow.  Hiked 1 mile to Ygnacio Valley Road.  Mile 12,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147743 - stopped at Texaco Gas Station again - EKG reported HR 116 Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147744 - - see below. ref SDS 0 VYXY  Continued hike on Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147745 - Pine Hollow; turned left and hiked about 50 yards.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147746 - Campus Road.  Hiked 1-mile West uphill 3% - 4% grade to California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147747 - Sate University East Bay campus.  Hiked 1-loop of about 1.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147748 - through adjoining Faculty and Student Parking lots; did not added                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147749 - sub-loops of .5 mile.  Back at Visitor Parking mile 14.  Took Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147750 - Drive North .33 mile downhill to Ygnacio Valley Road.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147751 - onto Ygnacio Valley Road and hiked West .5 miles.  Adrenalin seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147752 - kick in, because increased pace hiking West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147753 - uphill 2% grade past Cowell.  At mile 15 crossed from South side of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147754 - Ygnacio Valley Road to the North side in order to avoid severely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147755 - sloped shoulder on South Side.  On North side continued West uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147756 - grade over the summit and .25 miles beyond concrete traffic separation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147757 - barriar.  Turned around and hiked East 1-mile downhill.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147758 - onto Cowell and hiked North downhill 3% grade 1 mile to Treat.  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147759 - hurting gong downhill.  Ran about 200 yards to make traffic light at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147760 - Treat.  Hiked West on Treat to Cuneo and home for 18 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147762 -  ..
147763 - Kardia recorded HR 65 at 1011 - Normal - after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147764 - 201010, per above. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147767 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201019-ecg-101137_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147770 -  ..
147771 - EKG looks perfect, after pausing metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147775 -  ..
147776 - Polar HR GPS study for Concord elevation 100, 18-mile hike shows HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147777 - profile that rises and falls with changes in terrain elevations,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147778 - indicating no atrial fibrillation nor atrial flutter...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147780 -                                                                                                                    Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147781 -       Date       201019 201018 201017 201016 201015a2 201015a1 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 2008  
147782 -       Miles         18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17      0        
147783 -       HR AVG       125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     no    11  
147784 -         MAX        149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  report   13  
147785 -         Min         90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81            8  
147786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147788 -              https://flow.polar.com/training/analysis/5249740967                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147791 -               ..
147792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147795 -  ..
147796 - HR profile Concord elevation 100, 18 mile route showing average                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147797 - 125 and max 149 reflects temperature 90, some long steep hills 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147798 - grade with expected HR changes following cardiac ablation on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147799 - 0546. ref SDS 94 244I and following treatment in the ER infusing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147800 - through IV catheter high concentrate metoprolol that slowed heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147801 - from atrial flutter at HR 160, down to 60s and 70s, on 201007 2218.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147802 - ref SDS B3 X36J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147806 -  ..
147807 - EKG at mile 5 HR 115 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147810 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201019-ecg-143914_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147813 -  ..
147814 - EKG initial beats erratic, then some are ragged, and some look                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147815 - consistently normal, after after pausing metoprolol on 201010.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147816 - ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147821 -  ..
147822 - EKG at mile 12 HR 126 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147825 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201019-ecg-170326_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147828 -  ..
147829 - EKG looks like a train wreck, after pausing metoprolol on 201010.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147830 - ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147835 -  ..
147836 - EKG 1 minute after 18-mile hike HR 128 time 1847 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147837 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147840 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201019-ecg-184710_mile_18.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147843 -  ..
147844 - EKG looks ragged, but consistent after pausing metoprolol on 201010.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147845 - ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147879 -  ..
147880 - Breakfast - cream of wheat rasins few bites with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147881 - Lunch - half of half sandwich peanut butter margarine jam for energy during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147882 - Dinner - lettuce broccoli tuna onion tomato pasta, ice cream milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147884 -  ..
147885 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147891 -         ..
147892 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147893 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147894 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147895 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147896 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147897 -  294.  201020 0900............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147898 -               0910....BP HR..................................................... 138  82  69  Kardia ECG reports HR normal, see below. ref SDS 0 WSUW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147899 -               0915....BP HR..................................................... 135  80  68  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147900 -               0920....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147901 -               0920... 20 977580 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147902 -               0920... 80 212780 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147903 -               0920... 05 2550 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147904 -               0920... 75 8900 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147905 -               1000... Naproxen (Aleve) 2 pill 250 mg - resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                  
147906 -               1000... Gabapentin 300MG  41600MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147907 -               0000... Oxycodone HCL Plain  5  275 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147908 -               1030....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147909 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147910 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147911 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147912 -         * cr  1330....miles...........  20.0  38.0  334  632  minutes  temp  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147914 -               0000... Oxycodone HCL Plain  5  280 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147915 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
147916 -               0000... Gabapentin 300MG  40100 MB took with oxycodone and with food few bites sandwich rye bread margaine peanut butter jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147917 -               0000... Simethicone 80  6240 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147919 -               1930....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147920 -               1940....BP HR..................................................... 117  79 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147921 -               1945....BP HR..................................................... 123  83  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147922 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147923 -               2010... 40 63020 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
147924 -           **  0000... 25   2050.0 Metoprolol Succinct - on 201010 paused after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                                                               
147925 -             1 0000............ 10 14380  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147926 -             1 0000............ 10 13970  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147927 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147928 -               2120... 40 42940 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147929 -               2200... 1000  957000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147930 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147931 -               2220... 05 2555 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147932 -               2310... 80 212860 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147933 -               0000... Simethicone 80  6240 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147935 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147936 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147937 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147938 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147939 - at top of mountain. ref SDS 69 2T9L  However today, could not do this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147940 - .5 mile uphill.  Also added Campus Road from Pine Hollow hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147941 - uphill to Cal State East Bay college, with 2 - 3 miles of loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147942 - through Visitor, faculty and student parking, and back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147943 - Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147945 -  ..
147946 - ** Metoprolol Succinct - on 201010 paused because past 2 days have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147947 - been terrific HR profiles (very low), so testing if taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147948 - in hospital shocked heart into lower profile; on 201007 episode atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147949 - flutter HR 160, ref SDS 0 RXYU, metoprolol high concentration through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147950 - IV in ER lowered HR; Doctor Pellegrini ordered experimenting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147951 - Metoprolol pills again, which lower HDL in this case, to see if this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147952 - will control HR, rather perform 2nd ablation on right atrial to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147953 - prevent erratic electrial signals from causing atrial flutter;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147954 - previously on 200830 paused metoprolol to avoid beta blocker lowering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147955 - HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147956 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147957 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147958 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147959 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147960 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147961 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147962 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147963 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147964 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147965 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147966 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147968 -  ..
147969 - Peripheral neuropathy - not feeling in feet today, after no statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147970 - last night, per above. ref SDS 0 P18L -- see study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147971 - ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147973 -  ..
147974 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147975 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147976 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147978 -  ..
147979 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147981 -  ..
147982 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147983 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147985 -  ..
147986 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147988 -  ..
147989 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147990 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147992 -  ..
147993 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147994 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147995 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147996 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147997 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147998 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147999 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148000 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148001 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148002 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148003 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148004 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148005 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148006 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148008 -  ..
148009 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148010 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148012 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148013 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148014 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148015 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148016 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148017 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148018 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148019 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148020 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148021 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148022 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148023 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148024 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148025 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148026 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148027 -        Knee buckling left..PRP 191009...............   2          1  seemed to occur coming down Crystal Ranch Road from the top, but only for about 200 yards                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148028 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148029 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148030 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148031 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148032 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148033 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148034 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148035 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148036 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148037 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148038 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148039 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148040 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148041 -        Metatarsalgia left foot...PRP 191009.........   2          5  pain on Cowell last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148042 -        Metatarsalgia right foot..PRP 191009.........   2          5  pain on Cowell last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148043 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148044 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148045 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148046 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148047 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148048 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148049 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148050 -        Blister ring toe left foot...................   2          5  pain on Cowell last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148051 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148052 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148053 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148054 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148055 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148056 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148057 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148058 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148060 -  ..
148061 - Body feels okay after hiking 20 miles in 90 degrees over moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148062 - hills 3% - 5% grade.  Beginning hike felt tired and wobbly, but less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148063 - than yesterday.  After 5 miles stopped at Texaco bought coke and ate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148064 - half of half sandwich peanut butter, margarine and jan.  Energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148065 - increased.  Had good energy at end of hike.
148067 - -
148068 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148069 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148070 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148072 -  ..
148073 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148075 -  ..
148076 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148077 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148078 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148080 -  ..
148081 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148082 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148083 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148084 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148085 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148087 -  ..
148088 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148089 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148091 -  ..
148092 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148093 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148094 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148096 -  ..
148097 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148098 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148099 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148100 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148101 - ref SDS 77 SM4M  After hike on 201012, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148102 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148103 - ref SDS 0 KW4J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148105 -  ..
148106 - Concord 20 mile route - starting energy low.  Wearing Hoka Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148107 - shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148108 - knee injuries.  Wore 2-pair double-ply Wright socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148109 - 1344, ref SDS 79 SM4M, to prevent blisters.  Hiked from Cuneo uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148110 - to Treat.  Breathed easily through nose entire hike.  Temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148111 - reached 90.  Hiked East normal to slow pace on Treat 1 mile to Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148112 - - time to 1.25 miles 21 minutes.  Turned corner hiking South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148113 - Clayton 2 miles at normal to fast pace, mostly on flat concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148114 - sidewalk.  Feeling drained of energy - wobbly - disoriented.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148115 - 3.5, turned West onto Ygnacio Valley Road hiking on concrete sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148116 - another .5 mile.  About mile 4 crossed to South side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148117 - Road hiking West on asphalt shoulder aganist East bound traffic.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148118 - mile 5, stopped at Texaco gas station - EKG reported HR 110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148119 - Tachycardia - see below. ref SDS 0 WTPQ  Bought Coca Cola - drank for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148120 - hydration, and ate half of half sandwich peanut butter, margarine,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148121 - jam.  Hiked .25 mile on Ygnacio Valley Road to Pine Hollow; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148122 - left and hiked about 50 yards.  Turned right onto Campus Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148123 - 1-mile West uphill 3% - 4% grade to California Sate University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148124 - Bay campus.  Energy seemed to improve.  Hiked 1-loop of about 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148125 - through adjoining Faculty and Student Parking lots.  Seemed to feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148126 - vasodilation surge of energy and strength hiking up last long hill in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148127 - Student parking lot.  At mile 7 back at Visitor Parking hiked North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148128 - downhill 3% grade .3 mile to Ygnacio Valley Road.  Turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148129 - hiked West .5 mile on Ygnacio Valley Road flat pavement.  At mile 7.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148130 - turned South and hiked 1 mile up steep hill 5% grade on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148131 - Road.  Hiked another mile on flat pavement through residential area.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148132 - Along this stretch encountered same guy as yesterday, who asked how                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148133 - far the hike is, per above. ref SDS 0 VYPS  Today, he was with a girl,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148134 - and just said hello.  Hiked downhill .5 mile past Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148135 - Hiked up another steep hill 5% grade .5 mile to the end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148136 - Ranch Road.  Handled these hills well with energy that maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148137 - speed, and breathing easily through nose all the way.  Hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148138 - downhill on Crystal Ranch Road.  Left knee was buckling for about 200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148139 - yards, then was okay rest of hike.  Turned East on Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148140 - Hiked up steep hill 5% grade .33 mile, then downhill .66 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148141 - Turned North onto Pine Hillow.  Hiked 1 mile to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148142 - Mile 12, stopped at Texaco Gas Station again - EKG reported HR 116                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148143 - Tachycardia - see below. ref SDS 0 WTQV  Continued hike on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148144 - Valley Road to Pine Hollow; turned left and hiked about 50 yards.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148145 - Turned right onto Campus Road.  Hiked 1-mile West uphill 3% - 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148146 - to California Sate University East Bay campus.  Hiked 2-loops of about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148147 - 1.5 miles through adjoining Faculty and Student Parking lots; did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148148 - added sub-loops of .5 mile.  Back at Visitor Parking mile 16.5  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148149 - Campus Drive North .33 mile downhill to Ygnacio Valley Road.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148150 - left onto Ygnacio Valley Road and hiked West .5 miles.  Adrenalin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148151 - seemed to kick in, because increased pace hiking West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148152 - Valley Road uphill 2% grade past Cowell.  At mile 17 crossed from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148153 - South side of Ygnacio Valley Road to the North side in order to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148154 - severely sloped shoulder on South Side.  On North side continued West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148155 - uphill 3% grade over the summit and .25 miles beyond concrete traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148156 - separation barriar.  Turned around at mile 18, and hiked East 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148157 - downhill.  Turned left onto Cowell and hiked North downhill 3% grade 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148158 - mile to Treat.  Feet hurting gong downhill.  Hiked West on Treat to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148159 - Cuneo and home for 20 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148161 -  ..
148162 - Kardia recorded HR 71 at 0900 - Normal - after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148163 - 201010, per above. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148166 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201020-ecg-090000_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148169 -  ..
148170 - EKG looks perfect, after pausing metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148174 -  ..
148175 - Polar HR GPS study for Concord elevation 100, 20-mile hike shows HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148176 - profile that rises and falls with changes in terrain elevations,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148177 - indicating no atrial fibrillation nor atrial flutter...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148179 -                                                                                                                    Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148180 -       Date       201020 201019 201018 201017 201016 201015a2 201015a1 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 2008  
148181 -       Miles         20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19      0     17        
148182 -       HR AVG       121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     no    119     n  
148183 -         MAX        143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  report   141  repo  
148184 -         Min         85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81            81        
148185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148187 -              https://flow.polar.com/training/analysis/5253236622                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148190 -               ..
148192 -   
148193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148195 -  ..
148196 - HR profile Concord elevation 100, 20 mile route showing average                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148197 - 121 and max 143 reflects temperature 90, some long steep hills 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148198 - grade with expected HR changes following cardiac ablation on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148199 - 0546. ref SDS 94 244I and following treatment in the ER infusing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148200 - through IV catheter high concentrate metoprolol that slowed heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148201 - from atrial flutter at HR 160, down to 60s and 70s, on 201007 2218.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148202 - ref SDS B3 X36J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148206 -  ..
148207 - EKG at mile 5 HR 110 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148210 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201020-ecg-144940_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148213 -  ..
148214 - EKG looks erratic, then some are ragged, and some look consistently                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148215 - normal, after after pausing metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148220 -  ..
148221 - EKG at mile 12 HR 122 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148224 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201020-ecg-171129_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148227 -  ..
148228 - EKG seems better than train wreck yesterday -- looks erratic, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148229 - some are ragged, and some look consistently normal, after after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148230 - pausing metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148235 -  ..
148236 - EKG 10 minutes after 20-mile hike HR 115 time 1930 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148237 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148240 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201020-ecg-193059_mile_20.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148243 -  ..
148244 - EKG looks perfect, after pausing metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148248 -  ..
148249 - HR profile post-hike beginning 0311 until next morning OA 0700 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148250 - mostly steady heart beat 74 +/-.  Max HR 95, and minimum HR 57 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148251 - with indoor activity - sleeping; 0 spikes above 130 may indicate no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148252 - atrial fibrillatin (AF), and no atrial flutter while recovering from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148253 - ablation procedures.  This may decrease exposure to ischemic colitis,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148254 - reported on 200612 0700. ref SDS A2 RK6F  HR profile today, may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148255 - reflect heart recovering from 4 coronary procedures this year, and not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148256 - taking metoprolol succinct, which is a beta blocker that lowers HDL,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148257 - beginning on 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148260 -        ..
148261 -       Date      201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 200801 200731 20  
148262 -        Hours        4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12     15     15      
148263 -       HR AVG       74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63     64     74      
148264 -         MAX        95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128    136    109      
148265 -         Min        57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41     44     55      
148266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148269 -              https://flow.polar.com/training/analysis/5254666657                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148274 -   
148275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148278 -  ..
148279 - Breakfast - cream of wheat rasins few bites and Ensure with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148280 - Lunch - half of half sandwich peanut butter margarine jam for energy during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148281 - Dinner - rice cheese tuna lettuce tomato onion avocado - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148283 -  ..
148284 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148290 -         ..
148291 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148292 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148293 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148294 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148295 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148296 -  295.  201021 0700............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148297 -               0720....BP HR..................................................... 127  78  67  Kardia ECG reports HR normal, see below. ref SDS 0 WWWT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148298 -               0725....BP HR..................................................... 132  85  69  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148299 -               0730....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148300 -               0720... 20 977600 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148301 -               0720... 80 212940 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148302 -               0720... 05 2560 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148303 -               0720... 75 8975 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148304 -               0000... Naproxen (Aleve) 2 pill 250 mg - resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                  
148305 -               0000... Gabapentin 300MG  41600MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148306 -               0000... Oxycodone HCL Plain  5  275 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148307 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148308 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148309 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148310 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148311 -               1700... 40 63060 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
148312 -           **  0000... 25   2050.0 Metoprolol Succinct - on 201010 paused after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                                                               
148313 -               1830............ 10 14390  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148314 -               1830............ 10 13980  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148315 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148316 -               2030... 40 42980 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148317 -               2100... 1000  958000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148318 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148319 -               2200... 05 2565 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148320 -               2200... 80 213020 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148321 -               0000... Simethicone 80  6240 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148323 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148324 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148325 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148326 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148327 - at top of mountain. ref SDS 69 2T9L  However today, could not do this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148328 - .5 mile uphill.  Also added Campus Road from Pine Hollow hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148329 - uphill to Cal State East Bay college, with 2 - 3 miles of loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148330 - through Visitor, faculty and student parking, and back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148331 - Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148333 -  ..
148334 - ** Metoprolol Succinct - on 201010 paused because past 2 days have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148335 - been terrific HR profiles (very low), so testing if taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148336 - in hospital shocked heart into lower profile; on 201007 episode atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148337 - flutter HR 160, ref SDS 0 RXYU, metoprolol high concentration through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148338 - IV in ER lowered HR; Doctor Pellegrini ordered experimenting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148339 - Metoprolol pills again, which lower HDL in this case, to see if this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148340 - will control HR, rather perform 2nd ablation on right atrial to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148341 - prevent erratic electrial signals from causing atrial flutter;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148342 - previously on 200830 paused metoprolol to avoid beta blocker lowering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148343 - HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148344 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148345 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148346 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148347 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148348 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148349 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148350 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148351 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148352 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148353 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148354 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148356 -  ..
148357 - Peripheral neuropathy - not feeling in feet today, after no statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148358 - last night, per above. ref SDS 0 P18L -- see study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148359 - ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148361 -  ..
148362 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148363 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148364 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148366 -  ..
148367 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148369 -  ..
148370 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148371 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148373 -  ..
148374 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148376 -  ..
148377 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148378 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148380 -  ..
148381 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148382 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148383 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148384 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148385 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148386 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148387 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148388 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148389 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148390 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148391 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148392 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148393 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148394 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148396 -  ..
148397 - Kardia recorded HR 68 at 0724 - Normal - after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148398 - 201010, per above. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148401 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201021-ecg-072420_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148404 -  ..
148405 - EKG looks perfect, after pausing metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148440 -  ..
148441 - Breakfast - cream of wheat rasins few bites and Ensure with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148442 - Lunch - eggs cheese toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148443 - Dinner - cheese crackers peach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148445 -  ..
148446 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148453 -         ..
148454 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148455 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148456 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148457 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148458 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148459 -  296.  201022 0800............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148460 -               0820....BP HR..................................................... 138  84  67  Kardia ECG reports HR normal, see below. ref SDS 0 XQWT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148461 -               0825....BP HR..................................................... 132  85  69  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148462 -               0830....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148463 -               0830... 20 977620 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148464 -               0830... 80 213100 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148465 -               0830... 05 2570 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148466 -               0830... 75 9050 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148467 -               0930... Naproxen (Aleve) 2 pill 250 mg - resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                  
148468 -               0930... Gabapentin 300MG  42200MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148469 -               0000... Oxycodone HCL Plain  5  275 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148470 -               0955....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148471 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148472 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148473 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148474 -         * cr  1030....miles...........  23.0  61.0  388  1020 minutes  temp  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148476 -               0000... Oxycodone HCL Plain  5  280 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148477 -               1220... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
148478 -               1220... Gabapentin 300MG  40100 MB took with oxycodone and with food few bites sandwich rye bread margaine peanut butter jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148479 -               0000... Simethicone 80  6240 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148481 -               1830....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148482 -               1840....BP HR..................................................... 112  71 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148483 -               1845....BP HR..................................................... 117  78 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148484 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148485 -               1900... 40 63100 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
148486 -           **  0000... 25   2050.0 Metoprolol Succinct - on 201010 paused after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                                                               
148487 -             1 0000............ 10 14390  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148488 -             1 0000............ 10 13980  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148489 -               2010... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148490 -               2030... 40 43020 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148491 -               2100... 1000  959000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148492 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148493 -               2200... 05 2575 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148494 -               2200... 80 213180 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148495 -               0000... Simethicone 80  6240 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148497 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148498 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148499 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148500 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148501 - at top of mountain. ref SDS 69 2T9L  However today, could not do this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148502 - .5 mile uphill.  Also added Campus Road from Pine Hollow hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148503 - uphill to Cal State East Bay college, with 2 - 3 miles of loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148504 - through Visitor, faculty and student parking, and back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148505 - Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148507 -  ..
148508 - ** Metoprolol Succinct - on 201010 paused because past 2 days have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148509 - been terrific HR profiles (very low), so testing if taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148510 - in hospital shocked heart into lower profile; on 201007 episode atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148511 - flutter HR 160, ref SDS 0 RXYU, metoprolol high concentration through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148512 - IV in ER lowered HR; Doctor Pellegrini ordered experimenting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148513 - Metoprolol pills again, which lower HDL in this case, to see if this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148514 - will control HR, rather perform 2nd ablation on right atrial to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148515 - prevent erratic electrial signals from causing atrial flutter;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148516 - previously on 200830 paused metoprolol to avoid beta blocker lowering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148517 - HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148518 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148519 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148520 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148521 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148522 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148523 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148524 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148525 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148526 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148527 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148528 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148530 -  ..
148531 - Peripheral neuropathy - not feeling in feet today, after no statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148532 - last night, per above. ref SDS 0 P18L -- see study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148533 - ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148535 -  ..
148536 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148537 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148538 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148540 -  ..
148541 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148543 -  ..
148544 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148545 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148547 -  ..
148548 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148550 -  ..
148551 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148552 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148554 -  ..
148555 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148556 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148557 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148558 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148559 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148560 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148561 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148562 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148563 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148564 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148565 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148566 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148567 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148568 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148570 -  ..
148571 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148572 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148574 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148575 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148576 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148577 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148578 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148579 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148580 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148581 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148582 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148583 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148584 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148585 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148586 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148587 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148588 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148589 -        Knee buckling left..PRP 191009...............   2          1  seemed to occur on Oak Grove about mile 20, but only for about 200 yards                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148590 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148591 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148592 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148593 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148594 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148595 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148596 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148597 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148598 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148599 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148600 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148601 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148602 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148603 -        Metatarsalgia left foot...PRP 191009.........   1          3  pain on Ygnacio Valley Road and after turning onto Via Monte about mile 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148604 -        Metatarsalgia right foot..PRP 191009.........   1          3  pain on Ygnacio Valley Road and after turning onto Via Monte about mile 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148605 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148606 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148607 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148608 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148609 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148610 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148611 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148612 -        Blister ring toe left foot...................   2          5  pain on Cowell last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148613 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148614 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148615 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148616 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148617 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148618 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148619 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148620 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148622 -  ..
148623 - Body feels tired and wobbly, weary, but not hurting, after hiking 23                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148624 - miles in 90 degrees over moderate hills 3% - 5% grade.  Beginning hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148625 - felt tired and wobbly, but less than yesterday.  After 5 miles stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148626 - at Texaco bought coke and ate half of half sandwich peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148627 - margarine and jan.  Energy increased.  After hiking another 8 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148628 - stopped again at Texaco and drank another Coca Cola, ate 2nd half of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148629 - sandwich.  Had good energy to hike another 11 miles to end.
148631 - -
148632 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148633 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148634 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148636 -  ..
148637 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148639 -  ..
148640 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148641 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148642 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148644 -  ..
148645 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148646 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148647 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148648 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148649 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148651 -  ..
148652 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148653 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148655 -  ..
148656 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148657 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148658 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148660 -  ..
148661 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148662 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148663 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148664 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148665 - ref SDS 77 SM4M  After hike on 201022, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148666 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148667 - ref SDS 0 WYPT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148669 -  ..
148670 - Concord 23 mile route - starting energy okay.  Wearing Hoka Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148671 - shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148672 - knee injuries.  Wore 2-pair double-ply Wright socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148673 - 1344, ref SDS 79 SM4M, to prevent blisters.  Hiked from Cuneo uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148674 - to Treat.  Breathed easily through nose entire hike.  Temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148675 - reached 90.  Hiked East normal pace on Treat 1 mile to Clayton - time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148676 - to 1.25 miles 20 minutes.  Stopped and got hair cut, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148677 - another record today on 201022 1032. ref SDS B4 0001  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148678 - hiking South on Clayton 2 miles at normal to fast pace, mostly on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148679 - concrete sidewalk.  At mile 3.5, turned West onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148680 - hiking on concrete sidewalk another .5 mile.  About mile 4 crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148681 - South side Ygnacio Valley Road hiking West on asphalt shoulder aganist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148682 - East bound traffic.  At mile 5, stopped at Texaco gas station - EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148683 - reported HR 99 Normal - see below. ref SDS 0 XRQX  Bought Coca Cola -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148684 - drank for hydration, and ate half of half sandwich peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148685 - margarine, jam.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148687 -  ..
148688 - Hiked .25 mile on Ygnacio Valley Road to Pine Hollow; turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148689 - hiked about 50 yards.  Turned right onto Campus Road.  Hiked 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148690 - West uphill 3% - 4% grade to California Sate University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148691 - campus.  Energy seemed to improve.  Hiked 1-loop of about 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148692 - through adjoining Faculty and Student Parking lots.  Seemed to feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148693 - vasodilation surge of energy and strength hiking up last long hill in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148694 - Student parking lot.  At mile 7 back at Visitor Parking hiked North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148695 - downhill 3% grade .3 mile to Ygnacio Valley Road.  Turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148696 - hiked West .5 mile on Ygnacio Valley Road flat pavement.  At mile 7.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148697 - turned South and hiked 1 mile up steep hill 5% grade on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148698 - Road.  Hiked another mile on flat pavement through residential area.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148699 - Hiked downhill .5 mile past Rolling Woods Way.  Hiked up another steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148700 - hill 5% grade .5 mile to the end of Crystal Ranch Road.  Handled these                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148701 - hills well with energy that maintained speed, and breathing easily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148702 - through nose all the way.  Hiked back downhill on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148703 - Left knee was buckling for about 200 yards, then was okay rest of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148704 - hike.  Turned East on Rolling Woods Way.  Hiked up steep hill 5% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148705 - .33 mile, then downhill .66 miles.  Turned North onto Pine Hillow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148706 - Hiked 1 mile to Ygnacio Valley Road.  Mile 12, stopped at Texaco Gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148707 - Station again - EKG reported HR 108 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148708 - ref SDS 0 XRSR  HR lower today, doing same route as previous hikes may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148709 - indicate heart is strengthening from doing long hikes in recent weeks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148710 - Also bought hamburger and ate less than half, after adding mayonaise,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148711 - catchup and salt.  Joe No_Last_Name asked about my hiking.  He has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148712 - similar medical profile.  Surgery 7 years ago to repair a heart valve.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148713 - Suffered ventrical fibrillation, which required another surgery to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148714 - place a pacemaker.  He had an anyurism in an artery above the heart.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148715 - Said his HDL is low, but has BP 105 55 and HR 35.  Will try to keep in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148716 - touch.  Continued hike on Ygnacio Valley Road to Pine Hollow; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148717 - left and hiked about 50 yards.  Turned right onto Campus Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148718 - 1-mile West uphill 3% - 4% grade to California Sate University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148719 - Bay campus.  Hiked 1-loop of about 1.5 miles through adjoining Faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148720 - and Student Parking lots; did not added sub-loops of .5 mile.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148721 - Visitor Parking mile 15.  Took Campus Drive North .33 mile downhill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148722 - Ygnacio Valley Road.  Turned left onto Ygnacio Valley Road and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148723 - West .5 miles.  Adrenalin seemed to kick in, because increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148724 - hiking West on Ygnacio Valley Road uphill 2% grade past Cowell.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148725 - mile 17 crossed from South side of Ygnacio Valley Road to the North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148726 - side in order to avoid severely sloped shoulder on South Side.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148727 - North side continued West uphill 3% grade over the summit to end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148728 - concrete traffic barriar.  At mile 16, feeling good, so crossed back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148729 - to South side of Ygnacio Valley Road.  Hiked downhill 2 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148730 - Crossed to North side of Ygnacio Valley Road.  At traffic light hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148731 - across Oak Grove and continued West .25 miles on paved path parallel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148732 - to Ygnacio Valley Road.  Turned right and continued on paved path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148733 - parallel to Via Monte heading North .25 miles.  At Shadelands Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148734 - turned right and hiked .25 miles to Oak Grove.  Turned right at Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148735 - Grove and hiked on paved path back to Ignacio Valley Road.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148736 - on paved path parallel to Ygnacio Valley Road .25 miles to Via Monte.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148737 - Turned right again and hiked .25 miles to Shadelands.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148738 - and hiked on Shadelands .25 miles.  Turned left and hiked North on Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148739 - Grove 1 mile to Treat.  Got a call from Cathy at VA Pharmacy.  She                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148740 - will mail refills for Ezitimibe and Clopidagrel.  She will send not to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148741 - Lauren about prescribing oxycodone and naproxen.  Turned right and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148742 - hiked 3 miles on Treat to Cuneo, then home for 23 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148745 -  ..
148746 - Kardia recorded HR 70 at 0812 - Normal - after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148747 - 201010, per above. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148750 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201022-ecg-081230_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148753 -  ..
148754 - EKG looks perfect, after pausing metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148758 -  ..
148759 - Polar HR GPS study for Concord elevation 100, 23-mile hike shows HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148760 - profile that rises and falls with changes in terrain elevations,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148761 - indicating no atrial fibrillation nor atrial flutter...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148763 -                                                      Sparks.........................Sparks                                                                                          Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                                                                                                                                                                                                    
148764 -       Date       201022 201021 201020 201019 201018 201017 201016 201015a2 201015a1 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 2008  
148765 -       Miles         23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     19        
148766 -       HR AVG       112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    110     n  
148767 -         MAX        131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    128  repo  
148768 -         Min         73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     81        
148769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148771 -              https://flow.polar.com/training/analysis/5259838587                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148774 -               ..
148776 -   
148777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148779 -  ..
148780 - HR profile Concord elevation 100, 23 mile route showing average                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148781 - 112 and max 131 reflects temperature 90, some long steep hills 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148782 - grade with expected HR changes following cardiac ablation on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148783 - 0546. ref SDS 94 244I and following treatment in the ER infusing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148784 - through IV catheter high concentrate metoprolol that slowed heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148785 - from atrial flutter at HR 160, down to 60s and 70s, on 201007 2218.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148786 - ref SDS B3 X36J  Hiking same route but 2 miles further with noticable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148787 - lower HR profile may indicate heart is strengthening.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148791 -  ..
148792 - EKG at mile 5 HR 99 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148795 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201022-ecg-120952_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148798 -  ..
148799 - EKG looks very ragged first 8 beats, then perfect, after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148800 - metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148805 -  ..
148806 - EKG at mile 12 HR 108 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148809 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201022-ecg-145219_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148812 -  ..
148813 - EKG looks ragged, then consistently normal with one beat elevated,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148814 - after after pausing metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148819 -  ..
148820 - EKG 10 minutes after 23-mile hike HR 112 time 1825 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148821 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148824 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201022-ecg-182518_mile_23.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148827 -  ..
148828 - EKG looks perfect, much getter than interim EKGs at 5 and 12 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148829 - after pausing metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148833 -  ..
148834 - HR profile post-hike beginning 2108 until next morning OA 0800 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148835 - mostly steady heart beat 69 +/-.  Max HR 117, and minimum HR 46 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148836 - with indoor activity - sleeping; 0 spikes above 130 may indicate no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148837 - atrial fibrillatin (AF), and no atrial flutter while recovering from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148838 - ablation procedures.  This may decrease exposure to ischemic colitis,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148839 - reported on 200612 0700. ref SDS A2 RK6F  HR profile today, may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148840 - reflect heart recovering from 4 coronary procedures this year, and not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148841 - taking metoprolol succinct, which is a beta blocker that lowers HDL,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148842 - beginning on 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148845 -        ..
148846 -       Date      201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 200803 200802 20  
148847 -        Hours       10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13     14     12      
148848 -       HR AVG       69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65     61     63      
148849 -         MAX       117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145    139    128      
148850 -         Min        46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43     44     41      
148851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148854 -              https://flow.polar.com/training/analysis/5261476787                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148859 -   
148860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148863 -  ..
148864 - Breakfast - cream of wheat rasins few bites and Ensure with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148865 - Lunch - 33% hamburger half sandwich peanut butter margarine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148866 - Dinner - rice hamburger cheese tuna lettuce tomato onion avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148868 -  ..
148869 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148876 -         ..
148877 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148878 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148879 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148880 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148881 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148882 -  297.  201023 0810............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148883 -               0810....BP HR..................................................... 128  82  62  Kardia ECG reports HR normal, see below. ref SDS 0 XSWX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148884 -               0815....BP HR..................................................... 140  80  62  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148885 -               0820....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148886 -               0820... 20 977640 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148887 -               0820... 80 213260 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148888 -               0820... 05 2580 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148889 -               0820... 75 9125 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148890 -               0930... Naproxen (Aleve) 2 pill 250 mg - resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                  
148891 -               0930... Gabapentin 300MG  42500MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148892 -               0000... Oxycodone HCL Plain  5  275 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148893 -               1055....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148894 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148895 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148896 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148897 -         * cr  1045....miles...........  20.0  81.0  338  1358 minutes  temp  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148899 -               0000... Oxycodone HCL Plain  5  280 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148900 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
148901 -               0000... Gabapentin 300MG  42500 MB took with oxycodone and with food few bites sandwich rye bread margaine peanut butter jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148902 -               1410... Simethicone 80  6320 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148904 -               1720....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148905 -               1810....BP HR..................................................... 122  73  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148906 -               1815....BP HR..................................................... 119  74  83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148907 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148908 -               1830... 40 63140 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
148909 -           **  0000... 25   2050.0 Metoprolol Succinct - on 201010 paused after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                                                               
148910 -               1930............ 10 14400  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148911 -               1930............ 10 13990  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148912 -               2020... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148913 -               2030... 40 43060 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148914 -               2100... 1000  960000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148915 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148916 -               2200... 05 2585 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148917 -               2200... 80 213340 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148918 -               2240... Simethicone 80  6400 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148920 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148921 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148922 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148923 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148924 - at top of mountain. ref SDS 69 2T9L  However today, could not do this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148925 - .5 mile uphill.  Also added Campus Road from Pine Hollow hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148926 - uphill to Cal State East Bay college, with 2 - 3 miles of loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148927 - through Visitor, faculty and student parking, and back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148928 - Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148930 -  ..
148931 - ** Metoprolol Succinct - on 201010 paused because past 2 days have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148932 - been terrific HR profiles (very low), so testing if taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148933 - in hospital shocked heart into lower profile; on 201007 episode atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148934 - flutter HR 160, ref SDS 0 RXYU, metoprolol high concentration through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148935 - IV in ER lowered HR; Doctor Pellegrini ordered experimenting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148936 - Metoprolol pills again, which lower HDL in this case, to see if this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148937 - will control HR, rather perform 2nd ablation on right atrial to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148938 - prevent erratic electrial signals from causing atrial flutter;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148939 - previously on 200830 paused metoprolol to avoid beta blocker lowering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148940 - HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148941 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148942 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148943 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148944 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148945 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148946 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148947 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148948 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148949 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148950 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148951 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148953 -  ..
148954 - Peripheral neuropathy - not feeling in feet today, after no statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148955 - last night, per above. ref SDS 0 P18L -- see study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148956 - ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148958 -  ..
148959 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148960 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148961 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148963 -  ..
148964 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148966 -  ..
148967 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148968 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148970 -  ..
148971 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148973 -  ..
148974 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148975 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148977 -  ..
148978 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148979 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148980 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148981 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148982 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148983 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148984 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148985 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148986 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148987 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148988 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148989 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148990 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148991 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148993 -  ..
148994 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148995 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148997 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148998 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148999 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149000 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149001 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149002 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149003 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149004 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149005 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149006 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149007 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149008 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149009 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149010 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149011 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149012 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149013 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149014 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149015 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149016 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149017 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149018 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149019 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149020 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149021 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149022 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149023 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149024 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149025 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149026 -        Metatarsalgia left foot...PRP 191009.........   1          1  pain on Ygnacio Valley Road and after turning onto Cowel about mile 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149027 -        Metatarsalgia right foot..PRP 191009.........   1          1  pain on Ygnacio Valley Road and after turning onto Cowel about mile 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149028 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149029 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149030 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149031 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149032 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149033 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149034 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149035 -        Blister ring toe left foot...................   2          5  pain on Cowell last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149036 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149037 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149038 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149039 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149040 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149041 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149042 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149043 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149045 -  ..
149046 - Body feels tired but not hurting nor wobbly, after hiking 23 miles in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149047 - 90 degrees over moderate hills 3% - 5% grade.  Good energy at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149048 - 20 mile hike.
149050 - -
149051 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149052 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149053 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149055 -  ..
149056 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149058 -  ..
149059 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149060 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149061 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149063 -  ..
149064 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149065 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149066 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149067 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149068 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149070 -  ..
149071 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149072 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149074 -  ..
149075 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149076 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149077 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149079 -  ..
149080 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149081 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149082 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149083 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149084 - ref SDS 77 SM4M  After hike on 201023, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149085 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149086 - ref SDS 0 6Q5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149088 -  ..
149089 - Concord 20 mile route - starting energy okay.  Wearing Hoka Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149090 - shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149091 - knee injuries.  Wore 2-pair double-ply Wright socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149092 - 1344, ref SDS 79 SM4M, to prevent blisters.  Hiked from Cuneo uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149093 - to Treat.  Breathed easily through nose entire hike.  Temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149094 - reached 90.  Hiked East normal pace on Treat 1 mile to Clayton - time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149095 - to 1.25 miles 20 minutes.  Turned corner hiking South on Clayton 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149096 - miles at normal to fast pace, mostly on flat concrete sidewalk.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149097 - mile 3.5, turned West onto Ygnacio Valley Road hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149098 - sidewalk another .5 mile.  About mile 4 crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149099 - Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149100 - traffic.  At mile 5, stopped at Texaco gas station - EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149101 - 97 Normal - see below. ref SDS 0 XTRS  Bought Coca Cola - drank for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149102 - hydration, and ate half of half sandwich peanut butter, margarine,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149103 - jam.  Hiked .25 mile on Ygnacio Valley Road to Pine Hollow; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149104 - left and hiked about 50 yards.  Turned right onto Campus Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149105 - 1-mile West uphill 3% - 4% grade to California Sate University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149106 - Bay campus.  Energy seemed to improve.  Hiked 1-loop of about 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149107 - through adjoining Faculty and Student Parking lots.  Seemed to feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149108 - vasodilation surge of energy and strength hiking up last long hill in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149109 - Student parking lot.  At mile 7 back at Visitor Parking hiked North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149110 - downhill 3% grade .3 mile to Ygnacio Valley Road.  Turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149111 - hiked West .5 mile on Ygnacio Valley Road flat pavement.  At mile 7.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149112 - turned South and hiked 1 mile up steep hill 5% grade on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149113 - Road.  Hiked another mile on flat pavement through residential area.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149114 - Hiked downhill .5 mile past Rolling Woods Way.  Hiked up another steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149115 - hill 5% grade .5 mile to the end of Crystal Ranch Road.  Handled these                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149116 - hills well with energy that maintained speed, and breathing easily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149117 - through nose all the way.  Hiked back downhill on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149118 - Turned East on Rolling Woods Way.  Hiked up steep hill 5% grade .33                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149119 - mile, then downhill .66 miles.  Turned North onto Pine Hillow.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149120 - 1 mile to Ygnacio Valley Road.  Mile 12, stopped at Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149121 - again - EKG reported HR 108 Tachycardia - see below. ref SDS 0 XTSW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149122 - HR lower today, doing same route as previous hikes may indicate heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149123 - strengthening from doing long hikes in recent weeks.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149124 - on Ygnacio Valley Road to Pine Hollow; turned left and hiked about 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149125 - yards.  Turned right onto Campus Road.  Hiked 1-mile West uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149126 - 4% grade to California Sate University East Bay campus.  Hiked 2-loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149127 - of about 1.5 miles through adjoining Faculty and Student Parking lots;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149128 - did not added sub-loops of .5 mile.  Back at Visitor Parking mile 16.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149129 - Took Campus Drive North .33 mile downhill to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149130 - Turned left onto Ygnacio Valley Road and hiked West .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149131 - Adrenalin seemed to kick in, because increased pace hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149132 - Ygnacio Valley Road uphill 2% grade past Cowell.  At mile 17 crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149133 - from South side of Ygnacio Valley Road to the North side in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149134 - avoid severely sloped shoulder on South Side.  On North side continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149135 - West uphill 3% grade over the summit past end of concrete traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149136 - barriar.  Continued downhill to mile 18, then stopped and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149137 - around and hiked back uphill over the summit and downhill back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149138 - Cowell.  Turned Left onto Cowell and hiked downhill 1 mile to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149139 - Turned left and hiked West .25 miles Cuneo, then home for 20 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149141 -  ..
149142 - Kardia recorded HR 63 at 0835 - Normal - after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149143 - 201010, per above. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149147 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201023-ecg-083524_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149150 -  ..
149151 - EKG looks perfect, after pausing metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149155 -  ..
149156 - Polar HR GPS study for Concord elevation 100, 23-mile hike shows HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149157 - profile that rises and falls with changes in terrain elevations,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149158 - indicating no atrial fibrillation nor atrial flutter...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149160 -                                                             Sparks.........................Sparks                                                                                          Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                                                                                                                                                                                             
149161 -       Date       201023 201022 201021 201020 201019 201018 201017 201016 201015a2 201015a1 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 2008  
149162 -       Miles         20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     11     1  
149163 -       HR AVG       111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    107    11  
149164 -         MAX        131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    123    12  
149165 -         Min         87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     76     8  
149166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149168 -              https://flow.polar.com/training/analysis/5262753387                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149171 -               ..
149173 -   
149174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149176 -  ..
149177 - HR profile Concord elevation 100, 23 mile route showing average                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149178 - 112 and max 131 reflects temperature 90, some long steep hills 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149179 - grade with expected HR changes following cardiac ablation on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149180 - 0546. ref SDS 94 244I and following treatment in the ER infusing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149181 - through IV catheter high concentrate metoprolol that slowed heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149182 - from atrial flutter at HR 160, down to 60s and 70s, on 201007 2218.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149183 - ref SDS B3 X36J  Hiking same route but 2 miles further with noticable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149184 - lower HR profile may indicate heart is strengthening.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149188 -  ..
149189 - EKG at mile 5 HR 97 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149192 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201023-ecg-120923_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149195 -  ..
149196 - EKG looks very ragged with 4 beats very elevated, and 2 or 3 near the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149197 - end very odd - don't know why this is normal, after pausing metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149198 - on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149203 -  ..
149204 - EKG at mile 12 HR 108 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149207 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201023-ecg-144318_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149210 -  ..
149211 - EKG looks perfect, very consistent, after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149212 - 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149217 -  ..
149218 - EKG 1 minute after 20-mile hike HR 111 time 1708 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149219 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149222 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201023-ecg-170837_mile_20.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149225 -  ..
149226 - EKG looks little ragged, but okay, after pausing metoprolol on 201010.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149227 - ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149261 -  ..
149262 - Breakfast - cream of wheat rasins few bites and Ensure with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149263 - Lunch - half sandwich peanut butter margarine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149264 - Dinner - broccoli onion tomato onion avocado sandwich balogna onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149265 - cheese chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149267 -  ..
149268 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149275 -         ..
149276 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149277 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149278 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149279 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149280 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149281 -  298.  201024 0730............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149282 -               0740....BP HR..................................................... 131  77  65  Kardia ECG reports HR normal, see below. ref SDS 0 XWUS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149283 -               0745....BP HR..................................................... 133  76  65  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149284 -               0750....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149285 -               0750... 20 977660 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149286 -               0750... 80 213420 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149287 -               0750... 05 2590 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149288 -               0750... 75 9200 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149289 -               0930... Naproxen (Aleve) 2 pill 250 mg - resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                  
149290 -               0930... Gabapentin 300MG  42800MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149291 -               0000... Oxycodone HCL Plain  5  275 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149292 -               1055....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149293 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149294 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149295 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149296 -         * cr  1045....miles...........  21.0 102.0  349  1707 minutes  temp  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149298 -               0000... Oxycodone HCL Plain  5  280 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149299 -               1440... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
149300 -               1440... Gabapentin 300MG  43100 MB took with oxycodone and with food few bites sandwich rye bread margaine peanut butter jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149301 -               1530... Simethicone 80  6480 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149303 -               1750....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149304 -               1820....BP HR..................................................... 123  67  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149305 -               1825....BP HR..................................................... 128  70  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149306 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149307 -               1830... 40 63180 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
149308 -           **  0000... 25   2050.0 Metoprolol Succinct - on 201010 paused after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                                                               
149309 -             1 0000............ 10 14400  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149310 -             1 0000............ 10 13990  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149311 -               2020... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149312 -               2030... 40 43100 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149313 -               2100... 1000  961000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149314 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
149315 -               2200... 05 2595 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149316 -               2200... 80 213500 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149317 -               2250... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149319 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149320 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149321 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
149322 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149323 - at top of mountain. ref SDS 69 2T9L  However today, could not do this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149324 - .5 mile uphill.  Also added Campus Road from Pine Hollow hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149325 - uphill to Cal State East Bay college, with 2 - 3 miles of loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149326 - through Visitor, faculty and student parking, and back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149327 - Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149329 -  ..
149330 - ** Metoprolol Succinct - on 201010 paused because past 2 days have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149331 - been terrific HR profiles (very low), so testing if taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149332 - in hospital shocked heart into lower profile; on 201007 episode atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149333 - flutter HR 160, ref SDS 0 RXYU, metoprolol high concentration through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149334 - IV in ER lowered HR; Doctor Pellegrini ordered experimenting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149335 - Metoprolol pills again, which lower HDL in this case, to see if this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149336 - will control HR, rather perform 2nd ablation on right atrial to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149337 - prevent erratic electrial signals from causing atrial flutter;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149338 - previously on 200830 paused metoprolol to avoid beta blocker lowering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149339 - HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149340 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149341 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149342 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149343 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149344 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149345 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149346 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149347 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149348 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149349 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149350 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149352 -  ..
149353 - Peripheral neuropathy - feeling in feet today, very prominent standing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149354 - shower, after statins last night, per above. ref SDS 0 6Q5N -- see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149355 - study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149357 -  ..
149358 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149359 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149360 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149362 -  ..
149363 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149365 -  ..
149366 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149367 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149369 -  ..
149370 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149372 -  ..
149373 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149374 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149376 -  ..
149377 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149378 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149379 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149380 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149381 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149382 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149383 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149384 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149385 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149386 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149387 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149388 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149389 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149390 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149392 -  ..
149393 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149394 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149396 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149397 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149398 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149399 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149400 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149401 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149402 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149403 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149404 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149405 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149406 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149407 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149408 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149409 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149410 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149411 -        Knee buckling left..PRP 191009...............   1          2  going downhill left knee buckled on Crystal Ranch Road and later on Roilling Woods Way both at most twice for only about 10 yards                                                                                                                                                                                                                                                                                                                                                                                                            
149412 -        Knee left cruciate ligaments back of knee....   2          5  going downhill Crystal Ranch Road and again on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149413 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149414 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149415 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149416 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149417 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149418 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149419 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149420 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149421 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149422 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149423 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149424 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149425 -        Metatarsalgia left foot...PRP 191009.........   1          1  pain on Oak Grove last mile in 21 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149426 -        Metatarsalgia right foot..PRP 191009.........   1          1  pain on Oak Grove last mile in 21 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149427 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149428 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149429 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149430 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149431 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149432 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149433 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149434 -        Blister ring toe left foot...................   2          5  pain on Cowell last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149435 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149436 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149437 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149438 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149439 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149440 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149441 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149442 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149444 -  ..
149445 - Body feels tired but not hurting nor wobbly, maybe a little delerious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149446 - and disoriented, after hiking 21 miles in 80 degrees over moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149447 - hills 3% - 5% grade.  Good energy at end of 21 mile hike.  First time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149448 - hiking 20+ miles for 3 days in a row.
149450 - -
149451 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149452 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149453 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149455 -  ..
149456 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149458 -  ..
149459 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149460 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149461 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149463 -  ..
149464 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149465 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149466 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149467 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149468 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149470 -  ..
149471 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149472 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149474 -  ..
149475 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149476 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149477 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149479 -  ..
149480 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149481 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149482 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149483 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149484 - ref SDS 77 SM4M  After hike on 201024, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149485 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149486 - ref SDS 0 2T5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149488 -  ..
149489 - Concord 21 mile route - starting energy okay.  Wearing Hoka Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149490 - shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149491 - knee injuries.  Wore 2-pair double-ply Wright socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149492 - 1344, ref SDS 79 SM4M, to prevent blisters.  Hiked from Cuneo uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149493 - to Treat.  Breathed easily through nose entire hike.  Temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149494 - reached 83.  Hiked East normal pace on Treat 1 mile to Clayton - time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149495 - to 1.25 miles 20 minutes.  Turned corner hiking South on Clayton 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149496 - miles at normal to fast pace, mostly on flat concrete sidewalk.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149497 - mile 3.5, turned West onto Ygnacio Valley Road hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149498 - sidewalk another .5 mile.  About mile 4 crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149499 - Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149500 - traffic.  At mile 5, stopped at Texaco gas station - EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149501 - 96 Unclassified - see below. ref SDS 0 XWYY  Kathy brought a Coca Cola                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149502 - and half sandwich peanut butter margarine and jam.  Drank half of Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149503 - Cola for hydration and energy, ate half of half sandwich for energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149504 - Hiked .25 mile on Ygnacio Valley Road to Pine Hollow; turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149505 - hiked about 50 yards.  Turned right onto Campus Road.  Hiked 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149506 - West uphill 3% - 4% grade to California Sate University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149507 - campus.  Energy seemed to improve.  Hiked 1-loop of about 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149508 - through adjoining Faculty and Student Parking lots.  Seemed to feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149509 - vasodilation surge of energy and strength hiking up last long hill in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149510 - Student parking lot.  At mile 7 back at Visitor Parking hiked North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149511 - downhill 3% grade .3 mile to Ygnacio Valley Road.  Turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149512 - hiked West .5 mile on Ygnacio Valley Road flat pavement.  At mile 7.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149513 - turned South and hiked 1 mile up steep hill 5% grade on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149514 - Road.  Hiked another mile on flat pavement through residential area.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149515 - Hiked downhill .5 mile past Rolling Woods Way.  Hiked up another steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149516 - hill 5% grade .5 mile to the end of Crystal Ranch Road.  Handled these                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149517 - hills well with energy that maintained speed, and breathing easily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149518 - through nose all the way.  Hiked back downhill on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149519 - Turned East on Rolling Woods Way.  Hiked up steep hill 5% grade .33                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149520 - mile, then downhill .66 miles.  Turned North onto Pine Hillow.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149521 - 1 mile to Ygnacio Valley Road.  At mile 12, stopped at Texaco Gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149522 - Station again - EKG reported HR 107 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149523 - ref SDS 0 XXQT  HR lower today, doing same route as previous hikes may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149524 - indicate heart strengthening from doing long hikes in recent weeks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149525 - Today, is 1st time doing 20+ miles 3 days in a row.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149526 - Ygnacio Valley Road to Pine Hollow; turned left and hiked about 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149527 - yards.  Turned right onto Campus Road.  Hiked 1-mile West uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149528 - 4% grade to California Sate University East Bay campus.  Hiked 2-loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149529 - of about 1.5 miles through adjoining Faculty and Student Parking lots;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149530 - did not added sub-loops of .5 mile.  Back at Visitor Parking took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149531 - Campus Drive North .33 mile downhill to Ygnacio Valley Road, mile 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149532 - in the hike.  Turned left onto Ygnacio Valley Road and hiked West .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149533 - miles.  Adrenalin seemed to kick in, because increased pace hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149534 - West on Ygnacio Valley Road uphill 2% grade past Cowell.  At mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149535 - crossed from South side of Ygnacio Valley Road to the North side in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149536 - order to avoid severely sloped shoulder on South Side.  On North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149537 - continued West uphill 3% grade over the summit past end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149538 - traffic barriar.  Crossed back to South side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149539 - use wider, flatter roadway shoulder.  Hiked 1.5 miles downhill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149540 - crossed back to North Side of the road.  Hiked another mile to Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149541 - Grove.  Crossed at traffic light.  Hiked 1 mile around safeway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149542 - shopping center.  Hiked .75 miles around shopping center, then turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149543 - left hiking North on Oak Grove to Treat.  Kathy drove us home for 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149544 - mile hike.  Feet hurting pain level 2 last few miles, but otherwise                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149545 - felt strong - hiking fast, indicating body better conditioned to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149546 - 20 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149548 -  ..
149549 - Kardia recorded HR 68 at 0738 - Normal - after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149550 - 201010, per above. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149554 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201024-ecg-073838_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149557 -  ..
149558 - EKG looks perfect, after pausing metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149562 -  ..
149563 - Polar HR GPS study for Concord elevation 100, 21-mile hike shows HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149564 - profile that rises and falls with changes in terrain elevations,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149565 - indicating no atrial fibrillation nor atrial flutter...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149567 -                                                                    Sparks..................Sparks                                                                                                 Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                                                                                                                                                                                      
149568 -       Date       201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 2008  
149569 -       Miles         21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12      0     11     11      7      7     1  
149570 -       HR AVG       111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     no    118    114    111    118    10  
149571 -         MAX        132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  report   148    134    131    137    12  
149572 -         Min         85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97            80     90     64     87     7  
149573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149575 -              https://flow.polar.com/training/analysis/5266109177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149578 -               ..
149580 -   
149581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149583 -  ..
149584 - HR profile Concord elevation 100, 21 mile route showing average                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149585 - 111 and max 132 reflects temperature 83, some long steep hills 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149586 - grade with expected HR changes following cardiac ablation on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149587 - 0546. ref SDS 94 244I and following treatment in the ER infusing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149588 - through IV catheter high concentrate metoprolol that slowed heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149589 - from atrial flutter at HR 160, down to 60s and 70s, on 201007 2218.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149590 - ref SDS B3 X36J  Hiking same route but 2 miles further with noticable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149591 - lower HR profile may indicate heart is strengthening.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149595 -  ..
149596 - EKG at mile 5 HR 96 - Kardia reported Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149599 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201024-ecg-121907_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149602 -  ..
149603 - EKG looks consistend with no disruptions, don't know why this is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149604 - "Unclassified," after pausing metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149609 -  ..
149610 - EKG at mile 12 HR 107 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149613 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201024-ecg-144042_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149616 -  ..
149617 - EKG mostly consistent, after pausing metoprolol on 201010. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149618 - SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149623 -  ..
149624 - EKG 1 minute after 21-mile hike HR 110 time 1717 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149625 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149628 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201024-ecg-171741_mile_21.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149631 -  ..
149632 - EKG looks very consistent, after pausing metoprolol on 201010.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149633 - ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149637 -  ..
149638 - HR profile post-hike beginning 2223 until next morning OA 0630 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149639 - mostly steady heart beat 66 +/-.  Max HR 99, and minimum HR 46 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149640 - with indoor activity - sleeping; 0 spikes above 130 may indicate no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149641 - atrial fibrillatin (AF), and no atrial flutter while recovering from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149642 - ablation procedures.  This may decrease exposure to ischemic colitis,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149643 - reported on 200612 0700. ref SDS A2 RK6F  HR profile today, may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149644 - reflect heart recovering from 4 coronary procedures this year, and not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149645 - taking metoprolol succinct, which is a beta blocker that lowers HDL,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149646 - beginning on 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149649 -        ..
149650 -       Date      201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 200808 200807 200806 200805 200804 20  
149651 -        Hours        8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14     16     14     18     12     13      
149652 -       HR AVG       66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68     64     66     71     71     65      
149653 -         MAX        99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130    142    129    148    144    145      
149654 -         Min        46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45     43     37     41     46     43      
149655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149658 -              https://flow.polar.com/training/analysis/5271373727                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149663 -   
149664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149667 -  ..
149668 - Breakfast - cream of wheat rasins few bites and Ensure with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149669 - Lunch - half sandwich peanut butter margarine jam half banana                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149670 - Dinner - pasta broccoli onion hamburger tomato onion avocado ice cream                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149672 -  ..
149673 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149681 -         ..
149682 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149683 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149684 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149685 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149686 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149687 -  299.  201025 0650............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149688 -               0700....BP HR..................................................... 149  83  62  Kardia ECG reports HR normal, see below. ref SDS 0 YQVV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149689 -               0705....BP HR..................................................... 141  84  59  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149690 -               0710....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149691 -               0710... 20 977680 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149692 -               0710... 80 213580 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149693 -               0710... 05 2600 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149694 -               0710... 75 9275 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149695 -               0930... Naproxen (Aleve) 2 pill 250 mg - resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                  
149696 -               0930... Gabapentin 300MG  43700MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149697 -               0000... Oxycodone HCL Plain  5  275 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149698 -               1055....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149699 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149700 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149701 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149702 -         * cr  0950....miles...........  22.0 124.0  368  2075 minutes  temp  78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149704 -               0000... Oxycodone HCL Plain  5  280 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149705 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
149706 -               0000... Gabapentin 300MG  43700 MB took with oxycodone and with food few bites sandwich rye bread margaine peanut butter jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149707 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149709 -               1740....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149710 -               1750....BP HR..................................................... 104  71  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149711 -               1755....BP HR..................................................... 111  67  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149712 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149713 -               1830... 40 63220 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
149714 -           **  0000... 25   2050.0 Metoprolol Succinct - on 201010 paused after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                                                               
149715 -               1910............ 10 14410  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149716 -               1910............ 10 14000  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149717 -               2020... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149718 -               2030... 40 43140 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149719 -               2100... 1000  962000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149720 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
149721 -               2200... 05 2605 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149722 -               2200... 80 213660 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149723 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149725 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149726 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149727 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
149728 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149729 - at top of mountain. ref SDS 69 2T9L  However today, could not do this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149730 - .5 mile uphill.  Also added Campus Road from Pine Hollow hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149731 - uphill to Cal State East Bay college, with 2 - 3 miles of loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149732 - through Visitor, faculty and student parking, and back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149733 - Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149735 -  ..
149736 - ** Metoprolol Succinct - on 201010 paused because past 2 days have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149737 - been terrific HR profiles (very low), so testing if taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149738 - in hospital shocked heart into lower profile; on 201007 episode atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149739 - flutter HR 160, ref SDS 0 RXYU, metoprolol high concentration through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149740 - IV in ER lowered HR; Doctor Pellegrini ordered experimenting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149741 - Metoprolol pills again, which lower HDL in this case, to see if this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149742 - will control HR, rather perform 2nd ablation on right atrial to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149743 - prevent erratic electrial signals from causing atrial flutter;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149744 - previously on 200830 paused metoprolol to avoid beta blocker lowering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149745 - HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149746 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149747 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149748 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149749 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149750 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149751 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149752 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149753 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149754 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149755 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149756 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149758 -  ..
149759 - Peripheral neuropathy - feeling in feet today, very prominent standing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149760 - shower, after no statins last night, per above. ref SDS 0 2T5N -- see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149761 - study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149763 -  ..
149764 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149765 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149766 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149768 -  ..
149769 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149771 -  ..
149772 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149773 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149775 -  ..
149776 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149778 -  ..
149779 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149780 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149782 -  ..
149783 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149784 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149785 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149786 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149787 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149788 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149789 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149790 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149791 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149792 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149793 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149794 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149795 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149796 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149952 -  ..
149953 - Kardia recorded HR 61 at 0716 - Normal - after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149954 - 201010, per above. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149958 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201025-ecg-071620_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149961 -  ..
149962 - EKG looks perfect, after pausing metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150071 -  ..
150072 - Breakfast - cream of wheat rasins few bites and Ensure with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150073 - Lunch - half sandwich peanut butter margarine jam half banana                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150074 - Dinner - rice broccoli onion hamburger cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150076 -  ..
150077 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150084 -         ..
150085 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150086 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150087 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150088 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150089 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150090 -  300.  201026 0200............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150091 -               0220....BP HR..................................................... 130  77  64  Kardia ECG reports HR normal, see below. ref SDS 0 YUVV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150092 -               0225....BP HR..................................................... 134  76  63  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150093 -               0230....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150094 -               0230... 20 977700 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150095 -               0230... 80 213740 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150096 -               0230... 05 2610 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150097 -               0230... 75 9350 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150098 -               0320....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150099 -               0405... Naproxen (Aleve) 2 pill 250 mg - resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                  
150100 -               0405... Gabapentin 300MG  44000MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150101 -               0000... Oxycodone HCL Plain  5  275 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150102 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150103 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150104 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150105 -               0410....miles...........  13.0  13.0  217   217 minutes  temp  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150107 -               0000... Oxycodone HCL Plain  5  280 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150108 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
150109 -               0000... Gabapentin 300MG  43700 MB took with oxycodone and with food few bites sandwich rye bread margaine peanut butter jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150110 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150112 -               0740....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150113 -               0750....BP HR..................................................... 118  73  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150114 -               0755....BP HR..................................................... 121  69  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150115 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150116 -               1830... 40 63260 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
150117 -           **  0000... 25   2050.0 Metoprolol Succinct - on 201010 paused after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                                                               
150118 -             1 0000............ 10 14410  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150119 -             1 0000............ 10 14000  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150120 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150121 -               2030... 40 43180 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150122 -               2100... 1000  963000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150123 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150124 -               2200... 05 2615 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150125 -               2200... 80 213820 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150126 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150128 -  ..
150129 - ** Metoprolol Succinct - on 201010 paused because past 2 days have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150130 - been terrific HR profiles (very low), so testing if taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150131 - in hospital shocked heart into lower profile; on 201007 episode atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150132 - flutter HR 160, ref SDS 0 RXYU, metoprolol high concentration through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150133 - IV in ER lowered HR; Doctor Pellegrini ordered experimenting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150134 - Metoprolol pills again, which lower HDL in this case, to see if this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150135 - will control HR, rather perform 2nd ablation on right atrial to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150136 - prevent erratic electrial signals from causing atrial flutter;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150137 - previously on 200830 paused metoprolol to avoid beta blocker lowering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150138 - HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150139 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150140 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150141 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150142 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150143 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150144 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150145 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150146 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150147 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150148 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150149 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150151 -  ..
150152 - Peripheral neuropathy - feeling in feet today, very prominent standing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150153 - shower, after no statins last night, per above. ref SDS 0 2T5N -- see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150154 - study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150156 -  ..
150157 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150158 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150159 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150161 -  ..
150162 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150164 -  ..
150165 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150166 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150168 -  ..
150169 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150171 -  ..
150172 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150173 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150175 -  ..
150176 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150177 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150178 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150179 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150180 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150181 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150182 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150183 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150184 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150185 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150186 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150187 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150188 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150189 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150335 -  ..
150336 - Kardia recorded HR 68 at 0209 - Normal - after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150337 - 201010, per above. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150341 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201026-ecg-020916_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150344 -  ..
150345 - EKG looks perfect, after pausing metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150426 -  ..
150427 - Breakfast - cream of wheat rasins few bites and Ensure with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150428 - Lunch - sandwich balogna cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150429 - Dinner - rice broccoli onion hamburger cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150431 -  ..
150432 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150438 -         ..
150439 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150440 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150441 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150442 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150443 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150444 -  301.  201027 0720............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150445 -               0820....BP HR..................................................... 150  87  62  Kardia ECG reports HR normal, see below. ref SDS 0 YYRQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150446 -               0825....BP HR..................................................... 148  83  61  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150447 -               0830....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150448 -               0830... 20 977720 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150449 -               0830... 80 213900 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150450 -               0830... 05 2620 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150451 -               0830... 75 9425 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150452 -               0920....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150453 -               0000... Naproxen (Aleve) 2 pill 250 mg - resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                  
150454 -               0000... Gabapentin 300MG  44000MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150455 -               0000... Oxycodone HCL Plain  5  275 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150456 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150457 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150458 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150470 -               1830... 40 63300 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
150471 -           **  0000... 25   2050.0 Metoprolol Succinct - on 201010 paused after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                                                               
150472 -               1830............ 10 14420  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150473 -               1830............ 10 14010  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150474 -               1950... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150475 -               2030... 40 43220 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150476 -               2100... 1000  964000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150477 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150478 -               2200... 05 2625 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150479 -               2200... 80 213980 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150480 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150482 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150483 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150484 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150485 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150486 - at top of mountain. ref SDS 69 2T9L  However today, could not do this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150487 - .5 mile uphill.  Also added Campus Road from Pine Hollow hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150488 - uphill to Cal State East Bay college, with 2 - 3 miles of loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150489 - through Visitor, faculty and student parking, and back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150490 - Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150492 -  ..
150493 - ** Metoprolol Succinct - on 201010 paused because past 2 days have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150494 - been terrific HR profiles (very low), so testing if taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150495 - in hospital shocked heart into lower profile; on 201007 episode atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150496 - flutter HR 160, ref SDS 0 RXYU, metoprolol high concentration through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150497 - IV in ER lowered HR; Doctor Pellegrini ordered experimenting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150498 - Metoprolol pills again, which lower HDL in this case, to see if this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150499 - will control HR, rather perform 2nd ablation on right atrial to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150500 - prevent erratic electrial signals from causing atrial flutter;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150501 - previously on 200830 paused metoprolol to avoid beta blocker lowering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150502 - HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150503 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150504 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150505 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150506 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150507 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150508 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150509 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150510 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150511 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150512 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150513 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150515 -  ..
150516 - Peripheral neuropathy - feeling in feet today, very prominent standing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150517 - shower, after no statins last night, per above. ref SDS 0 2T5N -- see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150518 - study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150520 -  ..
150521 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150522 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150523 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150525 -  ..
150526 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150528 -  ..
150529 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150530 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150532 -  ..
150533 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150535 -  ..
150536 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150537 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150539 -  ..
150540 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150541 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150542 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150543 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150544 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150545 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150546 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150547 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150548 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150549 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150550 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150551 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150552 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150553 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150709 -  ..
150710 - Kardia recorded HR 66 at 0806 - Normal - after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150711 - 201010, per above. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150715 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201027-ecg-080653_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150718 -  ..
150719 - EKG looks perfect, after pausing metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150829 -  ..
150830 - Breakfast - cream of wheat rasins few bites and Ensure with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150831 - Lunch - half sandwich peanut butter margarine jam half banana                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150832 - Dinner - meatloaf broccoli mashed potatoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150834 -  ..
150835 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150841 -         ..
150842 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150843 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150844 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150845 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150846 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150847 -  302.  201028 0210............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150848 -               0220....BP HR..................................................... 155  87  62  Kardia ECG reports HR normal, see below. ref SDS 0 PRYR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150849 -               0225....BP HR..................................................... 148  83  61  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150850 -               0230....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150851 -               0230... 20 977740 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150852 -               0230... 80 214060 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150853 -               0230... 05 2630 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150854 -               0230... 75 9500 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150855 -               0330....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150856 -               0420... Naproxen (Aleve) 2 pill 250 mg - resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                  
150857 -               0420... Gabapentin 300MG  44300MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150858 -               0000... Oxycodone HCL Plain  5  275 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150859 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150860 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150861 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150873 -               1830... 40 63340 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
150874 -           **  0000... 25   2050.0 Metoprolol Succinct - on 201010 paused after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                                                               
150875 -             1 0000............ 10 14420  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150876 -             1 0000............ 10 14010  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150877 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150878 -               2030... 40 43260 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150879 -               2100... 1000  965000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150880 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150881 -               2200... 05 2635 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150882 -               2200... 80 214140 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150883 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150885 -  ..
150886 - ** Metoprolol Succinct - on 201010 paused because past 2 days have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150887 - been terrific HR profiles (very low), so testing if taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150888 - in hospital shocked heart into lower profile; on 201007 episode atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150889 - flutter HR 160, ref SDS 0 RXYU, metoprolol high concentration through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150890 - IV in ER lowered HR; Doctor Pellegrini ordered experimenting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150891 - Metoprolol pills again, which lower HDL in this case, to see if this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150892 - will control HR, rather perform 2nd ablation on right atrial to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150893 - prevent erratic electrial signals from causing atrial flutter;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150894 - previously on 200830 paused metoprolol to avoid beta blocker lowering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150895 - HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150896 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150897 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150898 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150899 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150900 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150901 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150902 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150903 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150904 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150905 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150906 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150908 -  ..
150909 - Peripheral neuropathy - feeling in feet today, very prominent standing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150910 - shower, after no statins last night, per above. ref SDS 0 2T5N -- see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150911 - study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150913 -  ..
150914 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150915 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150916 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150918 -  ..
150919 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150921 -  ..
150922 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150923 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150925 -  ..
150926 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150928 -  ..
150929 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150930 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150932 -  ..
150933 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150934 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150935 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150936 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150937 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150938 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150939 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150940 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150941 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150942 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150943 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150944 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150945 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150946 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151100 -  ..
151101 - Kardia recorded HR 61 at 0254 - Normal - after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151102 - 201010, per above. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151106 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201028-ecg-025424_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151109 -  ..
151110 - EKG looks little raggedy initial few beats, then perfect, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151111 - pausing metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151192 -  ..
151193 - Breakfast - half banana with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151194 - Lunch - half hamburger                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151195 - Dinner - meatloaf broccoli mashed potatoes, ice cream                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151197 -  ..
151198 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151205 -         ..
151206 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151207 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151208 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151209 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151210 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151211 -  303.  201029 0810............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151212 -               0820....BP HR..................................................... 160  91  67  Kardia ECG reports HR normal, see below. ref SDS 0 PVWR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151213 -               0825....BP HR..................................................... 153  93  66  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151214 -               0830....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151215 -               0830... 20 977760 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151216 -               0830... 80 214200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151217 -               0830... 05 2640 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151218 -               0830... 75 9575 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151219 -               1030....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151220 -               0000... Naproxen (Aleve) 2 pill 250 mg - resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                  
151221 -               1030... Gabapentin 300MG  44600MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151222 -               1030... Oxycodone HCL Plain  5  280 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151223 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151224 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151225 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151226 -        * cr   1055....miles...........  20.0  64.0  334  1074 minutes  temp  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151228 -               0000... Oxycodone HCL Plain  5  280 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151229 -               1450... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
151230 -               1450... Gabapentin 300MG  44900 MB took with oxycodone and with food few bites sandwich rye bread margaine peanut butter jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151231 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151233 -               1745....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151234 -               1750....BP HR..................................................... 121  70  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151235 -               1755....BP HR..................................................... 114  65  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151236 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151237 -               1800... 40 63380 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
151238 -           **  0000... 25   2050.0 Metoprolol Succinct - on 201010 paused after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                                                               
151239 -               1930............ 10 14430  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151240 -               1930............ 10 14020  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151241 -               2005... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151242 -               2030... 40 43300 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151243 -               2100... 1000  966000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151244 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
151245 -               2200... 05 2645 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151246 -               2200... 80 214280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151247 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151249 -  ..
151250 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151251 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151252 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
151253 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151254 - at top of mountain. ref SDS 69 2T9L  However today, could not do this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151255 - .5 mile uphill.  Also added Campus Road from Pine Hollow hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151256 - uphill to Cal State East Bay college, with 2 - 3 miles of loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151257 - through Visitor, faculty and student parking, and back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151258 - Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151260 -  ..
151261 - ** Metoprolol Succinct - on 201010 paused because past 2 days have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151262 - been terrific HR profiles (very low), so testing if taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151263 - in hospital shocked heart into lower profile; on 201007 episode atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151264 - flutter HR 160, ref SDS 0 RXYU, metoprolol high concentration through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151265 - IV in ER lowered HR; Doctor Pellegrini ordered experimenting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151266 - Metoprolol pills again, which lower HDL in this case, to see if this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151267 - will control HR, rather perform 2nd ablation on right atrial to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151268 - prevent erratic electrial signals from causing atrial flutter;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151269 - previously on 200830 paused metoprolol to avoid beta blocker lowering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151270 - HDL and disrupting sexual function; On 200724 Doctor Simpson                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151271 - recommended taking Metoprolol at night, rather than in the morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151272 - and if HR is below 60, then skip taking the pill. ref SDS A9 WA5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151273 - Doctor Pellegrini switchted from Tartrate, reported on 200527 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151274 - ref SDS 97 MU4H  On 200612 resumed Metoprolol, clopidogrel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151275 - Apixaban - meeting with Doctor Pellegrini in hospital; can end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151276 - Apixaban in 3 months.  Doctor Monto diagnosed stomach pain as ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151277 - colotis based on CT test finding inflammation in colon, caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151278 - vasodilation hiking long distances in combination with 4 coronary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151279 - medical procedures (angiogram on 200124, stent on 200128, ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151280 - 200430, another ablation on 200511) reported on 200612 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151281 - ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151283 -  ..
151284 - Peripheral neuropathy - feeling in feet today, very prominent standing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151285 - shower, after no statins last night, per above. ref SDS 0 2T5N -- see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151286 - study on 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151288 -  ..
151289 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151290 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151291 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151293 -  ..
151294 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151296 -  ..
151297 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151298 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151300 -  ..
151301 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151303 -  ..
151304 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151305 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151307 -  ..
151308 - Pain medication - see study in another record. ref SDS 83 QPYX  Try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
151309 - Gabapentin received on 191107 1338. ref SDS 80 888O  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151310 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151311 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151312 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Can take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151313 - oxycodone to manage pain during hiking from patellofemoral osteophytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151314 - and quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151315 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151316 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151317 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151318 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151319 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151320 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151321 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151323 -  ..
151324 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151325 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151327 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151328 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151329 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151330 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151331 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151332 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151333 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151334 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151335 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151336 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151337 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151338 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151339 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151340 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151341 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151342 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151343 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151344 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151345 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151346 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151347 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151348 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151349 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151350 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151351 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151352 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151353 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151354 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151355 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151356 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151357 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151358 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151359 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151360 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151361 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151362 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151363 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151364 -        Blister ring toe right foot..................   1         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151365 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151366 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151367 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151368 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151369 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151370 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151371 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151372 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151373 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151375 -  ..
151376 - Body feels okay - not hurting nor wobbly, after hiking 20 miles in 80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151377 - degrees over moderate hills 3% - 5% grade.  Good energy at end of 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151378 - mile hike.  Got blood draw after hike at Labcorp in John Muir                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151379 - Hospital on Treat and Cherry Lane in Walnut Creek
151381 - -
151382 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151383 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151384 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151386 -  ..
151387 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151389 -  ..
151390 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151391 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151392 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151394 -  ..
151395 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151396 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151397 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151398 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151399 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151401 -  ..
151402 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151403 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151405 -  ..
151406 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151407 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151408 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151410 -  ..
151411 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151412 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151413 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151414 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151415 - ref SDS 77 SM4M  After hike on 201029, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
151416 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151417 - ref SDS 0 PTQS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151419 -  ..
151420 - Concord 20 mile route - starting energy good.  Wearing Hoka Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151421 - shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151422 - knee injuries.  Wore 2-pair double-ply Wright socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151423 - 1344, ref SDS 79 SM4M, to prevent blisters.  Hiked from Cuneo uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151424 - to Treat.  Breathed easily through nose entire hike.  Temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151425 - reached 80.  Hiked East normal pace on Treat 1 mile to Clayton - time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151426 - to 1.25 miles 19 minutes.  Turned corner hiking South on Clayton 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151427 - miles at normal to fast pace, mostly on flat concrete sidewalk.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151428 - mile 3.5, turned West onto Ygnacio Valley Road hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151429 - sidewalk another .5 mile.  About mile 4 crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151430 - Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151431 - traffic.  At mile 5, stopped at Texaco gas station - EKG 1209 reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151432 - HR 110 Tachycardia - see below. ref SDS 0 2G6M  Bought a Coca Cola                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151433 - and ate half of half sandwich peanut butter margarine and jam.  Expect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151434 - body will consume this and wear off any affects on lab later today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151435 - Hiked .25 mile on Ygnacio Valley Road to Pine Hollow; turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151436 - hiked about 50 yards.  Turned right onto Campus Road.  Hiked 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151437 - West uphill 3% - 4% grade to California Sate University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151438 - campus.  Energy seemed to improve.  Hiked 1-loop of about 1.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151439 - through adjoining Faculty and Student Parking lots.  Seemed to feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151440 - vasodilation surge of energy and strength hiking up last long hill in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151441 - Student parking lot.  At mile 7 back at Visitor Parking hiked North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151442 - downhill 3% grade .3 mile to Ygnacio Valley Road.  Turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151443 - hiked West .5 mile on Ygnacio Valley Road flat pavement.  At mile 7.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151444 - turned South and hiked 1 mile up steep hill 5% grade on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151445 - Road.  Hiked another mile on flat pavement through residential area.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151446 - Hiked downhill .5 mile past Rolling Woods Way.  Hiked up another steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151447 - hill 5% grade .5 mile to the end of Crystal Ranch Road.  Handled these                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151448 - hills well with energy that maintained speed, and breathing easily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151449 - through nose all the way.  Hiked back downhill on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151450 - Turned East on Rolling Woods Way.  Hiked up steep hill 5% grade .33                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151451 - mile.  About 75% of way uphill, woman asked for help.  She was driving                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151452 - to her daughter's new home on Krona.  Couldn't find it on cellphone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151453 - GPS map.  The woman called her daughter on my cellphone and got                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151454 - direction heading to Pine Hollow and the middle school.  Hiked rest of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151455 - the way to summit of Rolling Woods Way, then downhill .66 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151456 - Turned North onto Pine Hillow.  Hiked 1 mile to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151457 - At mile 12, stopped at Texaco Gas Station again - EKG reported HR 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151458 - Tachycardia - see below. ref SDS 0 PWUQ  HR lower today, doing same                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151459 - route as previous hikes may indicate heart strengthening from doing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151460 - long hikes in recent weeks.  Today, is 1st time doing 20+ miles 3 days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151461 - in a row.  Continued on Ygnacio Valley Road to Pine Hollow; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151462 - left and hiked about 50 yards.  Turned right onto Campus Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151463 - 1-mile West uphill 3% - 4% grade to California Sate University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151464 - Bay campus.  Hiked 2-loops of about 1.5 miles through adjoining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151465 - Faculty and Student Parking lots; did not added sub-loops of .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151466 - Back at Visitor Parking took Campus Drive North .33 mile downhill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151467 - Ygnacio Valley Road, mile 15 in the hike.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151468 - Valley Road and hiked West .5 miles.  Adrenalin seemed to kick in,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151469 - because increased pace hiking West on Ygnacio Valley Road uphill 2%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151470 - grade past Cowell.  At mile 16 crossed from South side of Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151471 - Valley Road to the North side in order to avoid severely sloped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151472 - shoulder on South Side.  On North side continued West uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151473 - over the summit past end of concrete traffic barriar.  Crossed back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151474 - South side Ygnacio Valley Road to use wider, flatter roadway shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151475 - Hiked 1.5 miles downhill and crossed back to North Side of the road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151476 - Hiked another mile to Oak Grove.  Crossed at traffic light.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151477 - mile around safeway shopping center.  Hiked .75 miles around shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151478 - center, then turned left hiking North on Oak Grove to Treat.  Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151479 - drove us home for 21 mile hike.  Feet hurting pain level 2 last few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151480 - miles, but otherwise felt strong - hiking fast, indicating body better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151481 - conditioned to hike 20 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151484 -  ..
151485 - Kardia recorded HR 64 at 0943 - Normal - after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151486 - 201010, per above. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151490 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201029-ecg-094309_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151493 -  ..
151494 - EKG 3rd beat looks raggedy, all the rest seem perfect, after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151495 - metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151499 -  ..
151500 - Polar HR did GPS study for Concord elevation 100, 20-mile hike shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151501 - HR profile that rises and falls with changes in terrain elevations,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151502 - indicating no atrial fibrillation nor atrial flutter...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151504 -                  x      x      x      x                                                               Sparks..................Sparks                                                                                                 Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                                                                                                                                                   
151505 -       Date       201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 2008  
151506 -       Miles         20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     12        
151507 -       HR AVG       116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    134     n  
151508 -         MAX        136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    155  repo  
151509 -         Min         88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     97        
151510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151512 -              https://flow.polar.com/training/analysis/5289307218                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151515 -               ..
151517 -   
151518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151520 -  ..
151521 - HR profile Concord elevation 100, 20 mile route showing average                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151522 - 116 and max 136 reflects temperature 80, some long steep hills 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151523 - grade with expected HR changes following cardiac ablation on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151524 - 0546. ref SDS 94 244I and following treatment in the ER infusing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151525 - through IV catheter high concentrate metoprolol that slowed heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151526 - from atrial flutter at HR 160, down to 60s and 70s, on 201007 2218.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151527 - ref SDS B3 X36J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151531 -  ..
151532 - EKG at mile 5 HR 110 - Kardia reported Tachychardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151536 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201029-ecg-120931_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151539 -  ..
151540 - EKG looks perfect - very consistent after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151541 - 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151545 -  ..
151546 - EKG at mile 12 HR 111 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151550 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201029-ecg-144109_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151553 -  ..
151554 - EKG 5th beat looks erratic, rest look consistent, after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151555 - metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151561 -  ..
151562 - EKG 1 minute after 20-mile hike HR 111 time 1709 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151563 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151566 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201029-ecg-170939_mile_20.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151569 -  ..
151570 - EKG looks very consistent, after pausing metoprolol on 201010.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151571 - ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151575 -  ..
151576 - HR profile post-hike beginning 0434 until in morning OA 0850 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151577 - mostly steady heart beat 62 +/-.  Max HR 98, and minimum HR 51 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151578 - with indoor activity - sleeping; 0 spikes above 130 may indicate no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151579 - atrial fibrillatin (AF), and no atrial flutter while recovering from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151580 - ablation procedures.  This may decrease exposure to ischemic colitis,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151581 - reported on 200612 0700. ref SDS A2 RK6F  HR profile today, may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151582 - reflect heart recovering from 4 coronary procedures this year, and not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151583 - taking metoprolol succinct, which is a beta blocker that lowers HDL,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151584 - beginning on 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151587 -        ..
151588 -       Date      201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 200813 200812 200811 200810 200809 20  
151589 -        Hours        5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15     14     14     13     15     14      
151590 -       HR AVG       62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72     69     69     62     60     68      
151591 -         MAX        98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119    107    111    125    118    130      
151592 -         Min        51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47     44     38     41     41     45      
151593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151596 -              https://flow.polar.com/training/analysis/5290997298                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151601 -   
151602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151605 -  ..
151606 - Breakfast - half banana with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151607 - Lunch - half sandwich peanut butter margarine jam despite NPO status for lipid lab at 1730                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151608 - Dinner - broccoli onion avocado pasta tomaot cookie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151610 -  ..
151611 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151618 -         ..
151619 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151620 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151621 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151622 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151623 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151624 -  304.  201030 0910............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151625 -               0920....BP HR..................................................... 145  86  66  Kardia ECG reports HR normal, see below. ref SDS 0 QQPT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151626 -               0925....BP HR..................................................... 144  82  65  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151627 -               0930....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151628 -               0930... 20 977780 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151629 -               0930... 80 214360 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151630 -               0930... 05 2650 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151631 -               0930... 75 9650 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151632 -               1030....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151633 -               0000... Naproxen (Aleve) 2 pill 250 mg - resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                  
151634 -               0000... Gabapentin 300MG  44900MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151635 -               0000... Oxycodone HCL Plain  5  280 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151636 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151637 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151638 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151639 -        * cr   1310....miles...........  16.0  80.0  272  1346 minutes  temp  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151641 -               1430... Oxycodone HCL Plain  5  285 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151642 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
151643 -               1430... Gabapentin 300MG  45200 MB took with oxycodone and with food few bites sandwich rye bread margaine peanut butter jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151644 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151646 -               1840....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151647 -               1910....BP HR.....................................................  98  61  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151648 -               1915....BP HR.....................................................  97  61  92
151878 -  ..
151879 - Kardia recorded HR 65 at 0942 - Normal - after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151880 - 201010, per above. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151884 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201030-ecg-094223_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151887 -  ..
151888 - EKG 3rd beat looks raggedy, all the rest seem perfect, after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151889 - metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151893 -  ..
151894 - Polar HR did GPS study for Concord elevation 100, 16-mile hike shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151895 - HR profile that rises and falls with changes in terrain elevations,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151896 - indicating no atrial fibrillation nor atrial flutter...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151898 -                  x      x      x      x      x                                                               Sparks..................Sparks                                                                                                 Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                                                                                                                                            
151899 -       Date       201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 2008  
151900 -       Miles         16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     15     1  
151901 -       HR AVG       118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    119    13  
151902 -         MAX        145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    144    15  
151903 -         Min         78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     93     9  
151904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151906 -              https://flow.polar.com/training/analysis/5292281563                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151909 -               ..
151911 -   
151912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151914 -  ..
151915 - HR profile Concord elevation 100, 16 mile route showing average                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151916 - 118 and max 145 reflects temperature 79, some long steep hills 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151917 - grade with expected HR changes following cardiac ablation on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151918 - 0546. ref SDS 94 244I and following treatment in the ER infusing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151919 - through IV catheter high concentrate metoprolol that slowed heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151920 - from atrial flutter at HR 160, down to 60s and 70s, on 201007 2218.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151921 - ref SDS B3 X36J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151925 -  ..
151926 - EKG at mile 5 HR 111 - Kardia reported Tachychardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151930 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201030-ecg-143239_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151933 -  ..
151934 - EKG 5th beat looks out of sync, but rest looks perfect - very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151935 - consistent after pausing metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151939 -  ..
151940 - EKG at mile 12 HR 116 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151944 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201030-ecg-170056_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151947 -  ..
151948 - EKG looks perfect except little raggedy at the end, after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151949 - metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151954 -  ..
151955 - EKG 1 minute after 16-mile hike HR 119 time 1807 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151956 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151959 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201030-ecg-180745_mile_16.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151962 -  ..
151963 - EKG looks very consistent, after pausing metoprolol on 201010.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151964 - ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151998 -  ..
151999 - Breakfast - cream of wheat few bites with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152000 - Lunch - half sandwich peanut butter margarine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152001 - Dinner - broccoli steak potatoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152003 -  ..
152004 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152012 -         ..
152013 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152014 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152015 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152016 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152017 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152018 -  305.  201031 0810............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152019 -               0820....BP HR..................................................... 138  82  68  Kardia ECG reports HR normal, see below. ref SDS 0 Q4WX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152020 -               0825....BP HR..................................................... 136  78  68  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152021 -               0830....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152022 -               0830... 20 977800 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152023 -               0830... 80 214520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152024 -               0830... 05 2660 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152025 -               0830... 75 9725 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152026 -               0940... Naproxen (Aleve) 2 pill 250 mg - resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                  
152027 -               0940... Gabapentin 300MG  45500MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152028 -               0000... Oxycodone HCL Plain  5  285 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152029 -               1030....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152030 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152031 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152032 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152033 -        * cr   1035....miles...........  16.0  96.0  268  1614 minutes  temp  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152035 -               1435... Oxycodone HCL Plain  5  290 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152036 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
152037 -               1435... Gabapentin 300MG  45500 MB took with oxycodone and with food few bites sandwich rye bread margaine peanut butter jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152038 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152040 -               1640....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152041 -               1645....BP HR..................................................... 111  83 151                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152042 -               1650....BP HR..................................................... 102  85 152                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152043 -           **  1640... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again
152282 -  ..
152283 - Kardia recorded HR 67 at 0832 - Normal - after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152284 - 201010, per above. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152288 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201031-ecg-083230_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152291 -  ..
152292 - EKG 1st beat looks raggedy, all the rest seem perfect, after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152293 - metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152297 -  ..
152298 - Polar HR did GPS study for Concord elevation 100, 16-mile hike shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152299 - HR profile that rises and falls with changes in terrain elevations for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152300 - most of the hike.  At mile 13 heart flipped into atrial flutter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152301 - continuously about 158 BPM, regardless of terrain changes...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152304 -                  x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                                 Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                                                                                                                                     
152305 -       Date       201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 2008  
152306 -       Miles         16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11      8     1  
152307 -       HR AVG       119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    112    11  
152308 -         MAX        172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    132    14  
152309 -         Min         81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     86     9  
152310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152312 -              https://flow.polar.com/training/analysis/5295679983                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152315 -               ..
152317 -   
152318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152320 -  ..
152321 - HR profile Concord elevation 100, 16 mile route showing average                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152322 - 119 and max 172 reflects temperature 81, some long steep hills 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152323 - grade with expected HR changes following cardiac ablation on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152324 - 0546. ref SDS 94 244I and following treatment in the ER infusing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152325 - through IV catheter high concentrate metoprolol that slowed heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152326 - from atrial flutter at HR 160, down to 60s and 70s, on 201007 2218.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152327 - ref SDS B3 X36J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152331 -  ..
152332 - EKG at mile 5 HR 103 - Kardia reported Tachychardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152336 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201031-ecg-115717_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152339 -  ..
152340 - EKG looks consistent after pausing metoprolol on 201010. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152341 - SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152345 -  ..
152346 - EKG at mile 12 HR 108 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152350 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201031-ecg-142849_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152353 -  ..
152354 - EKG looks raggedy 1st few beats, then looks perfect, after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152355 - metoprolol on 201010. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152360 -  ..
152361 - EKG 1 minute after 16-mile hike HR 161 time 1542 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152362 - Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152365 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201031-ecg-154228_mile_16.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152368 -  ..
152369 - EKG looks very consistent at 161 BPM, indicating atrial flutter (AFL),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152370 - so on returning home, took Metoprolol Tartrate 25 mg on 201031 1640,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152371 - per above. ref SDS 0 7Z4N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152402 -  ..
152403 - Breakfast - cream of wheat few bites with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152404 - Lunch - half sandwich peanut butter margarine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152405 - Dinner - broccoli hamburger tomato avocado onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152407 -  ..
152408 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152415 -         ..
152416 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152417 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152418 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152419 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152420 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152421 -  306.  201101 0750............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152422 -               0810....BP HR..................................................... 145  85  63  Kardia ECG reports HR normal, see below. ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152423 -               0815....BP HR..................................................... 138  77  59  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152424 -               0820....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152425 -               0820... 20 977820 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152426 -               0820... 80 214680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152427 -               0820... 05 2670 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152428 -               0820... 75 9800 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152429 -               0940... Naproxen (Aleve) 2 pill 250 mg - resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                  
152430 -               0940... Gabapentin 300MG  46100MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152431 -               0000... Oxycodone HCL Plain  5  285 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152432 -               1030....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152433 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152434 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152435 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152436 -               1035....miles...........  13.0 109.0  221  1835 minutes  temp  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152438 -               0000... Oxycodone HCL Plain  5  290 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152439 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
152440 -               0000... Gabapentin 300MG  45610 MB took with oxycodone and with food few bites sandwich rye bread margaine peanut butter jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152441 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152443 -               1410....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152444 -               1415....BP HR..................................................... 134  72  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152445 -               1420....BP HR..................................................... 123  63  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152446 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again
152667 -  ..
152668 - Kardia recorded HR 60 at 0758 - Unclassified - after taking Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152669 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152670 - flutter that occurred 1500, after pausing metoprolol on 201010, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152671 - above. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152675 -               ..
152676 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201101-ecg-075800_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152679 -  ..
152680 - EKG looks perfect, after atrial flutter occurred on 201031 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152681 - taking metoprolol tartrate at 1640. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152686 -  ..
152687 - Polar HR did GPS study for Concord elevation 100, 16-mile hike shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152688 - HR profile that rises and falls with changes in terrain elevations for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152689 - most of the hike.  At mile 13 heart flipped into atrial flutter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152690 - continuously about 158 BPM, regardless of terrain changes...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152693 -                  x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                                 Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                                                                                                                              
152694 -       Date       201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 200816 2008  
152695 -       Miles         13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     11        
152696 -       HR AVG       100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    112    11  
152697 -         MAX        117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    139    13  
152698 -         Min         73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     74     8  
152699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152701 -              https://flow.polar.com/training/analysis/5299914568                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152704 -               ..
152706 -   
152707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152709 -  ..
152710 - HR profile Concord elevation 100, 13 mile route showing average                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152711 - 100 and max 117 reflects temperature 80, some long steep hills 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152712 - grade with expected HR changes following cardiac ablation on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152713 - 0546. ref SDS 94 244I and following treatment in the ER infusing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152714 - through IV catheter high concentrate metoprolol that slowed heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152715 - from atrial flutter at HR 160, down to 60s and 70s, on 201007 2218.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152716 - ref SDS B3 X36J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152720 -  ..
152721 - EKG at mile 5 HR 93 - Kardia reported Normnal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152725 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201101-ecg-113855_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152728 -  ..
152729 - EKG looks raggedy after taking metoprolol on 201031, to quiet atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152730 - flutter, then pausing again today on 201101, per above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152763 -  ..
152764 - Breakfast - eggs sausage toast with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152765 - Lunch - half sandwich peanut butter margarine jam, hamburger few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152766 - Dinner - hamburger fries - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152768 -  ..
152769 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152776 -         ..
152777 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152778 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152779 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152780 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152781 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152782 -  307.  201102 0120............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152783 -               0210....BP HR..................................................... 158  89  62  Kardia ECG reports HR normal, see below. ref SDS 0 RRVU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152784 -               0215....BP HR..................................................... 153  88  62  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152785 -               0220....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152786 -               0220... 20 977840 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152787 -               0220....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152788 -               0400... Oxycodone HCL Plain  5  295 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152789 -               0400... Gabapentin 300MG  46100MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152790 -               0800... 80 214840 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152791 -               0800... 05 2680 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152792 -               0800... 75 9875 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152793 -               0000... Naproxen (Aleve) 2 pill 250 mg - resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                  
152794 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152795 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152796 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152797 -               0415....miles...........  15.0  15.0  194   194 minutes  temp  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152799 -               0000... Oxycodone HCL Plain  5  290 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152800 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                                                              
152801 -               0000... Gabapentin 300MG  45610 MB took with oxycodone and with food few bites sandwich rye bread margaine peanut butter jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152802 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152804 -               0725....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152805 -               0730....BP HR..................................................... 129  74  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152806 -               0735....BP HR..................................................... 127  75  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152807 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again
153035 -  ..
153036 - Kardia recorded HR 61 at 0155 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153037 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153038 - flutter that occurred 1500, after pausing metoprolol on 201010, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153039 - above. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153042 -               ..
153043 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201102-ecg-015517_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153046 -  ..
153047 - EKG looks perfect, after atrial flutter occurred on 201031 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153048 - taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153049 - medication again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153053 -  ..
153054 - Polar HR did GPS study for San Francisco elevation 100, 15-mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153055 - shows HR profile that rises and falls with changes in terrain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153056 - elevations for most of the hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153059 -                  x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                                 Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                                                                                                                       
153060 -       Date       201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 200818 200817 2008  
153061 -       Miles         15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     11      7     1  
153062 -       HR AVG       102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    120    118    11  
153063 -         MAX        129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   145    149    13  
153064 -         Min         84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            71     77     7  
153065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153068 -              https://flow.polar.com/training/analysis/5299914568                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153071 -               ..
153073 -   
153074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153076 -  ..
153077 - HR profile San Francisco elevation 100, 15 mile route showing average                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153078 - 100 and max 102 reflects temperature 54, some long steep hills 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153079 - grade with expected HR changes following cardiac ablation on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153080 - 0546. ref SDS 94 244I and following treatment in the ER infusing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153081 - through IV catheter high concentrate metoprolol that slowed heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153082 - from atrial flutter at HR 160, down to 60s and 70s, on 201007 2218.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153083 - ref SDS B3 X36J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153087 -  ..
153088 - EKG 1 minute after 15-mile hike HR 98 time 0800 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153089 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153092 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201102-ecg-080018_mile_15.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153095 -  ..
153096 - EKG shows few erratic beats, the rest are consistent, after paucing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153097 - Metoprolol Tartrate 25 mg on 201031 1640, per above. ref SDS 0 7Z4N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153128 -  ..
153129 - Breakfast - eggs sausage toast with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153130 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153131 - Dinner - hamburger broccoli squash onion cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153133 -  ..
153134 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153141 -         ..
153142 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153143 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153144 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153145 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153146 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153147 -  308.  201103 0630............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153148 -               0640....BP HR..................................................... 138  77  69  Kardia ECG reports HR normal, see below. ref SDS 0 RVQW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153149 -               0645....BP HR..................................................... 144  83  68  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153150 -               0650....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153151 -               0650... 20 977860 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153152 -               0650... 80 215000 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153153 -               0650... 05 2690 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153154 -               0650... 75 9950 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153155 -               0000... Naproxen (Aleve) 2 pill 250 mg - resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                  
153156 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153157 -               0000... Oxycodone HCL Plain  5  295 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153158 -               0000... Gabapentin 300MG  46100MB                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153159 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153160 -               1100....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153161 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153162 -               1700... 40 63540 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
153163 -             1 0000............ 10 14450  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153164 -             1 0000............ 10 14040  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153165 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153166 -               2030... 40 43500 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153167 -               2100... 1000  971000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153168 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
153169 -               2200... 05 2695 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153170 -               2200... 80 215080 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153171 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153173 -  ..
153174 - ** Metoprolol Tartrate 25 MB paused today on 201101, after taking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153175 - 201031 at 1640, because heart flipped into atrial flutter 158 BPM on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153176 - 201031 at 1500, about mile 13 hiking up Campus Road with minimum 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153177 - grade.  Heart at 158 BPM going up hill and down hill and while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153178 - sitting; after taking Metoprolol Tartrate at 1649 HR dropped to 106 at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153179 - 1747; but then went up to 148 at 1753, and after Metoprolol Succinct                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153180 - paused on 201010 because past 2 days have been terrific HR profiles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153181 - (very low), so testing if taking metoprolol in hospital shocked heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153182 - into lower profile; on 201007 episode atrial flutter HR 160,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153183 - ref SDS 0 RXYU, metoprolol high concentration through IV in ER lowered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153184 - HR; Doctor Pellegrini ordered experimenting with Metoprolol pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153185 - again, which lower HDL in this case, to see if this will control HR,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153186 - rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153187 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153188 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153189 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153190 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153191 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153192 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153193 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153194 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153195 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153196 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153197 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153198 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153199 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153201 -  ..
153202 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153203 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153205 -  ..
153206 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153207 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153208 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153210 -  ..
153211 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153213 -  ..
153214 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153215 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153217 -  ..
153218 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153220 -  ..
153221 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153222 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153224 -  ..
153225 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153226 - Learned on 201103 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153227 - ref SDS 80 888O, because it lowers HDL.  Cannot take hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153228 - (Norco) from VA because it is combined with 324 mg acetaminophen which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153229 - lowers HDL 30%, shown in research on 180724 1645. ref SDS 62 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153230 - Naproxen inhibits PRP and apixaban.  Naproxen causes colitis, and it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153231 - raises blood pressure and LDL.  Can take oxycodone to manage pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153232 - during hiking from patellofemoral osteophytes and quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153233 - insertional enthesophyte, shown in xray on 190607 0810. ref SDS 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
153234 - TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with 180 cc at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153235 - 300% normal blood concentration, and supplemented 2 weeks later with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153236 - 60 cc normal blood concentration reduces inflammation, and stimulates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153237 - production of collagen that repairs knee joint spacing, so need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153238 - pain medication declines.  After several months, hiking miles degrade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153239 - knees and feet, so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153241 -  ..
153242 - Kardia recorded HR 67 at 0633 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153243 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153244 - flutter that occurred 1500, after pausing metoprolol on 201010, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153245 - above. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153248 -               ..
153249 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201103-ecg-063300_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153252 -  ..
153253 - EKG looks perfect, after atrial flutter occurred on 201031 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153254 - taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153255 - medication again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153260 -  ..
153261 - HR profile post-hike beginning 1736 until in morning OA 0600 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153262 - mostly steady heart beat 69 +/-.  Max HR 115, and minimum HR 53 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153263 - with indoor activity - sleeping; 0 spikes above 130 indicate no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153264 - flutter, after atrial flutter episode on 201031, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153265 - ref SDS 0 GZ4I, after not taking metoprolol, which is a beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153266 - that lowers HDL, beginning on 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153269 -        ..
153270 -       Date      201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 200816 200815 200814 20  
153271 -        Hours       10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10     16     15     15      
153272 -       HR AVG       69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59     65     70     72      
153273 -         MAX       115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95    126    126    119      
153274 -         Min        53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45     45     47     47      
153275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153278 -              https://flow.polar.com/training/analysis/5308808398                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153283 -   
153284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153287 -  ..
153288 - Breakfast - cream of wheat - few bites with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153289 - Lunch - half sandwich peanut butter margarine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153290 - Dinner - steak broccoli onion cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153292 -  ..
153293 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153300 -         ..
153301 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153302 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153303 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153304 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153305 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153306 -  309.  201104 0750............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153307 -               0840....BP HR..................................................... 162  93  70  Kardia ECG reports HR normal, see below. ref SDS 0 RWWU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153308 -               0845....BP HR..................................................... 151  87  69  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153309 -               0850....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153310 -               0850... 20 977880 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153311 -               0850... 80 215160 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153312 -               0850... 05 2700 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153313 -               0850... 75 10025 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153314 -               0000... Naproxen (Aleve) 2 pill 250 mg - resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                  
153315 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153316 -               1020... Oxycodone HCL Plain  5  300 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153317 -               0000... Gabapentin 300MG  46100MB paused today, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153318 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153319 -               1020....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153320 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153321 -               1100....miles...........  15.0  30.0  249   500 minutes  temp  79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153323 -               1340... Oxycodone HCL Plain  5  305 mg RX90533728 took for pain management during hike not combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153324 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153326 -               1550....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153327 -               1630....BP HR..................................................... 127  73  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153328 -               1635....BP HR..................................................... 123  76  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153329 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again
153541 -  ..
153542 - Kardia recorded HR 69 at 0751 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153543 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153544 - flutter that occurred 1500, after pausing metoprolol on 201010, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153545 - above. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153548 -               ..
153549 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201104-ecg-075154_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153552 -  ..
153553 - EKG looks perfect, after atrial flutter occurred on 201031 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153554 - taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153555 - medication again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153559 -  ..
153560 - Polar HR did GPS study for Concord elevation 100, 15-mile hike shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153561 - HR profile that rises and falls with changes in terrain elevations for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153562 - most of the hike...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153565 -                  x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                                 Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                                                                                                         
153566 -       Date       201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 200819 2008  
153567 -       Miles         15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12      0     1  
153568 -       HR AVG       118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     no    12  
153569 -         MAX        137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  report   14  
153570 -         Min         94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89            7  
153571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153574 -              https://flow.polar.com/training/analysis/5310455153                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153578 -               ..
153580 -   
153581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153583 -  ..
153584 - HR profile Concord elevation 100, 15 mile route showing average 118                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153585 - and max 137 reflects temperature 79, slow pace because feet hurt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153586 - without taking gabapentin, because learned on Monday, that it lowers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153587 - HDL and increases LDL (in mice study); some long shallow hills 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153588 - grade with expected HR changes following cardiac ablation on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153589 - 0546. ref SDS 94 244I and following treatment in the ER infusing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153590 - through IV catheter high concentrate metoprolol that slowed heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153591 - from atrial flutter at HR 160, down to 60s and 70s, on 201007 2218.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153592 - ref SDS B3 X36J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153594 -  ..
153595 - EKG at mile 5 HR 112 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153598 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201104-ecg-121426_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153601 -  ..
153602 - EKG looks consistent with significant disruptions last 33% of test and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153603 - after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153608 -  ..
153609 - EKG 1 minute after 15-mile hike HR 115 time 1543 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153610 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153613 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201104-ecg-154306_mile_15.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153616 -  ..
153617 - EKG looks very consistent, after pausing metoprolol on 201101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153618 - ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153649 -  ..
153650 - Breakfast - cream of wheat - few bites with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153651 - Lunch - half sandwich peanut butter margarine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153652 - Dinner - eggs sausage asparagus onion tomato avocado cottage cheese,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153653 - ice cream cookie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153655 -  ..
153656 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153662 -         ..
153663 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153664 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153665 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153666 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153667 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153668 -  310.  201105 0725............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153669 -               0730....BP HR..................................................... 130  74  65  Kardia ECG reports HR normal, see below. ref SDS 0 SQRP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153670 -               0735....BP HR..................................................... 128  75  62  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153671 -               0740....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153672 -               0740... 20 977900 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153673 -               0740... 80 215320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153674 -               0740... 05 2710 Apixaban blood thinner RX 7088121 for stroke - pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153675 -               0740... 75 10100 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153676 -               0000... Naproxen (Aleve) 2 pill 250 mg - resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                                                                                  
153677 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153678 -               1020... Oxycodone HCL Plain  5  305 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153679 -               0000... Gabapentin 300MG  46100MB paused today, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153680 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153681 -               1020....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153682 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153683 -               1230....miles...........  13.0  43.0  218   718 minutes  temp  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153685 -               0000... Oxycodone HCL Plain  5  305 mg RX90533728 took for pain management during hike not combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153686 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153688 -               1700....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153689 -               1720....BP HR..................................................... 115  67  83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153690 -               1725....BP HR..................................................... 115  73  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153691 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again
153903 -  ..
153904 - Kardia recorded HR 61 at 0926 - possible atrial fibrillation - after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153905 - pausing Metorpolol Tartrate on 201031 1640, per above, ref SDS 0 7Z4N,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153906 - to calm atrial flutter that occurred at 1500, after pausing metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153907 - on 201010, per above. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153910 -               ..
153911 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201105-ecg-092607_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153914 -  ..
153915 - EKG looks perfect, after atrial flutter occurred on 201031 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153916 - taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153917 - medication again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153921 -  ..
153922 - Polar HR did GPS study for Concord elevation 100, 13-mile hike shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153923 - HR profile that rises and falls with changes in terrain elevations for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153924 - most of the hike...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153927 -                  x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                                 Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                                                                                                  
153928 -       Date       201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 200821 200820 2008  
153929 -       Miles         13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     18     12        
153930 -       HR AVG       111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    111    119     n  
153931 -         MAX        126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    134    140  repo  
153932 -         Min         87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     74     89        
153933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153936 -              https://flow.polar.com/training/analysis/5313897873                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153940 -               ..
153942 -   
153943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153945 -  ..
153946 - HR profile Concord elevation 100, 13 mile route showing average 111                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153947 - and max 126 reflects temperature 81, faster pace because feet hurt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153948 - less despite pausing gabapentin, because mice study found it lowers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153949 - HDL and increases LDL, reported on 201102 1836. ref SDS B6 UB4J  Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153950 - had some long shallow hills 3% grade with expected HR changes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153951 - following cardiac ablation on 200511 0546. ref SDS 94 244I and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153952 - following treatment in the ER infusing through IV catheter high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153953 - concentrate metoprolol that slowed heart beat from atrial flutter at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153954 - HR 160, down to 60s and 70s, on 201007 2218. ref SDS B3 X36J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153957 -  ..
153958 - EKG at mile 5 HR 105 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153961 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201105-ecg-135126_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153964 -  ..
153965 - EKG looks raggedy with continual disruptions and inconsistent after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153966 - pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153971 -  ..
153972 - EKG 1 minute after 13-mile hike HR 113 time 1639 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153973 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153976 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201105-ecg-163016_mile_13.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153979 -  ..
153980 - EKG looks very consistent, after pausing metoprolol on 201101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153981 - ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154012 -  ..
154013 - Breakfast - cream of wheat - few bites with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154014 - Lunch - half sandwich peanut butter margarine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154015 - Dinner - half hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154017 -  ..
154018 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154025 -         ..
154026 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154027 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154028 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154029 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154030 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154031 -  311.  201106 0610............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154032 -               0620....BP HR..................................................... 122  66  67  Kardia ECG reports HR normal, see below. ref SDS 0 STXQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154033 -               0625....BP HR..................................................... 128  71  72  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154034 -               0630....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154035 -               0730... 20 977920 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154036 -               0730... 80 215480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154037 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154038 -               1700... 40 63660 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
154039 -               1830............ 10 14470  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154040 -               1830............ 10 14060  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154041 -               2030... 40 43620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154042 -               2100... 1000  974000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154043 -               2200... 05 2715 Apixaban blood thinner RX 7088121 for stroke - pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154044 -               2200... 80 215560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154046 -  ..
154047 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154048 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154050 -  ..
154051 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154052 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154053 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154055 -  ..
154056 - ** Pushups - 10 with feet on gurney to aid finding good vein for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154057 - setting IV to inject versed during EGD procedure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154059 -  ..
154060 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154061 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154063 -  ..
154064 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154066 -  ..
154067 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154068 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154070 -  ..
154071 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154072 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154073 - ref SDS 80 888O, because it lowers HDL. ref SDS B6 4G4N  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154074 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154075 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154076 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Naproxen causes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154077 - colitis, and it raises blood pressure and LDL.  Can take oxycodone to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154078 - manage pain during hiking from patellofemoral osteophytes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154079 - quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154080 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154081 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154082 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154083 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154084 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154085 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154086 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154089 -  ..
154090 - Kardia recorded HR 71 at 0624 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154091 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154092 - flutter that occurred at 1500, after pausing metoprolol on 201010, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154093 - above. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154096 -               ..
154097 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201106-ecg-062430_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154100 -  ..
154101 - EKG looks perfect, after atrial flutter occurred on 201031 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154102 - taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154103 - medication again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154108 -  ..
154109 - HR profile post-hike beginning 1606 until in morning OA 0020 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154110 - mostly steady heart beat 67 +/-.  Max HR 102, and minimum HR 50 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154111 - with indoor activity - sleeping; 0 spikes above 130 indicate no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154112 - flutter, after atrial flutter episode on 201031, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154113 - ref SDS 0 GZ4I, after not taking metoprolol, which is a beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154114 - that lowers HDL, beginning on 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154117 -        ..
154118 -       Date      201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 200817 20  
154119 -        Hours        8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14     10      
154120 -       HR AVG       69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68     59      
154121 -         MAX       107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139     95      
154122 -         Min        45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41     45      
154123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154126 -              https://flow.polar.com/training/analysis/5319192228                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154131 -   
154132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154135 -  ..
154136 - Breakfast - NPO no medication for EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154137 - Lunch - half hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154138 - Dinner - pasta hamburger broccoli cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
154140 -  ..
154141 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154148 -         ..
154149 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154150 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154151 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154152 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154153 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154154 -  312.  201107 0710............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154155 -               0720....BP HR..................................................... 135  79  72  Kardia ECG reports HR normal, see below. ref SDS 0 SXTS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154156 -               0725....BP HR..................................................... 125  74  67  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154157 -               0730....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154158 -               0730... 20 977940 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154159 -               0730... 80 215640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154160 -               0700... 05 2720 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154161 -               0700... 75 10175 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154162 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
154163 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154164 -               0000... Oxycodone HCL Plain  5  305 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154165 -               0000... Gabapentin 300MG  46100MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154166 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154167 -               0955....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154168 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154169 -        * cr   1000....miles...........  21.0  43.0  351  1069 minutes  temp  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154171 -               1230... Oxycodone HCL Plain  5  310 mg RX90533728 took for pain management during hike not combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154172 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154174 -               1710....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154175 -               1720....BP HR..................................................... 124  73  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154176 -               1725....BP HR..................................................... 137  77  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154177 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154178 -               1700... 40 63700 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
154179 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
154180 -             1 0000............ 10 14470  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154181 -             1 0000............ 10 14060  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154182 -               2010... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154183 -               2030... 40 43660 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154184 -               2100... 1000  975000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154185 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
154186 -               2200... 05 2725 Apixaban blood thinner RX 7088121 for stroke - pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154187 -               2200... 80 215720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154188 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154190 -  ..
154191 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154192 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154193 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
154194 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154195 - at top of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154196 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154197 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154198 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154200 -  ..
154201 - ** Metoprolol Tartrate 25 MB paused today on 201101, after taking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154202 - 201031 at 1640, because heart flipped into atrial flutter 158 BPM on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154203 - 201031 at 1500, about mile 13 hiking up Campus Road with minimum 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154204 - grade.  Heart at 158 BPM going up hill and down hill and while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154205 - sitting; after taking Metoprolol Tartrate at 1649 HR dropped to 106 at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154206 - 1747; but then went up to 148 at 1753, and after Metoprolol Succinct                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154207 - paused on 201010 because past 2 days have been terrific HR profiles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154208 - (very low), so testing if taking metoprolol in hospital shocked heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154209 - into lower profile; on 201007 episode atrial flutter HR 160,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154210 - ref SDS 0 RXYU, metoprolol high concentration through IV in ER lowered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154211 - HR; Doctor Pellegrini ordered experimenting with Metoprolol pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154212 - again, which lower HDL in this case, to see if this will control HR,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154213 - rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154214 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154215 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154216 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154217 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154218 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154219 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154220 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154221 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154222 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154223 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154224 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154225 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154226 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154228 -  ..
154229 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154230 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154232 -  ..
154233 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154234 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154235 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154237 -  ..
154238 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154240 -  ..
154241 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154242 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154244 -  ..
154245 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154247 -  ..
154248 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154249 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154251 -  ..
154252 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154253 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154254 - ref SDS 80 888O, because it lowers HDL. ref SDS B6 4G4N  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154255 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154256 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154257 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Naproxen causes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154258 - colitis, and it raises blood pressure and LDL.  Can take oxycodone to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154259 - manage pain during hiking from patellofemoral osteophytes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154260 - quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154261 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154262 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154263 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154264 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154265 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154266 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154267 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154269 -  ..
154270 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154271 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154273 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154274 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154275 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154276 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154277 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154278 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154279 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154280 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154281 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154282 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154283 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154284 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154285 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154286 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154287 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154288 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154289 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154290 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154291 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154292 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154293 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154294 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154295 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154296 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154297 -        Little Toe blister left foot.................   0        100  dressing with hydrofera blue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154298 -        Tailor's Bunion left foot.. PRP 190612.......   2         10  following treatment amonium lactate on 201104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154299 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154300 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154301 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154302 -        Metatarsalgia left foot...PRP 191009.........   3         10  last 2 miles after taking oxycodone 5 mg at mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
154303 -        Metatarsalgia right foot..PRP 191009.........   3         10  last 2 miles after taking oxycodone 5 mg at mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
154304 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154305 -        Ankle left achiles heel on 201107............   0        100  ran to make traffic light at Oak Grove, didn't notice injury at the time, but after hike could barely walk                                                                                                                                                                                                                                                                                                                                                                                                                                   
154306 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154307 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154308 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154309 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154310 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154311 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154312 -        Blister ring toe left foot...................   0        100  dressing with hydrofera blue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154313 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154314 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154315 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154316 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154317 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154318 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154319 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154320 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154322 -  ..
154323 - Body tired, less wobbly, after only 1 oxycodone at mile 12, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154324 - temperature 64, and over steep hills 5% grade.
154326 - -
154327 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154328 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154329 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154331 -  ..
154332 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154334 -  ..
154335 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154336 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154337 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154339 -  ..
154340 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154341 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154342 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154343 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154344 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154346 -  ..
154347 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154348 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154350 -  ..
154351 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154352 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154353 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154355 -  ..
154356 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154357 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154358 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154359 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154360 - ref SDS 77 SM4M  After hike on 201107, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154361 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154362 - ref SDS 0 SVPR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154364 -  ..
154365 - Concord 21 mile route - starting energy okay.  Wearing Hoka Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154366 - shoes received on 190927 1110, ref SDS 77 SM4M, that prevent feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154367 - knee injuries.  Wore 2-pair double-ply Wright socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154368 - 1344, ref SDS 79 SM4M, to prevent blisters.  Hiked from Cuneo uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154369 - to Treat.  Breathed easily through nose most of hike.  Temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154370 - reached 64.  Hiked East normal pace on Treat 1 mile to Clayton - time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154371 - to 2.25 miles 37 minutes.  Turned corner hiking South on Clayton 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154372 - miles at normal to fast pace, mostly on flat concrete sidewalk.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154373 - mile 4.5, turned West onto Ygnacio Valley Road hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154374 - sidewalk another .5 mile.  About mile 5 crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154375 - Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154376 - traffic.  At mile 6, stopped at Texaco gas station - EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154377 - 109 Tachycardia - see below. ref SDS 0 SXYW  Bought Coca Cola.  Ate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154378 - half of half sandwich peanut butter margarine and jam.  Drank half of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154379 - Coca Cola for hydration and energy.  Hiked .25 mile on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154380 - Road to Pine Hollow; turned left and hiked about 50 yards.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154381 - right onto Campus Road.  Hiked 1-mile West uphill 3% - 4% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154382 - California Sate University East Bay campus.  Energy seemed to improve.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154383 - Hiked 1-loop of about 1.5 miles through adjoining Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154384 - Parking lots.  Seemed to feel vasodilation surge of energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154385 - strength hiking up last long hill in Student parking lot.  At mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154386 - back at Visitor Parking hiked North downhill 3% grade .3 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154387 - Ygnacio Valley Road.  Turned left and hiked West .5 mile on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154388 - Valley Road flat pavement.  At mile 8 turned South and hiked 1 mile up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154389 - steep hill 5% grade on Crystal Ranch Road.  Handled this long hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154390 - well, with energy that maintained speed, and breathing easily through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154391 - nose all the way.  Hiked another mile on flat pavement through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154392 - residential area.  Hiked downhill .5 mile past Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154393 - Homeowner across the street yelled out something like:  "Hey, Young                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154394 - man, you've lost a lot of weight."  Encouraging words, since one of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154395 - the girls yelled this out yesterday, in the GI clinic, when Kathy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154396 - I were leaving after an EGD procedure.  Today, Waved and said                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154397 - "Thanks!" Hiked up another steep hill 5% grade .5 mile to the end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154398 - Crystal Ranch Road.  Breathed through mouth most of the way.  Reflects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154399 - today, is first time in over a week have hiked these steep hills,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154400 - after having an episode of atrial flutter on 201031, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154401 - ref SDS 0 GZ4I  Hiked back downhill on Crystal Ranch Road.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154402 - East on Rolling Woods Way.  Hiked up steep hill 5% grade .33 mile,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154403 - then downhill .66 miles.  Turned North onto Pine Hillow.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154404 - back to Ygnacio Valley Road.  At mile 12, stopped at Texaco Gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154405 - Station again - EKG reported HR 115 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154406 - ref SDS 0 SYQP  Continued on Ygnacio Valley Road to Pine Hollow;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154407 - turned left and hiked about 50 yards.  Turned right onto Campus Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154408 - Hiked 1-mile West uphill 3% - 4% grade to California Sate University                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154409 - East Bay campus.  Hiked 1-loop of about 1.5 miles through adjoining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154410 - Faculty and Student Parking lots; did not added sub-loops of .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154411 - Back at Visitor Parking took Campus Drive North .33 mile downhill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154412 - Ygnacio Valley Road, mile 15 in the hike.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154413 - Valley Road and hiked West .5 miles.  Adrenalin seemed to kick in,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154414 - because increased pace hiking West on Ygnacio Valley Road uphill 2%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154415 - grade past Cowell.  Crossed from South side of Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154416 - the North side in order to avoid severely sloped shoulder on South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154417 - Side.  On North side continued West uphill 3% grade over the summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154418 - past end of concrete traffic barriar.  At mile 16, crossed back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154419 - South side Ygnacio Valley Road to use wider, flatter roadway shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154420 - Hiked 1.5 miles downhill. and crossed back to North Side of the road.
154421 -  ..
154422 - Hiked another mile to Oak Grove.  At mile 18, ran 200 yards to make                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154423 - traffic light.  Strained left achilles heel.  Hiked 2 1-mile loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154424 - around safeway shopping center.  Turned left hiking North on Oak Grove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154425 - 1 mile to Treat.  Kathy drove us home for 21 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154429 -  ..
154430 - Kardia recorded HR 70 at 0729 - Unclassified - after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154431 - Metorpolol Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154432 - atrial flutter that occurred at 1500, after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154433 - 201010, per above. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154436 -               ..
154437 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201107-ecg-072915_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154440 -  ..
154441 - EKG looks okay, steady, unclear why "unclassified," after atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154442 - flutter occurred on 201031 1500, taking metoprolol tartrate at 1640,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154443 - ref SDS 0 SVXS, then pausing medication again the next day on 201101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154444 - per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154448 -  ..
154449 - Polar HR did GPS study for Concord elevation 100, 21-mile hike shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154450 - HR profile that rises and falls with changes in terrain elevations for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154451 - most of the hike; HR seems continually higher than expected in that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154452 - heart should be well conditioned, and so beat slower than occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154453 - today, particularly for drop in temperature...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154457 -                  x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                                 Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                                                                                    
154458 -       Date       201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824-200824 200823 200822 2008  
154459 -       Miles         21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     11      5     20     12     1  
154460 -       HR AVG       121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    107    106    112    107    11  
154461 -         MAX        143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    124    122    134    132    13  
154462 -         Min         84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     86     76     82     76     7  
154463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154466 -              https://flow.polar.com/training/analysis/5320761878                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154469 -               ..
154471 -   
154472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154474 -  ..
154475 - HR profile Concord elevation 100, 21-mile route showing average 121                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154476 - and max 143 seems conflicting with temperature 64, Hike had some long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154477 - hills 3% - 5% grade with expected HR changes following cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154478 - ablation on 200511 0546. ref SDS 94 244I and following treatment in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154479 - the ER infusing through IV catheter high concentrate metoprolol that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154480 - slowed heart beat from atrial flutter at HR 160, down to 60s and 70s,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154481 - on 201007 2218. ref SDS B3 X36J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154484 -  ..
154485 - EKG at mile 5 HR 109 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154488 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201107-ecg-111837_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154491 -  ..
154492 - EKG looks raggedy with continual disruptions and inconsistent after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154493 - pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154498 -  ..
154499 - EKG at mile 12 HR 115 time 1347 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154502 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201107-ecg-134700_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154505 -  ..
154506 - EKG looks mostly consistent, with 1 major disruption, after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154507 - metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154511 -  ..
154512 - EKG 1 minute after 21-mile hike HR 113 time 1630 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154513 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154516 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201107-ecg-163053_mile_21.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154519 -  ..
154520 - EKG after initial beat, looks very consistent, after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154521 - metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154527 -  ..
154528 - HR profile post-hike beginning 2206 until in morning OA 0650 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154529 - mostly steady heart beat 64 +/-.  Max HR 115, and minimum HR 44 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154530 - with indoor activity - sleeping; 0 spikes above 130 indicate no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154531 - flutter, after atrial flutter episode on 201031, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154532 - ref SDS 0 GZ4I, after not taking metoprolol, which is a beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154533 - that lowers HDL, beginning on 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154536 -        ..
154537 -       Date      201106 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 200818 20  
154538 -        Hours        8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14     14      
154539 -       HR AVG       64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72     68      
154540 -         MAX       115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172    139      
154541 -         Min        44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48     41      
154542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154545 -              https://flow.polar.com/training/analysis/5323209838                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154550 -   
154551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154554 -  ..
154555 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154556 - Lunch - half sandwich peanut butter margarine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154557 - Dinner - potato salad hamburger avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154559 -  ..
154560 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154568 -         ..
154569 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154570 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154571 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154572 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154573 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154574 -  313.  201108 0710............................................. summary vitals, ref SDS 83 MS9I                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154575 -               0720....BP HR..................................................... 133  79  58  Kardia ECG reports HR normal, see below. ref SDS 0 TPTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154576 -               0725....BP HR..................................................... 137  80  65  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154577 -               0730....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154578 -               0730... 20 977960 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154579 -               0730... 80 215800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154580 -               0700... 05 2730 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154581 -               0700... 75 10250 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154582 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
154583 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154584 -               0000... Oxycodone HCL Plain  5  305 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154585 -               0000... Gabapentin 300MG  46100MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154586 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154587 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154588 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154589 -               1700... 40 63740 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
154590 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
154591 -               1830............ 10 14480  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154592 -               1830............ 10 14070  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154593 -               1950... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154594 -               2030... 40 43700 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154595 -               2100... 1000  976000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154596 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
154597 -               2200... 05 2735 Apixaban blood thinner RX 7088121 for stroke - pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154598 -               2200... 80 215880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154599 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154601 -  ..
154602 - ** Metoprolol Tartrate 25 MB paused today on 201101, after taking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154603 - 201031 at 1640, because heart flipped into atrial flutter 158 BPM on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154604 - 201031 at 1500, about mile 13 hiking up Campus Road with minimum 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154605 - grade.  Heart at 158 BPM going up hill and down hill and while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154606 - sitting; after taking Metoprolol Tartrate at 1649 HR dropped to 106 at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154607 - 1747; but then went up to 148 at 1753, and after Metoprolol Succinct                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154608 - paused on 201010 because past 2 days have been terrific HR profiles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154609 - (very low), so testing if taking metoprolol in hospital shocked heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154610 - into lower profile; on 201007 episode atrial flutter HR 160,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154611 - ref SDS 0 RXYU, metoprolol high concentration through IV in ER lowered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154612 - HR; Doctor Pellegrini ordered experimenting with Metoprolol pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154613 - again, which lower HDL in this case, to see if this will control HR,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154614 - rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154615 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154616 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154617 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154618 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154619 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154620 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154621 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154622 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154623 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154624 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154625 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154626 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154627 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154629 -  ..
154630 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154631 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154633 -  ..
154634 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154635 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154636 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154638 -  ..
154639 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154641 -  ..
154642 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154643 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154645 -  ..
154646 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154648 -  ..
154649 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154650 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154652 -  ..
154653 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154654 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154655 - ref SDS 80 888O, because it lowers HDL. ref SDS B6 4G4N  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154656 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154657 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154658 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Naproxen causes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154659 - colitis, and it raises blood pressure and LDL.  Can take oxycodone to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154660 - manage pain during hiking from patellofemoral osteophytes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154661 - quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154662 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154663 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154664 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154665 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154666 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154667 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154668 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154670 -  ..
154671 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154672 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154673 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154674 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154675 - ref SDS 77 SM4M  After hike on 201108, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154676 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154677 - ref SDS 0 8E4G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154679 -  ..
154680 - Kardia recorded HR 56 at 0717 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154681 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154682 - flutter that occurred at 1500, after pausing metoprolol on 201010, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154683 - above. ref SDS 0 SVXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154686 -               ..
154687 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201108-ecg-071723_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154690 -  ..
154691 - EKG looks little raggedy initial beats, then steady, strong and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154692 - consistent bradycardia beat, after atrial flutter occurred on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154693 - 1500, taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154694 - medication again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154697 -  ..
154698 - HR profile post-hike beginning 1924 until in morning OA 0630 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154699 - mostly steady heart beat 66 +/-.  Max HR 97, and minimum HR 49 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154700 - with indoor activity - sleeping; 0 spikes above 130 indicate no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154701 - flutter, after atrial flutter episode on 201031, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154702 - ref SDS 0 GZ4I, after not taking metoprolol, which is a beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154703 - that lowers HDL, beginning on 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154706 -        ..
154707 -       Date      201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 200819 20  
154708 -        Hours       11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16     14      
154709 -       HR AVG       66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66     72      
154710 -         MAX        97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119    172      
154711 -         Min        49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43     48      
154712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154715 -              https://flow.polar.com/training/analysis/5326726928                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154720 -   
154721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154724 -  ..
154725 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154726 - Lunch - half hamburger few fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154727 - Dinner - pasta hamburger avocado asparagus cheese, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154729 -  ..
154730 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154737 -         ..
154738 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154739 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154740 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154741 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154742 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154743 -  314.  201109 0630............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154744 -               0640....BP HR..................................................... 131  78  70  Kardia ECG reports HR normal, see below. ref SDS 0 TTTX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154745 -               0645....BP HR..................................................... 136  74  69  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154746 -               0650....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154747 -               0650... 20 978000 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154748 -               0650... 80 215960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154749 -               0650... 05 2740 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154750 -               0650... 75 10325 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154751 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
154752 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154753 -               0000... Oxycodone HCL Plain  5  310 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154754 -               0000... Gabapentin 300MG  46100MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154755 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154756 -               0955....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154757 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154758 -               1700... 40 63780 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
154759 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
154760 -             1 0000............ 10 14480  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154761 -             1 0000............ 10 14070  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154762 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154763 -               2030... 40 43740 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154764 -               2100... 1000  977000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154765 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
154766 -               2200... 05 2745 Apixaban blood thinner RX 7088121 for stroke - pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154767 -               2200... 80 216040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154768 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154770 -  ..
154771 - ** Metoprolol Tartrate 25 MB paused today on 201101, after taking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154772 - 201031 at 1640, because heart flipped into atrial flutter 158 BPM on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154773 - 201031 at 1500, about mile 13 hiking up Campus Road with minimum 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154774 - grade.  Heart at 158 BPM going up hill and down hill and while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154775 - sitting; after taking Metoprolol Tartrate at 1649 HR dropped to 106 at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154776 - 1747; but then went up to 148 at 1753, and after Metoprolol Succinct                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154777 - paused on 201010 because past 2 days have been terrific HR profiles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154778 - (very low), so testing if taking metoprolol in hospital shocked heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154779 - into lower profile; on 201007 episode atrial flutter HR 160,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154780 - ref SDS 0 RXYU, metoprolol high concentration through IV in ER lowered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154781 - HR; Doctor Pellegrini ordered experimenting with Metoprolol pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154782 - again, which lower HDL in this case, to see if this will control HR,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154783 - rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154784 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154785 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154786 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154787 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154788 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154789 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154790 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154791 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154792 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154793 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154794 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154795 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154796 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154798 -  ..
154799 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154800 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154802 -  ..
154803 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154804 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154805 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154807 -  ..
154808 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154810 -  ..
154811 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154812 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154814 -  ..
154815 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154817 -  ..
154818 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154819 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154821 -  ..
154822 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154823 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154824 - ref SDS 80 888O, because it lowers HDL. ref SDS B6 4G4N  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154825 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154826 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154827 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Naproxen causes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154828 - colitis, and it raises blood pressure and LDL.  Can take oxycodone to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154829 - manage pain during hiking from patellofemoral osteophytes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154830 - quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154831 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154832 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154833 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154834 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154835 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154836 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154837 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154841 -  ..
154842 - Kardia recorded HR 70 at 0654 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154843 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154844 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154845 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154848 -               ..
154849 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201109-ecg-065453_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154852 -  ..
154853 - EKG looks very erratic initial beats, then steady, strong and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154854 - consistent beat, after atrial flutter occurred on 201031 1500, taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154855 - metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154856 - again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154860 -  ..
154861 - HR profile post-hike beginning 0010 until in morning OA 0720 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154862 - mostly steady heart beat 60 +/-.  Max HR 108, and minimum HR 44 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154863 - with indoor activity - sleeping; 0 spikes above 130 indicate no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154864 - flutter, after atrial flutter episode on 201031, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154865 - ref SDS 0 GZ4I, after not taking metoprolol, which is a beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154866 - that lowers HDL, beginning on 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154869 -        ..
154870 -       Date      201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 200820 20  
154871 -        Hours        7     11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12     16      
154872 -       HR AVG       60     66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70     66      
154873 -         MAX       108     97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155    119      
154874 -         Min        44     49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50     43      
154875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154878 -              https://flow.polar.com/training/analysis/5331074343                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154883 -   
154884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154887 -  ..
154888 - Breakfast - ensure with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154889 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154890 - Dinner - tuna onion tomato potato salad                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154892 -  ..
154893 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154900 -         ..
154901 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154902 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154903 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154904 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154905 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154906 -  315.  201110 0830............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154907 -               0840....BP HR..................................................... 143  80  73  Kardia ECG reports HR normal, see below. ref SDS 0 TVQW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154908 -               0845....BP HR..................................................... 139  82  72  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154909 -               0850....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154910 -               0850... 20 978020 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154911 -               0850... 80 216120 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154912 -               0850... 05 2750 Apixaban blood thinner RX 7088121 for stroke - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154913 -               0850... 75 10400 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154914 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
154915 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154916 -               0000... Oxycodone HCL Plain  5  310 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154917 -               0000... Gabapentin 300MG  46100MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154918 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154919 -               0955....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154920 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154921 -               1700... 40 63820 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
154922 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
154923 -               1830............ 10 14490  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154924 -               1830............ 10 14080  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154925 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154926 -               2030... 40 43780 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154927 -               2100... 1000  978000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154928 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
154929 -               2200... 05 2755 Apixaban blood thinner RX 7088121 for stroke - pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154930 -               2200... 80 216200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154931 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154933 -  ..
154934 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154935 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154936 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154937 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154938 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154939 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154940 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154941 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154942 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154943 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154944 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154945 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154946 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154947 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154948 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154949 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154950 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154951 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154952 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154953 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154954 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154955 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154956 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154957 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154958 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154959 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154961 -  ..
154962 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154963 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154965 -  ..
154966 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154967 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154968 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154970 -  ..
154971 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154973 -  ..
154974 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154975 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154977 -  ..
154978 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154980 -  ..
154981 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154982 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154984 -  ..
154985 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154986 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154987 - ref SDS 80 888O, because it lowers HDL. ref SDS B6 4G4N  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154988 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154989 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154990 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Naproxen causes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154991 - colitis, and it raises blood pressure and LDL.  Can take oxycodone to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154992 - manage pain during hiking from patellofemoral osteophytes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154993 - quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154994 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154995 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154996 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154997 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154998 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154999 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155000 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155003 -  ..
155004 - Kardia recorded HR 74 at 0939 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155005 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155006 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155007 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155010 -               ..
155011 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201110-ecg-093930_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155014 -  ..
155015 - EKG looks perfect, very consistent beat, after atrial flutter occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155016 - on 201031 1500, taking metoprolol tartrate at 1640, ref SDS 0 SVXS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155017 - then pausing medication again the next day on 201101, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155018 - ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155022 -  ..
155023 - HR profile post-hike beginning 0010 until in morning OA 0720 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155024 - mostly steady heart beat 65 +/-.  Max HR 158, and minimum HR 48 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155025 - with indoor activity - sleeping; 1 spike above 130 indicates possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155026 - atrial flutter or atrial fibrillation, after atrial flutter episode on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155027 - 201031, per above, ref SDS 0 GZ4I, after not taking metoprolol, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155028 - is a beta blocker that lowers HDL, beginning on 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155031 -        ..
155032 -       Date      201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 200821 20  
155033 -        Hours        7      7     11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14     12      
155034 -       HR AVG       65     60     66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70     70      
155035 -         MAX       158    108     97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127    155      
155036 -         Min        48     44     49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45     50      
155037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155040 -              https://flow.polar.com/training/analysis/5334531983                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155045 -   
155046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155049 -  ..
155050 - Breakfast - ensure with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155051 - Lunch - tuna fritos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155052 - Dinner - steak potato salad                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155054 -  ..
155055 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155062 -         ..
155063 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155064 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155065 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155066 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155067 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155068 -  316.  201111 0810............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155069 -               0820....BP HR..................................................... 136  78  73  Kardia ECG reports HR normal, see below. ref SDS 0 TWXP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155070 -               0825....BP HR..................................................... 133  81  71  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155071 -               0830....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155072 -               0830... 20 978040 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155073 -               0830... 80 216280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155074 -               0000... 05 2755 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155075 -               0000... 75 10400 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - pause pending blood test resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155076 -               1140... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
155077 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155078 -               0000... Oxycodone HCL Plain  5  310 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155079 -               0000... Gabapentin 300MG  46100MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155080 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155081 -               1140....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155082 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155083 -        * cr   1145....miles...........  23.0  23.0  383   383 minutes  temp  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155085 -               1410... Oxycodone HCL Plain  5  315 mg RX90533728 took for pain management during hike not combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155086 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155088 -               1900....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155089 -               2010....BP HR..................................................... 128  75  83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155090 -               2015....BP HR..................................................... 127  72  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155091 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155092 -               2020... 40 63860 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
155093 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
155094 -             1 0000............ 10 14490  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155095 -             1 0000............ 10 14080  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155096 -               2040... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155097 -               2050... 40 43820 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155098 -               2120... 1000  979000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155099 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155100 -               0000... 05 2755 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
155101 -               2200... 80 216360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155102 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155104 -  ..
155105 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155106 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155107 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155108 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155109 - at top of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155110 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155111 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155112 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155114 -  ..
155115 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155116 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155117 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155118 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155119 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155120 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155121 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155122 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155123 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155124 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155125 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155126 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155127 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155128 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155129 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155130 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155131 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155132 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155133 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155134 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155135 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155136 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155137 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155138 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155139 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155140 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155142 -  ..
155143 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155144 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155146 -  ..
155147 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155148 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155149 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155151 -  ..
155152 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155154 -  ..
155155 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155156 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155158 -  ..
155159 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155161 -  ..
155162 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155163 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155165 -  ..
155166 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155167 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155168 - ref SDS 80 888O, because it lowers HDL. ref SDS B6 4G4N  Cannot take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155169 - hydrocodone (Norco) from VA because it is combined with 324 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155170 - acetaminophen which lowers HDL 30%, shown in research on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155171 - ref SDS 62 EZ7G  Naproxen inhibits PRP and apixaban.  Naproxen causes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155172 - colitis, and it raises blood pressure and LDL.  Can take oxycodone to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155173 - manage pain during hiking from patellofemoral osteophytes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155174 - quadriceps insertional enthesophyte, shown in xray on 190607 0810.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155175 - ref SDS 74 TB5V  PRP on 190925 1330, ref SDS 76 0001, performed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155176 - 180 cc at 300% normal blood concentration, and supplemented 2 weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155177 - later with 60 cc normal blood concentration reduces inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155178 - stimulates production of collagen that repairs knee joint spacing, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155179 - need for pain medication declines.  After several months, hiking miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155180 - degrade knees and feet, so pain rises; then need another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155181 - treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155183 -  ..
155184 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155185 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155187 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155188 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155189 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155190 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155191 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155192 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155193 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155194 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155195 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155196 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155197 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155198 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155199 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155200 -        Knee left meniscus...PRP 191009..............   1         20  very mild pain various times with naproxen and oxycodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155201 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155202 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155203 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155204 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155205 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155206 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155207 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155208 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155209 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155210 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155211 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155212 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155213 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155214 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155215 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155216 -        Metatarsalgia left foot...PRP 191009.........   1         10  last 2 miles after taking oxycodone 5 mg at mile 12 with naproxen and oxycodone                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155217 -        Metatarsalgia right foot..PRP 191009.........   1         10  last 2 miles after taking oxycodone 5 mg at mile 12 with naproxen and oxycodone                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155218 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155219 -        Ankle left achiles heel on 201107............   0        100  seems healed today, no limits on hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155220 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155221 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155222 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155223 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155224 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155225 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155226 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155227 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155228 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155229 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155230 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155231 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155232 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155233 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155234 -        Wobbly disoriented staggering dizzy..........   1         10  last 3 miles likely from oxycodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155236 -  ..
155237 - Today, body felt very good throuout most of hike, better than during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155238 - recent hikes this year; after hike body okay, less wobbly, after only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155239 - 1 oxycodone at mile 12, with temperature 57, and over steep hills 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155240 - grade.
155242 - -
155243 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155244 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155245 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155247 -  ..
155248 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155250 -  ..
155251 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155252 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155253 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155255 -  ..
155256 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155257 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155258 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155259 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155260 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155262 -  ..
155263 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155264 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155266 -  ..
155267 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155268 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155269 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155271 -  ..
155272 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155273 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155274 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155275 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155276 - ref SDS 77 SM4M  After hike on 201111, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155277 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155278 - ref SDS 0 IR4F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155280 -  ..
155281 - Concord 23 mile route - starting energy okay.  Had to take naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155282 - even though it raises blood pressure and LDL, because left knee and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155283 - feet reach intollerable pain without PRP due to repetitive stress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155284 - During the hike, while descending the upper hill on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155285 - Road, called Doctor Tucker's office and requested care.  Wearing Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155286 - Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M, that prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155287 - feet and knee injuries.  Wore 2-pair double-ply Wright socks received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155288 - on 191010 1344, ref SDS 79 SM4M, to prevent blisters.  Hiked from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155289 - Cuneo uphill to Treat.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155290 - Temperature reached 64.  Hiked East faster pace on Treat 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155291 - Clayton - time to 1.25 miles 19 minutes.  Turned corner hiking South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155292 - on Clayton 2 miles at normal to fast pace, mostly on flat concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155293 - sidewalk.  At mile 3.5, turned West onto Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155294 - concrete sidewalk another .5 mile.  About mile 4 crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155295 - Ygnacio Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155296 - traffic.  At mile 5, stopped at Texaco gas station - EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155297 - 107 Tachycardia - see below. ref SDS 0 TXST  Bought Coca Cola.  Ate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155298 - half of half sandwich peanut butter margarine and jam.  Drank half of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155299 - Coca Cola for hydration and energy.  Hiked .25 mile on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155300 - Road to Pine Hollow; turned left and hiked about 50 yards.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155301 - right onto Campus Road.  Hiked 1-mile West uphill 3% - 4% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155302 - California Sate University East Bay campus.  Energy seemed to improve.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155303 - Hiked 1-loop of about 1.5 miles through adjoining Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155304 - Parking lots.  Seemed to feel vasodilation surge of energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155305 - strength hiking up last long hill in Student parking lot.  At mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155306 - back at Visitor Parking hiked North downhill 3% grade .3 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155307 - Ygnacio Valley Road.  Turned left and hiked West .5 mile on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155308 - Valley Road flat pavement.  At mile 8 turned South and hiked 1 mile up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155309 - steep hill 5% grade on Crystal Ranch Road.  Handled this long hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155310 - well, with energy that maintained speed, and breathing easily through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155311 - nose all the way.  Hiked another mile on flat pavement through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155312 - residential area.  Hiked downhill .5 mile past Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155313 - Hiked up another steep hill 5% grade .5 mile to the end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155314 - Ranch Road.  Breathed through nose all the way - surprised how easy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155315 - this part of the hike was.  Hiked back downhill on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155316 - On the way down, called Doctor Tucker's office and requested PRP care,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155317 - reported in another record today, on ___________.  Turned East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155318 - Rolling Woods Way.  Hiked up steep hill 5% grade .33 mile, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155319 - downhill .66 miles.  Encountered Ted and his wife Caroline; she                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155320 - noticed we were all wearing Hoka shoes.  He has knee problem.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155321 - Suggested considering PRP, and mentioned Doctor Tucker in Novato.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155322 - Turned North onto Pine Hillow.  Hiked 1 mile back to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155323 - Road.  At mile 12, stopped at Texaco Gas Station again - EKG reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155324 - HR 111 Tachycardia - see below. ref SDS 0 TXTX  Bought another Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155325 - Cola - drank half to take oxycodone 5 mg pill.  Ate 2nd half of half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155326 - sandwitch with pain medication pill.  Continued on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155327 - to Pine Hollow; turned left and hiked about 50 yards.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155328 - onto Campus Road.  Hiked 1-mile West uphill 3% - 4% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155329 - California Sate University East Bay campus.  Hiked 1-loop of about 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155330 - miles through adjoining Faculty and Student Parking lots; did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155331 - added sub-loops of .5 mile.  Back at Visitor Parking took Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155332 - North .33 mile downhill to Ygnacio Valley Road, mile 15 in the hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155333 - Turned left onto Ygnacio Valley Road and hiked West .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155334 - Adrenalin seemed to kick in, because increased pace hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155335 - Ygnacio Valley Road uphill 2% grade past Cowell.  Crossed from South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155336 - side of Ygnacio Valley Road to the North side in order to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155337 - severely sloped shoulder on South Side.  On North side continued West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155338 - uphill 3% grade over the summit past end of concrete traffic barriar.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155339 - Feeling very good - strong and no pain issues.  At mile 16, crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155340 - back to South side Ygnacio Valley Road to use wider, flatter roadway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155341 - shoulder.  Hiked 1.5 miles downhill. and crossed back to North Side of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155342 - the road.  Hiked another mile to Oak Grove.  Hiked 2 1-mile loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155343 - around safeway shopping center.  Turned left hiking North on Oak Grove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155344 - 1 mile to Treat.  Turned right and hiked 2 miles to San Miguel on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155345 - concrete sidewalk.  Feet hurt on this part of hike.  Hiked uphill 4%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155346 - grade .75 mile and then home for 23 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155350 -  ..
155351 - Kardia recorded HR 61 at 0830 - Unclassified - after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155352 - Metorpolol Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155353 - atrial flutter that occurred at 1500, after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155354 - 201101, per above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155357 -               ..
155358 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201111-ecg-083053_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155361 -  ..
155362 - EKG seems perfect, very consistent beat with only 1 slightly ragged,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155363 - so unclear why this is "Unclassified", since it looks more normal than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155364 - other charts that look very erratic, but are classified "Normal,"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155365 - after atrial flutter occurred on 201031 1500, taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155366 - tartrate at 1640, ref SDS 0 SVXS, then pausing medication again the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155367 - next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155371 -  ..
155372 - Polar HR did GPS study for Concord elevation 100, 23-mile hike shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155373 - HR profile that rises and falls with changes in terrain elevations for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155374 - most of the hike; HR seems continually higher than expected in that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155375 - heart should be well conditioned, and so beat slower than occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155376 - today, particularly for drop in temperature...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155380 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                                 Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                                                        
155381 -       Date       201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 2008  
155382 -       Miles         23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     19     1  
155383 -       HR AVG       119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    110    10  
155384 -         MAX        140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    131    12  
155385 -         Min         82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     77     8  
155386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155389 -              https://flow.polar.com/training/analysis/5336211393                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155392 -               ..
155394 -   
155395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155397 -  ..
155398 - HR profile Concord elevation 100, 23-mile route showing average 119                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155399 - BPM and max 140, seems conflicting with temperature 64.  Hike had some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155400 - long hills 3% - 5% grade with expected HR changes following cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155401 - ablation on 200511 0546. ref SDS 94 244I and following treatment in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155402 - the ER infusing through IV catheter high concentrate metoprolol that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155403 - slowed heart beat from atrial flutter at HR 160, down to 60s and 70s,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155404 - on 201007 2218. ref SDS B3 X36J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155407 -  ..
155408 - EKG at mile 5 HR 107 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155411 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201111-ecg-130400_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155414 -  ..
155415 - EKG looks initially raggedy, then consistent, after pausing metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155416 - on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155421 -  ..
155422 - EKG at mile 12 HR 111 time 1534 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155425 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201111-ecg-153417_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155428 -  ..
155429 - EKG looks perfect, very consistent, after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155430 - 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155434 -  ..
155435 - EKG 1 minute after 23-mile hike HR 109 time 1854 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155436 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155439 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201111-ecg-185414_mile_23.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155442 -  ..
155443 - EKG after initial beats looks very consistent, after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155444 - metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155450 -  ..
155451 - HR profile post-hike beginning 2253 until in morning OA 0730 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155452 - mostly steady heart beat 62 +/-.  Max HR 112, and minimum HR 47 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155453 - with indoor activity - sleeping; 0 spikes above 130 indicate no atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155454 - flutter, after atrial flutter episode on 201031, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155455 - ref SDS 0 GZ4I, after not taking metoprolol, which is a beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155456 - that lowers HDL, beginning on 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155459 -        ..
155460 -       Date      201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 200823 200822 20  
155461 -        Hours        9      7      7     11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15     16     14      
155462 -       HR AVG       62     65     60     66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66     66     70      
155463 -         MAX       112    158    108     97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129    109    127      
155464 -         Min        47     48     44     49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41     50     45      
155465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155468 -              https://flow.polar.com/training/analysis/5338093708                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155473 -   
155474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155477 -  ..
155478 - Breakfast - cream of wheat with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155479 - Lunch - half sandwich peanut butter margarine jam during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155480 - Dinner - lettuce onion tuna avocado onion broccoli tomato pasta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155482 -  ..
155483 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155490 -         ..
155491 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155492 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155493 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155494 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155495 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155496 -  317.  201112 0820............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155497 -               0830....BP HR..................................................... 144  81  66  Kardia ECG reports HR normal, see below. ref SDS 0 TYTX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155498 -               0835....BP HR..................................................... 140  82  63  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155499 -               0840....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155500 -               0840... 20 978060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155501 -               0840... 80 216440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155502 -               0000... 05 2755 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155503 -               0000... 75 10400 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - pause pending blood test resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155504 -               1040... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
155505 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155506 -               0000... Oxycodone HCL Plain  5  310 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155507 -               0000... Gabapentin 300MG  46100MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155508 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155509 -               1040....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155510 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155511 -               1105....miles...........  16.0  38.0  269   652 minutes  temp  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155513 -               0000... Oxycodone HCL Plain  5  315 mg RX90533728 took for pain management during hike not combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155514 -               0950... Naproxen (Aleve) 2 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
155515 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155517 -               1550....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155518 -               1610....BP HR..................................................... 132  74 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155519 -               1615....BP HR..................................................... 116  76  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155520 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155521 -               1700... 40 63880 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
155522 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
155523 -               1830............ 10 14500  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155524 -               1830............ 10 14090  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155525 -               2040... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155526 -               2050... 40 43860 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155527 -               2120... 1000  980000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155528 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155529 -               0000... 05 2755 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
155530 -               2200... 80 216520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155531 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155533 -  ..
155534 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155535 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155536 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155537 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155538 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155539 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155540 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155541 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155542 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155543 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155544 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155545 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155546 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155547 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155548 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155549 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155550 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155551 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155552 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155553 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155554 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155555 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155556 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155557 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155558 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155559 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155561 -  ..
155562 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155563 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155565 -  ..
155566 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155567 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155568 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155570 -  ..
155571 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155573 -  ..
155574 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155575 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155577 -  ..
155578 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155580 -  ..
155581 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155582 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155584 -  ..
155585 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155586 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155587 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155588 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155589 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155590 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155591 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155592 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155593 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155594 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155595 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155596 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155597 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155598 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155599 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155600 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155602 -  ..
155603 - Today, in order to hike and to avoid oxycodone (opioids), took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155604 - naproxen to start hike, and skipped Crystal Ranch Road hills, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155605 - feet already hurting.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155607 -  ..
155608 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155609 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155611 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155612 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155613 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155614 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155615 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155616 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155617 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155618 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155619 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155620 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155621 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155622 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155623 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155624 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155625 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155626 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155627 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155628 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155629 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155630 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155631 -        Hamstring left leg...........................   1          8  began hurting about mile 15 after coming up hill at San Miguel on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155632 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155633 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155634 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155635 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155636 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155637 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155638 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155639 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155640 -        Metatarsalgia left foot...PRP 191009.........   1         10  last 2 miles after taking naproxen at mile 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155641 -        Metatarsalgia right foot..PRP 191009.........   1         10  last 2 miles after taking naproxen at mile 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155642 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155643 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155644 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155645 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155646 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155647 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155648 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155649 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155650 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155651 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155652 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155653 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155654 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155655 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155656 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155657 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155658 -        Wobbly disoriented staggering dizzy..........   1         10  last 2 miles likely from fatigue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155660 -  ..
155661 - Today, body had less energy throuout hike than yesterday, so did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155662 - do Crystal Ranch loop; after hike more noticably tired and little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155663 - wobbly taking only 2 naproxen starting the hike, and no pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155664 - medication during the hike.
155666 - -
155667 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155668 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155669 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155671 -  ..
155672 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155674 -  ..
155675 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155676 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155677 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155679 -  ..
155680 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155681 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155682 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155683 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155684 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155686 -  ..
155687 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155688 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155690 -  ..
155691 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155692 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155693 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155695 -  ..
155696 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155697 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155698 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155699 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155700 - ref SDS 77 SM4M  After hike on 201112, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155701 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155702 - ref SDS 0 XB4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155704 -  ..
155705 - Concord 16 mile route - starting energy okay.  Had to take naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155706 - even though it raises blood pressure and LDL, because left knee and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155707 - feet reach intollerable pain without PRP due to repetitive stress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155708 - Wearing Hoka Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155709 - that prevent feet and knee injuries.  Wore 2-pair double-ply Wright                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155710 - socks received on 191010 1344, ref SDS 79 SM4M, to prevent blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155711 - Hiked from Cuneo uphill to Treat.  Breathed easily through nose entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155712 - hike.  Temperature reached 62.  Hiked East faster pace on Treat 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155713 - to Clayton - time to 1.25 miles 19 minutes.  Turned corner hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155714 - South on Clayton 2 miles at normal to fast pace, mostly on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155715 - concrete sidewalk.  At mile 3.5, turned West onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155716 - hiking on concrete sidewalk another .5 mile.  About mile 4 crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155717 - South side Ygnacio Valley Road hiking West on asphalt shoulder aganist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155718 - East bound traffic.  At mile 5, stopped at Texaco gas station - EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155719 - reported HR 99 Normal - see below. ref SDS 0 UPPT  Bought Coca Cola                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155720 - and banana; Ate half of half sandwich peanut butter margarine and jam.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155721 - Drank half of Coca Cola for hydration and energy.  Hiked .25 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155722 - Ygnacio Valley Road to Pine Hollow; turned left and hiked about 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155723 - yards.  Turned right onto Campus Road.  Hiked 1-mile West uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155724 - 4% grade to California Sate University East Bay campus.  Energy seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155725 - to improve.  Hiked 1-loop of about 1.5 miles through adjoining Faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155726 - and Student Parking lots.  Seemed to feel vasodilation surge of energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155727 - and strength hiking up last long hill in Student parking lot.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155728 - 7 back at Visitor Parking hiked North downhill 3% grade .3 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155729 - Ygnacio Valley Road.  Turned left and hiked West .5 mile on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155730 - Valley Road flat pavement.  At mile 8, did not turn South and hike 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155731 - mile up steep hill 5% grade on Crystal Ranch Road.  Felt tired, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155732 - feet already beginning to hurt, so skipped this 8-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155733 - Continued West on Ygnacio Valley Road uphill 2% grade past Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155734 - Crossed from South side of Ygnacio Valley Road to the North side in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155735 - order to avoid severely sloped shoulder on South Side.  On North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155736 - continued West uphill 3% grade over the summit past end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155737 - traffic barriar.  At mile 9, crossed back to South side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155738 - Road to use wider, flatter roadway shoulder.  Hiked 1.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155739 - downhill. and crossed back to North Side of the road.  Hiked another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155740 - mile to Oak Grove.  Hiked 2 1-mile loops around safeway shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155741 - center.  Turned left hiking North on Oak Grove 1 mile to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155742 - Turned right and hiked 2 miles to San Miguel on flat concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155743 - sidewalk.  Feet hurt on this part of hike.  Hiked uphill 4% grade .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155744 - miles and then home for 16 miles.  EKG looks good. ref SDS 0 UPSQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155748 -  ..
155749 - Kardia recorded HR 67 at 0922 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155750 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155751 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155752 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155755 -               ..
155756 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201112-ecg-092226_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155759 -  ..
155760 - EKG seems perfect, very consistent beat, after atrial flutter occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155761 - on 201031 1500, taking metoprolol tartrate at 1640, ref SDS 0 SVXS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155762 - then pausing medication again the next day on 201101, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155763 - ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155767 -  ..
155768 - Polar HR did GPS study for Concord elevation 100, 16-mile hike shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155769 - HR profile that rises and falls with changes in terrain elevations for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155770 - most of the hike; HR seems to drop today in expected range for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155771 - recovering from 2 ablation procedures...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155775 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                                 Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                                                 
155776 -       Date       201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 2008  
155777 -       Miles         16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     11     13     1  
155778 -       HR AVG       113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    116    103    11  
155779 -         MAX        130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    130    131    13  
155780 -         Min         77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    102     79     7  
155781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155784 -              https://flow.polar.com/training/analysis/5339465663                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155787 -               ..
155788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155791 -  ..
155792 - HR profile Concord elevation 100, 16-mile route showing average 113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155793 - and max 130, aligns with temperature 62, Hike had some long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155794 - hills 3% - 5% grade with expected HR changes following cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155795 - ablation on 200511 0546. ref SDS 94 244I and following treatment in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155796 - the ER infusing through IV catheter high concentrate metoprolol that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155797 - slowed heart beat from atrial flutter at HR 160, down to 60s and 70s,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155798 - on 201007 2218. ref SDS B3 X36J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155801 -  ..
155802 - EKG at mile 5 HR 99 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155805 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201112-ecg-122059_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155808 -  ..
155809 - EKG looks initially raggedy, then consistent, after pausing metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155810 - on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155815 -  ..
155816 - EKG 1 minute after 16-mile hike HR 110 time 1536 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155817 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155820 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201112-ecg-153620_mile_16.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155823 -  ..
155824 - EKG looks very consistent with 1 out of sync beat, after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155825 - metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155858 -  ..
155859 - Breakfast - cream of wheat with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155860 - Lunch - half sandwich peanut butter margarine jam during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155861 - Dinner - lettuce onion tuna avocado onion broccoli tomato pasta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155863 -  ..
155864 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155871 -         ..
155872 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155873 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155874 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155875 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155876 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155877 -  318.  201113 0730............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155878 -               0810....BP HR..................................................... 129  76  68  Kardia ECG reports HR normal, see below. ref SDS 0 USRQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155879 -               0815....BP HR..................................................... 132  78  68  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155880 -               0820....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155881 -               0820... 20 978080 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155882 -               0820... 80 216600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155883 -               0000... 05 2755 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155884 -               0000... 75 10400 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155885 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
155886 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155887 -               0000... Oxycodone HCL Plain  5  310 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155888 -               0000... Gabapentin 300MG  46100MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155889 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155890 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155891 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155892 -               1700... 40 63720 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
155893 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
155894 -             1 0000............ 10 14500  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155895 -             1 0000............ 10 14090  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155896 -               2040... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155897 -               2050... 40 43900 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155898 -               2120... 1000  981000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155899 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155900 -               0000... 05 2755 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
155901 -               2200... 80 216680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155902 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155904 -  ..
155905 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155906 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155907 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155908 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155909 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155910 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155911 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155912 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155913 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155914 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155915 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155916 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155917 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155918 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155919 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155920 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155921 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155922 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155923 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155924 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155925 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155926 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155927 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155928 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155929 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155930 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155932 -  ..
155933 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155934 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155936 -  ..
155937 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155938 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155939 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155941 -  ..
155942 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155944 -  ..
155945 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155946 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155948 -  ..
155949 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155951 -  ..
155952 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155953 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155955 -  ..
155956 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155957 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155958 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155959 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155960 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155961 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155962 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155963 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155964 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155965 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155966 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155967 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155968 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155969 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155970 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155971 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155974 -  ..
155975 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155976 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155977 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155978 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155979 - ref SDS 77 SM4M  Today, on 201113, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155980 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155981 - ref SDS 0 R29I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155984 -  ..
155985 - Kardia recorded HR 64 at 0907 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155986 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155987 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155988 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155991 -               ..
155992 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201113-ecg-090716_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155995 -  ..
155996 - EKG seems perfect, very consistent beat, after atrial flutter occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155997 - on 201031 1500, taking metoprolol tartrate at 1640, ref SDS 0 SVXS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155998 - then pausing medication again the next day on 201101, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155999 - ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156004 -  ..
156005 - HR profile post-hike beginning 2105 until in morning OA 0710 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156006 - mostly steady heart beat 65 +/-.  Max HR 109, and minimum HR 54 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156007 - with indoor activity - sleeping; 0 spikes above 130 indicates no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156008 - atrial flutter, after atrial flutter episode on 201031, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156009 - ref SDS 0 GZ4I, after not taking metoprolol, which is a beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156010 - that lowers HDL, beginning on 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156013 -        ..
156014 -       Date      201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 200826 200825 200824 20  
156015 -        Hours       10      9      9      7      7     11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13     13     13     15      
156016 -       HR AVG       65     62     62     65     60     66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72     66     66     66      
156017 -         MAX       109    145    112    158    108     97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144    144    144    129      
156018 -         Min        54     41     47     48     44     49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38     34     34     41      
156019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156022 -              https://flow.polar.com/training/analysis/5344915573                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156027 -   
156028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156031 -  ..
156032 - Breakfast - eggs toast with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156033 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156034 - Dinner - macaroni cheese asparagus onion, potato chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156036 -  ..
156037 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156044 -         ..
156045 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156046 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156047 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156048 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156049 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156050 -  319.  201114 0740............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156051 -               0740....BP HR..................................................... 136  78  69  Kardia ECG reports HR normal, see below. ref SDS 0 UWRP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156052 -               0745....BP HR..................................................... 123  73  67  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156053 -               0750....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156054 -               0750... 20 978100 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156055 -               0750... 80 216760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156056 -               0000... 05 2755 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156057 -               0000... 75 10400 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156058 -               1040... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
156059 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156060 -               0000... Oxycodone HCL Plain  5  310 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156061 -               0000... Gabapentin 300MG  46100MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156062 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156063 -               1040....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156064 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156065 -        * cr   1030....miles...........  22.0  61.0  372  1024 minutes  temp  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156067 -               1200... Oxycodone HCL Plain  5  325 mg RX90533728 took for pain management during hike not combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156068 -               0950... Naproxen (Aleve) 2 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
156069 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156071 -               1800....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156072 -               1810....BP HR..................................................... 115  71  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156073 -               1815....BP HR..................................................... 114  68  83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156074 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156075 -               1700... 40 63760 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
156076 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
156077 -               1830............ 10 14510  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156078 -               1830............ 10 14100  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156079 -               2040... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156080 -               2050... 40 43940 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156081 -               2120... 1000  982000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156082 -               0000....Tramadol 50 2050 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
156083 -               0000... 05 2755 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
156084 -               2200... 80 216840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156085 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156087 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156088 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156089 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
156090 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156091 - at top of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156092 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156093 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156094 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156096 -  ..
156097 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156098 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156099 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156100 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156101 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156102 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156103 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156104 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156105 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156106 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156107 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156108 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156109 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156110 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156111 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156112 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156113 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156114 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156115 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156116 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156117 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156118 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156119 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156120 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156121 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156122 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156124 -  ..
156125 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156126 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156128 -  ..
156129 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156130 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156131 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156133 -  ..
156134 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156136 -  ..
156137 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156138 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156140 -  ..
156141 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156143 -  ..
156144 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156145 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156147 -  ..
156148 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156149 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156150 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
156151 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156152 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156153 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156154 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156155 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156156 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156157 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156158 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
156159 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156160 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156161 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156162 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156163 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156165 -  ..
156166 - Today, in order to hike and to avoid oxycodone (opioids), took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156167 - naproxen to start hike, and skipped Crystal Ranch Road hills, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156168 - feet already hurting.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156170 -  ..
156171 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156172 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156174 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156175 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156176 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156177 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156178 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156179 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156180 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156181 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156182 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156183 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156184 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156185 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156186 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156187 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156188 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156189 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156190 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156191 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156192 -        Knee right..PRP 190816.......................   1          3  not sure where this occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156193 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156194 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156195 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156196 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156197 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156198 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156199 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156200 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156201 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156202 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156203 -        Metatarsalgia left foot...PRP 191009.........   1         10  last 2 miles after taking oxycodone at mile 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156204 -        Metatarsalgia right foot..PRP 191009.........   1         10  last 2 miles after taking oxycodone at mile 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156205 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156206 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156207 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156208 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156209 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156210 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156211 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156212 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156213 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156214 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156215 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156216 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156217 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156218 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156219 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156220 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156221 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156223 -  ..
156224 - Today, body had good energy throuout hike until last 3 miles; did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156225 - Crystal Ranch loop well.  After hike normal fatigue, not wobbly nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156226 - disoriented taking only 2 naproxen starting the hike, and oxycodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156227 - at mile 5, which was intended for mile 12, i.e., it was a mistake.
156229 - -
156230 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156231 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156232 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156234 -  ..
156235 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156237 -  ..
156238 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156239 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156240 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156242 -  ..
156243 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156244 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156245 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156246 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156247 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156249 -  ..
156250 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156251 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156253 -  ..
156254 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156255 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156256 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156258 -  ..
156259 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156260 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156261 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156262 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156263 - ref SDS 77 SM4M  After hike on 201114, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156264 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156265 - ref SDS 0 4P9H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156267 -  ..
156268 - Concord 22 mile route - starting energy low.  Had to take naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156269 - even though it raises blood pressure and LDL, because left knee and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156270 - feet reach intollerable pain without PRP due to repetitive stress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156271 - Wearing Hoka Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156272 - that prevent feet and knee injuries.  Wore 2-pair double-ply Wright                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156273 - socks received on 191010 1344, ref SDS 79 SM4M, to prevent blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156274 - Hiked from Cuneo uphill to Treat.  Breathed easily through nose entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156275 - hike.  Temperature reached 64.  Hiked East slower pace on Treat 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156276 - to Clayton - time to 1.25 miles 21 minutes.  Turned corner hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156277 - South on Clayton 2 miles at normal pace, mostly on flat concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156278 - sidewalk.  At mile 3.5, turned West onto Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156279 - concrete sidewalk another .5 mile.  About mile 4 crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156280 - Ygnacio Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156281 - traffic.  At mile 5, stopped at Texaco gas station - EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156282 - 99 Unclassified - see below. ref SDS 0 UWWT  Bought Coca Cola and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156283 - banana; Ate half of half sandwich peanut butter margarine and jam.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156284 - Ate half banana.  Drank half of Coca Cola for hydration and energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156285 - Took oxycodone 5 mg pill - mistake, intended to take this on 2nd loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156286 - at mile 12.  Hiked .25 mile on Ygnacio Valley Road to Pine Hollow;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156287 - turned left and hiked about 50 yards.  Turned right onto Campus Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156288 - Hiked 1-mile West uphill 3% - 4% grade to California Sate University                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156289 - East Bay campus.  Energy seemed to improve.  Hiked 1-loop of about 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156290 - miles through adjoining Faculty and Student Parking lots.  Seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156291 - feel vasodilation surge of energy and strength hiking up last long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156292 - hill in Student parking lot.  At mile 7 back at Visitor Parking hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156293 - North downhill 3% grade .3 mile to Ygnacio Valley Road.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156294 - and hiked West .5 mile on Ygnacio Valley Road flat pavement.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156295 - 8, turned South and hiked 1 mile up steep hill 5% grade on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156296 - Ranch Road.  Handled this long hill well, with energy that maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156297 - speed, and breathing easily through nose all the way.  Hiked another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156298 - mile on flat pavement through residential area.  Hiked downhill .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156299 - mile past Rolling Woods Way.  Hiked up another steep hill 5% grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156300 - mile to the end of Crystal Ranch Road.  Breathed through nose all the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156301 - way.  Hiked back downhill on Crystal Ranch Road.  Turned East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156302 - Rolling Woods Way.  Hiked up steep hill 5% grade .33 mile, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156303 - downhill .66 miles.  Turned North onto Pine Hillow.  Hiked 1 mile back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156304 - to Ygnacio Valley Road.  At mile 12, stopped at Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156305 - again - EKG reported HR 103 Tachycardia - see below. ref SDS 0 GZ3M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156306 - Ate 2nd half of half sandwitch and other half of banana.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156307 - Ygnacio Valley Road to Pine Hollow; turned left and hiked about 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156308 - yards.  Turned right onto Campus Road.  Hiked 1-mile West uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156309 - 4% grade to California Sate University East Bay campus.  Hiked 1-loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156310 - of about 1.5 miles through adjoining Faculty and Student Parking lots;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156311 - did not added sub-loops of .5 mile.  Back at Visitor Parking took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156312 - Campus Drive North .33 mile downhill to Ygnacio Valley Road, mile 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156313 - in the hike.  Turned left onto Ygnacio Valley Road and hiked West .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156314 - miles.  Adrenalin seemed to kick in, because increased pace hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156315 - West on Ygnacio Valley Road uphill 2% grade past Cowell.  Crossed from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156316 - South side of Ygnacio Valley Road to the North side in order to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156317 - severely sloped shoulder on South Side.  On North side continued West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156318 - uphill 3% grade over the summit past end of concrete traffic barriar.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156319 - Feeling very good - strong and no pain issues.  At mile 16, crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156320 - back to South side Ygnacio Valley Road to use wider, flatter roadway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156321 - shoulder.  Hiked 1.5 miles downhill. and crossed back to North Side of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156322 - the road.  Hiked another mile to Oak Grove.  Hiked 2 1-mile loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156323 - around safeway shopping center.  Turned left hiking North on Oak Grove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156324 - 1 mile to Treat for 22 miles.  EKG at 1714 showed HR 107 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156325 - Tachycardia. ref SDS 0 UWXX  Kathy drove us home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156329 -  ..
156330 - Kardia recorded HR 69 at 0752 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156331 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156332 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156333 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156336 -               ..
156337 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201114-ecg-075244_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156340 -  ..
156341 - EKG several beats erratic, then seem perfect, after atrial flutter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156342 - occurred on 201031 1500, taking metoprolol tartrate at 1640,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156343 - ref SDS 0 SVXS, then pausing medication again the next day on 201101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156344 - per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156348 -  ..
156349 - Polar HR did GPS study for Concord elevation 100, 22-mile hike shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156350 - HR profile that rises and falls with changes in terrain elevations for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156351 - most of the hike; HR seems in expected range for recovering from 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156352 - ablation procedures...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156356 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                                 Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                                   
156357 -       Date       201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 2008  
156358 -       Miles         22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     17     1  
156359 -       HR AVG       114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    115    11  
156360 -         MAX        152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    138    13  
156361 -         Min         80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     73    10  
156362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156365 -              https://flow.polar.com/training/analysis/5346359278                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156368 -               ..
156370 -   
156371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156373 -  ..
156374 - HR profile Concord elevation 100, 22-mile route showing average 114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156375 - and max 152 (running to make traffic light), aligns with temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156376 - 64, Hike had some long hills 3% - 5% grade with expected HR changes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156377 - following cardiac ablation on 200511 0546. ref SDS 94 244I and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156378 - following treatment in the ER infusing through IV catheter high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156379 - concentrate metoprolol that slowed heart beat from atrial flutter at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156380 - HR 160, down to 60s and 70s, on 201007 2218. ref SDS B3 X36J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156383 -  ..
156384 - EKG at mile 5 HR 99 - Kardia reported Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156387 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201114-ecg-115225_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156390 -  ..
156391 - EKG looks initially very good - consistent, but last 30% looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156392 - disoriented, after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156396 -  ..
156397 - EKG at mile 12 HR 103 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156401 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201114-ecg-142354_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156404 -  ..
156405 - EKG looks pefect, after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156411 -  ..
156412 - EKG 1 minute after 22-mile hike HR 107 time 1714 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156413 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156416 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201114-ecg-171428_mile_22.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156419 -  ..
156420 - EKG looks mostly good with some erratic cycles, after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156421 - metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156454 -  ..
156455 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156456 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156457 - Dinner - rice macaroni hamburger cheese asparagus broccoli onion,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156458 - cookie milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156460 -  ..
156461 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156468 -         ..
156469 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156470 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156471 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156472 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156473 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156474 -  320.  201115 0720............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156475 -               0730....BP HR..................................................... 134  78  63  Kardia ECG reports HR normal, see below. ref SDS 0 UYTT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156476 -               0735....BP HR..................................................... 120  77  61  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156477 -               0740....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156478 -               0740... 20 978120 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156479 -               0740... 80 216920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156480 -               0000... 05 2755 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156481 -               0000... 75 10400 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156482 -               1005... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
156483 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156484 -               0000... Oxycodone HCL Plain  5  325 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156485 -               0000... Gabapentin 300MG  46100MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156486 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156487 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156488 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156489 -        * cr   1010....miles...........  22.0  83.0  379   652 minutes  temp  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156491 -               0000... Oxycodone HCL Plain  5  325 mg RX90533728 took for pain management during hike not combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156492 -               1130... Naproxen (Aleve) 2 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
156493 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156495 -               1740....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156496 -               1745....BP HR..................................................... 116  71  79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156497 -               1750....BP HR..................................................... 108  66  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156498 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156499 -               1700... 40 63800 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
156500 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
156501 -             1 0000............ 10 14510  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156502 -             1 0000............ 10 14100  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156503 -               2040... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156504 -               2050... 40 43980 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156505 -               2120... 1000  983000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156506 -               2140....Tramadol 50 2100 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
156507 -               0000... 05 2760 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
156508 -               2200... 80 217000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156509 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156511 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156512 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156513 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
156514 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156515 - at top of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156516 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156517 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156518 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156520 -  ..
156521 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156522 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156523 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156524 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156525 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156526 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156527 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156528 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156529 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156530 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156531 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156532 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156533 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156534 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156535 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156536 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156537 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156538 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156539 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156540 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156541 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156542 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156543 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156544 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156545 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156546 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156548 -  ..
156549 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156550 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156552 -  ..
156553 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156554 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156555 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156557 -  ..
156558 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156560 -  ..
156561 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156562 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156564 -  ..
156565 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156567 -  ..
156568 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156569 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156571 -  ..
156572 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156573 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156574 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
156575 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156576 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156577 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156578 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156579 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156580 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156581 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156582 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
156583 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156584 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156585 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156586 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156587 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156589 -  ..
156590 - Today, in order to hike and to avoid oxycodone (opioids), took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156591 - naproxen to start hike, and skipped Crystal Ranch Road hills, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156592 - feet already hurting.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156594 -  ..
156595 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156596 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156598 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156599 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156600 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156601 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156602 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156603 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156604 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156605 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156606 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156607 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156608 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156609 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156610 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156611 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156612 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156613 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156614 -        Knee left cruciate ligaments back of knee....   1          5  various places going downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156615 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156616 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156617 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156618 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156619 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156620 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156621 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156622 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156623 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156624 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156625 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156626 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156627 -        Metatarsalgia left foot...PRP 191009.........   2         20  last 4 miles after taking naproxen at mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156628 -        Metatarsalgia right foot..PRP 191009.........   2         20  last 4 miles after taking naproxen at mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156629 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156630 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156631 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156632 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156633 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156634 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156635 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156636 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156637 -        Blister ring toe left foot...................   0        100  bandaged with non sticky tape provided helpful cushion throughout hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156638 -        Blister little toe left foot.................   0        100  bandaged with non sticky tape provided helpful cushion throughout hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156639 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156640 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156641 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156642 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156643 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156644 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156645 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156646 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156648 -  ..
156649 - Today, body had fair energy throuout hike after hiking 22 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156650 - yesterday.  Endorfins blocked pain hiking last 2 miles fast; did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156651 - Crystal Ranch loop well.  After hike normal fatigue, not wobbly nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156652 - disoriented taking only 2 naproxen starting the hike, and 2 more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156653 - naproxen at mile 12.
156655 - -
156656 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156657 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156658 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156660 -  ..
156661 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156663 -  ..
156664 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156665 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156666 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156668 -  ..
156669 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156670 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156671 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156672 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156673 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156675 -  ..
156676 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156677 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156679 -  ..
156680 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156681 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156682 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156684 -  ..
156685 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156686 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156687 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156688 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156689 - ref SDS 77 SM4M  After hike on 201115, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156690 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156691 - ref SDS 0 119N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156693 -  ..
156694 - Concord 22 mile route - starting energy low.  Had to take naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156695 - even though it raises blood pressure and LDL, because left knee and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156696 - feet reach intollerable pain without PRP due to repetitive stress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156697 - Wearing Hoka Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156698 - that prevent feet and knee injuries.  Wore 2-pair double-ply Wright                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156699 - socks received on 191010 1344, ref SDS 79 SM4M, to prevent blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156700 - Wrapped left foot little toe and ring toe with non-adhesive tape for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156701 - cushioning.  Worked well during hike to prevent toes from crimping.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156702 - Hiked from Cuneo uphill to Treat.  Breathed easily through nose entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156703 - hike.  Temperature reached 68.  Hiked East normal pace on Treat 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156704 - to Clayton - time to 1.25 miles 20 minutes.  Turned corner hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156705 - South on Clayton 2 miles at normal pace, mostly on flat concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156706 - sidewalk.  At mile 3.5, turned West onto Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156707 - concrete sidewalk another .5 mile.  About mile 4 crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156708 - Ygnacio Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156709 - traffic.  At mile 5, stopped at Texaco gas station - EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156710 - 93 Unclassified - see below. ref SDS 0 UY3X  Bought Coca Cola and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156711 - banana; Ate half of half sandwich peanut butter margarine and jam.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156712 - Ate half banana.  Drank half of Coca Cola for hydration and energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156713 - Hiked .25 mile on Ygnacio Valley Road to Pine Hollow; turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156714 - hiked about 50 yards.  Turned right onto Campus Road.  Hiked 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156715 - West uphill 3% - 4% grade to California Sate University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156716 - campus.  Energy seemed to improve.  Hiked 1-loop of about 1.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156717 - through adjoining Faculty and Student Parking lots.  Seemed to feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156718 - vasodilation surge of energy and strength hiking up last long hill in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156719 - Student parking lot.  At mile 7 back at Visitor Parking hiked North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156720 - downhill 3% grade .3 mile to Ygnacio Valley Road.  Turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156721 - hiked West .5 mile on Ygnacio Valley Road flat pavement.  At mile 8,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156722 - turned South and hiked 1 mile up steep hill 5% grade on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156723 - Road.  Handled this long hill well, with energy that maintained speed,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156724 - and breathing easily through nose all the way.  Hiked another mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156725 - flat pavement through residential area.  Hiked downhill .5 mile past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156726 - Rolling Woods Way.  Hiked up another steep hill 5% grade .5 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156727 - the end of Crystal Ranch Road.  Breathed through nose all the way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156728 - Hiked back downhill on Crystal Ranch Road.  Turned East on Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156729 - Woods Way.  Hiked up steep hill 5% grade .33 mile, then downhill .66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156730 - miles.  Turned North onto Pine Hillow.  Hiked 1 mile back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156731 - Valley Road.  At mile 12, stopped at Texaco Gas Station again - EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156732 - reported HR 103 Tachycardia; however looks like a "train wreck",                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156733 - unclear why Tachycardia - see below. ref SDS 0 VPQQ  Ate 2nd half of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156734 - half sandwitch and other half of banana.  Took 2 more naproxen for 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156735 - half of hike.  Continued on Ygnacio Valley Road to Pine Hollow; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156736 - left and hiked about 50 yards.  Turned right onto Campus Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156737 - 1-mile West uphill 3% - 4% grade to California Sate University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156738 - Bay campus.  Hiked 1-loop of about 1.5 miles through adjoining Faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156739 - and Student Parking lots; did not added sub-loops of .5 mile.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156740 - Visitor Parking took Campus Drive North .33 mile downhill to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156741 - Valley Road, mile 15 in the hike.  Turned left onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156742 - Road and hiked West .5 miles.  Adrenalin seemed to kick in, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156743 - increased pace hiking West on Ygnacio Valley Road uphill 2% grade past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156744 - Cowell.  Crossed from South side of Ygnacio Valley Road to the North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156745 - side in order to avoid severely sloped shoulder on South Side.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156746 - North side continued West uphill 3% grade over the summit past end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156747 - concrete traffic barriar.  Feeling very good - strong and no pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156748 - issues.  At mile 16, crossed back to South side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156749 - use wider, flatter roadway shoulder.  Hiked 1.5 miles downhill. and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156750 - crossed back to North Side of the road.  Hiked another mile to Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156751 - Grove.  Hiked 2 1-mile loops around safeway shopping center.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156752 - left hiking North on Oak Grove 1 mile to Treat for 22 miles.  EKG at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156753 - 1659 showed HR 105 in Tachycardia - perfect sinus curve. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156754 - VPRV  Kathy drove us home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156756 -  ..
156757 - Kardia recorded HR 62 at 0739 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156758 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156759 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156760 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156763 -               ..
156764 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201115-ecg-073908_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156767 -  ..
156768 - EKG looks perfect, after atrial flutter occurred on 201031 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156769 - taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156770 - medication again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156774 -  ..
156775 - Polar HR did GPS study for Concord elevation 100, 22-mile hike shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156776 - HR profile that rises and falls with changes in terrain elevations for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156777 - most of the hike; HR seems in expected range for recovering from 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156778 - ablation procedures...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156782 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                                 Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                            
156783 -       Date       201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 2008  
156784 -       Miles         22     22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     20     1  
156785 -       HR AVG       111    114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    112    11  
156786 -         MAX        134    152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    135    13  
156787 -         Min         86     80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     74     7  
156788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156791 -              https://flow.polar.com/training/analysis/5350619678                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156794 -               ..
156796 -   
156797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156799 -  ..
156800 - HR profile Concord elevation 100, 22-mile route showing average 111                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156801 - and max 134, aligns with temperature 64, Hike had some long hills 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156802 - 5% grade with expected HR changes following cardiac ablation on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156803 - 0546. ref SDS 94 244I and following treatment in the ER infusing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156804 - through IV catheter high concentrate metoprolol that slowed heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156805 - from atrial flutter at HR 160, down to 60s and 70s, on 201007 2218.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156806 - ref SDS B3 X36J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156809 -  ..
156810 - EKG at mile 5 HR 93 - Kardia reported Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156813 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201115-ecg-113115_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156816 -  ..
156817 - EKG looks perfect - consistent, unclear why "Unclassified" rather tha                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156818 - Normal, after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156822 -  ..
156823 - EKG at mile 12 HR 103 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156827 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201115-ecg-140147_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156830 -  ..
156831 - EKG looks like a "train wreck" - some kind of fibrillation, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156832 - pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156838 -  ..
156839 - EKG 1 minute after 22-mile hike HR 105 time 1659 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156840 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156843 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201115-ecg-165935_mile_22.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156846 -  ..
156847 - EKG looks perfect after hiking 22 miles, and after pausing metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156848 - on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156881 -  ..
156882 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156883 - Lunch - half sandwich peanut butter margarine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156884 - Dinner - pork chop potatoes lettuce asparagus broccoli onion avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156886 -  ..
156887 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156894 -         ..
156895 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156896 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156897 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156898 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156899 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156900 -  321.  201116 0630............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156901 -               0640....BP HR..................................................... 141  81  61  Kardia ECG reports HR normal, see below. ref SDS 0 VSVT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156902 -               0645....BP HR..................................................... 133  80  60  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156903 -               0650....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156904 -               0650... 20 978140 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156905 -               0650... 80 217080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156906 -               0000... 05 2765 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156907 -               0000... 75 10400 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156908 -               1005... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
156909 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156910 -               0000... Oxycodone HCL Plain  5  325 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156911 -               0000... Gabapentin 300MG  46100MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156912 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156913 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156914 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156915 -        * cr   0955....miles...........  21.0  21.0  354   354 minutes  temp  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156917 -               0000... Oxycodone HCL Plain  5  325 mg RX90533728 took for pain management during hike not combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156918 -               0000... Gabapentin 300MG  46100MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156919 -               0000... Naproxen (Aleve) 2 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
156920 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156922 -               1700....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156923 -               1705....BP HR..................................................... 125  71  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156924 -               1710....BP HR..................................................... 111  67  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156925 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156926 -               1700... 40 63840 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
156927 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
156928 -               1830............ 10 14520  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156929 -               1830............ 10 14110  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156930 -               2040... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156931 -               2050... 40 44020 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156932 -               2120... 1000  984000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156933 -               0000....Tramadol 50 2100 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
156934 -               0000... 05 2770 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
156935 -               2200... 80 217160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156936 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156938 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156939 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156940 - daily hike. ref SDS 55 E55K   On 191004 changed route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
156941 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156942 - at top of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156943 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156944 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156945 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156947 -  ..
156948 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156949 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156950 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156951 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156952 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156953 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156954 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156955 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156956 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156957 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156958 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156959 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156960 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156961 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156962 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156963 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156964 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156965 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156966 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156967 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156968 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156969 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156970 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156971 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156972 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156973 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156975 -  ..
156976 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156977 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156979 -  ..
156980 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156981 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156982 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156984 -  ..
156985 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156987 -  ..
156988 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156989 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156991 -  ..
156992 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156994 -  ..
156995 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156996 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156998 -  ..
156999 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157000 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157001 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
157002 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157003 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157004 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157005 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157006 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157007 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157008 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157009 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
157010 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157011 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157012 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157013 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157014 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157016 -  ..
157017 - Today, in order to hike and to avoid oxycodone (opioids), took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157018 - naproxen to start hike, and skipped Crystal Ranch Road hills, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157019 - feet already hurting.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157021 -  ..
157022 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157023 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157025 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157026 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157027 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157028 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157029 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157030 -        nipples......................................   2         20  burn irritation rubbing against shirt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157031 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157032 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157033 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157034 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157035 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157036 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157037 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157038 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157039 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157040 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157041 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157042 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157043 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157044 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157045 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157046 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157047 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157048 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157049 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157050 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157051 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157052 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157053 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157054 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157055 -        Metatarsalgia left foot...PRP 191009.........   2         20  last 4 miles after skipping pain medication at mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157056 -        Metatarsalgia right foot..PRP 191009.........   2         20  last 4 miles after skipping pain medication at mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157057 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157058 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157059 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157060 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157061 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157062 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157063 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157064 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157065 -        Blister ring toe left foot...................   3         50  bandaged with coban tape caused increasing pain throughout hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157066 -        Blister little toe left foot.................   3         50  bandaged with coban tape caused increasing pain throughout hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157067 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157068 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157069 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157070 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157071 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157072 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157073 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157074 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157076 -  ..
157077 - Today, body had good energy throuout hike after hiking 22 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157078 - yesterday, and 22 miles the day before - seems remarkable.  Endorfins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157079 - blocked pain hiking last 2 miles fast; did Crystal Ranch loop well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157080 - After hike normal fatigue, not wobbly nor disoriented taking only 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157081 - naproxen starting the hike, and nothing after that.
157083 - -
157084 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157085 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157086 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157088 -  ..
157089 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157091 -  ..
157092 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157093 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157094 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157096 -  ..
157097 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157098 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157099 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157100 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157101 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157103 -  ..
157104 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157105 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157107 -  ..
157108 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157109 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157110 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157112 -  ..
157113 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157114 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157115 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157116 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157117 - ref SDS 77 SM4M  After hike on 201116, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157118 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157119 - ref SDS 0 PY5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157121 -  ..
157122 - Concord 21 mile route - starting energy good.  Had to take naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157123 - even though it raises blood pressure and LDL, because left knee and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157124 - feet reach intollerable pain without PRP due to repetitive stress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157125 - Wearing Hoka Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157126 - that prevent feet and knee injuries.  Wore 2-pair double-ply Wright                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157127 - socks received on 191010 1344, ref SDS 79 SM4M, to prevent blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157128 - Wrapped left foot little toe and ring toe with Coban tape for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157129 - cushioning.  Did not work well; little toes crimped.  Little toe on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157130 - left foot was signicantly injured.  Hiked from Cuneo uphill to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157131 - Breathed easily through nose entire hike.  Temperature reached 68.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157132 - Hiked East fast pace on Treat 1 mile to Clayton - time to 1.25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157133 - 19 minutes.  Turned corner hiking South on Clayton 2 miles at normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157134 - pace, mostly on flat concrete sidewalk.  At mile 3.5, turned West onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157135 - Ygnacio Valley Road hiking on concrete sidewalk another .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157136 - About mile 4 crossed to South side Ygnacio Valley Road hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157137 - asphalt shoulder aganist East bound traffic.  At mile 5, stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157138 - Texaco gas station - EKG reported HR 91 Unclassified - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157139 - ref SDS 0 VTQW  Bought Coca Cola and ate half of half sandwich peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157140 - butter margarine and jam.  Drank half of Coca Cola for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157141 - energy.  Hiked .25 mile on Ygnacio Valley Road to Pine Hollow; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157142 - left and hiked about 50 yards.  Turned right onto Campus Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157143 - 1-mile West uphill 3% - 4% grade to California Sate University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157144 - Bay campus.  Energy seemed to improve.  Hiked 1-loop of about 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157145 - miles through adjoining Faculty and Student Parking lots.  Seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157146 - feel vasodilation surge of energy and strength hiking up last long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157147 - hill in Student parking lot.  At mile 7 back at Visitor Parking hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157148 - North downhill 3% grade .3 mile to Ygnacio Valley Road.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157149 - and hiked West .5 mile on Ygnacio Valley Road flat pavement.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157150 - 8, turned South and hiked 1 mile up steep hill 5% grade on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157151 - Ranch Road.  Handled this long hill well, with energy that maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157152 - speed, and breathing easily through nose all the way.  Hiked another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157153 - mile on flat pavement through residential area.  Hiked downhill .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157154 - mile past Rolling Woods Way.  Hiked up another steep hill 5% grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157155 - mile to the end of Crystal Ranch Road.  Breathed through nose all the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157156 - way.  Hiked back downhill on Crystal Ranch Road.  Turned East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157157 - Rolling Woods Way.  Hiked up steep hill 5% grade .33 mile, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157158 - downhill .66 miles.  Turned North onto Pine Hillow.  Hiked 1 mile back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157159 - to Ygnacio Valley Road.  At mile 12, stopped at Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157160 - again - EKG reported HR 101 Tachycardia, actually looks perfect - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157161 - below. ref SDS 0 VTSP  Ate 2nd half of half sandwitch.  Intended to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157162 - take oxycodone and gabapentin, but could only find gabapentin in coat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157163 - pocket.  Oxycodone is very small pill, so must have falled to ground                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157164 - in removing 2nd half of sandwich.  Wound up not taking another phase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157165 - of pain medication for 2nd half of hike.  Continued on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157166 - Road to Pine Hollow; turned left and hiked about 50 yards.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157167 - right onto Campus Road.  Hiked 1-mile West uphill 3% - 4% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157168 - California Sate University East Bay campus.  Hiked 1-loop of about 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157169 - miles through adjoining Faculty and Student Parking lots; did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157170 - added sub-loops of .5 mile.  Back at Visitor Parking took Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157171 - North .33 mile downhill to Ygnacio Valley Road, mile 15 in the hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157172 - Turned left onto Ygnacio Valley Road and hiked West .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157173 - Adrenalin seemed to kick in, because increased pace hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157174 - Ygnacio Valley Road uphill 2% grade past Cowell.  Crossed from South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157175 - side of Ygnacio Valley Road to the North side in order to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157176 - severely sloped shoulder on South Side.  On North side continued West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157177 - uphill 3% grade over the summit past end of concrete traffic barriar.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157178 - Feeling very good - strong and no pain issues.  At mile 16, crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157179 - back to South side Ygnacio Valley Road to use wider, flatter roadway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157180 - shoulder.  Hiked 1.5 miles downhill. and crossed back to North Side of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157181 - the road.  Hiked another mile to Oak Grove.  Hiked 1-mile loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157182 - safeway shopping center.  Turned left hiking North on Oak Grove 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157183 - to Treat for 21 miles.  EKG at 1627 showed HR 102 in Tachycardia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157184 - perfect sinus curve. ref SDS 0 VTTW  Kathy drove us home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157186 -  ..
157187 - Kardia recorded HR 60 at 0642 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157188 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157189 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157190 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157193 -               ..
157194 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201116-ecg-064257_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157197 -  ..
157198 - EKG looks perfect, after atrial flutter occurred on 201031 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157199 - taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157200 - medication again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157204 -  ..
157205 - Polar HR did GPS study for Concord elevation 100, 21-mile hike shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157206 - HR profile that rises and falls with changes in terrain elevations for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157207 - most of the hike; HR seems in expected range for recovering from 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157208 - ablation procedures...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157212 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                                 Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                                     
157213 -       Date       201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 2008  
157214 -       Miles         21     22     22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     12     2  
157215 -       HR AVG       109    111    114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    116    11  
157216 -         MAX        133    134    152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    132    13  
157217 -         Min         83     86     80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     80     7  
157218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157221 -              https://flow.polar.com/training/analysis/5353976213                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157224 -               ..
157226 -   
157227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157229 -  ..
157230 - HR profile Concord elevation 100, 21-mile route showing average 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157231 - and max 133, aligns with temperature 68, Hike had some long hills 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157232 - 5% grade with expected HR changes following cardiac ablation on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157233 - 0546. ref SDS 94 244I and following treatment in the ER infusing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157234 - through IV catheter high concentrate metoprolol that slowed heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157235 - from atrial flutter at HR 160, down to 60s and 70s, on 201007 2218.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157236 - ref SDS B3 X36J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157239 -  ..
157240 - EKG at mile 5 HR 91 - Kardia reported Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157244 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201116-ecg-111539_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157247 -  ..
157248 - EKG some beats look raggedy, but mainly consistent, unclear why                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157249 - "Unclassified" rather tha Normal, after pausing metoprolol on 201101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157250 - ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157254 -  ..
157255 - EKG at mile 12 HR 101 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157259 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201116-ecg-135745_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157262 -  ..
157263 - EKG looks perfect, after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157269 -  ..
157270 - EKG 1 minute after 22-mile hike HR 102 time 1627 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157271 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157274 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201116-ecg-162739_mile_21.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157277 -  ..
157278 - EKG looks perfect after hiking 21 miles, and after pausing metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157279 - on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157285 -  ..
157286 - HR profile post-hike beginning 0053 until in morning OA 0730 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157287 - mostly steady heart beat 64 +/-.  Max HR 98, and minimum HR 52 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157288 - with indoor activity - sleeping; 0 spikes above 130 indicates no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157289 - atrial flutter, after atrial flutter episode on 201031, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157290 - ref SDS 0 GZ4I, after not taking metoprolol, which is a beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157291 - that lowers HDL, beginning on 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157294 -        ..
157295 -       Date      201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 200830 200829 200828 200827 20  
157296 -        Hours        7     10     10     10      9      9      7      7     11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12     14     12     16     13      
157297 -       HR AVG       64     67     64     65     62     62     65     60     66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75     73     69     69     72      
157298 -         MAX        98    111    102    109    145    112    158    108     97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140    135    123    135    144      
157299 -         Min        52     50     52     54     41     47     48     44     49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46     38     37     44     38      
157300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157303 -              https://flow.polar.com/training/analysis/5355856328                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157308 -   
157309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157312 -  ..
157313 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157314 - Lunch - half sandwich peanut butter margarine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157315 - Dinner - rice macaroni hamburger cheese asparagus broccoli onion,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157316 - pie ice cream                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157318 -  ..
157319 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157326 -         ..
157327 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157328 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157329 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157330 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157331 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157332 -  322.  201117 0730............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157333 -               0830....BP HR..................................................... 140  84  66  Kardia ECG reports HR normal, see below. ref SDS 0 VWXY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157334 -               0835....BP HR..................................................... 135  79  62  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157335 -               0840....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157336 -               0840... 20 978160 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157337 -               0840... 80 217240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157338 -               0000... 05 2775 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157339 -               0000... 75 10475 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157340 -               1005... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
157341 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157342 -               0000... Oxycodone HCL Plain  5  325 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157343 -               0000... Gabapentin 300MG  46100MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157344 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157345 -               1005....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157346 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157347 -               1015....miles...........   7.0  28.0  117   471 minutes  temp  63  turned to rain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157349 -               0000... Oxycodone HCL Plain  5  325 mg RX90533728 took for pain management during hike not combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157350 -               0000... Gabapentin 300MG  46100MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157351 -               0000... Naproxen (Aleve) 2 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
157352 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157354 -               1300....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157355 -               1305....BP HR..................................................... 121  70  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157356 -               1310....BP HR..................................................... 118  73  78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157357 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157358 -               1700... 40 63880 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
157359 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
157360 -             1 0000............ 10 14520  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157361 -             1 0000............ 10 14110  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157362 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157363 -               2050... 40 44060 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157364 -               2120... 1000  985000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157365 -               0000....Tramadol 50 2100 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
157366 -               0000... 05 2780 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
157367 -               2200... 80 217320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157368 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157370 -  ..
157371 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157372 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157373 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157374 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157375 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157376 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157377 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157378 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157379 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157380 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157381 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157382 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157383 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157384 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157385 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157386 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157387 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157388 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157389 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157390 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157391 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157392 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157393 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157394 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157395 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157396 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157398 -  ..
157399 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157400 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157402 -  ..
157403 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157404 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157405 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157407 -  ..
157408 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157410 -  ..
157411 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157412 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157414 -  ..
157415 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157417 -  ..
157418 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157419 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157421 -  ..
157422 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157423 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157424 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
157425 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157426 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157427 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157428 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157429 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157430 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157431 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157432 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
157433 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157434 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157435 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157436 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157437 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157439 -  ..
157440 - Today, in order to hike and to avoid oxycodone (opioids), took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157441 - naproxen to start hike, and skipped Crystal Ranch Road hills, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157442 - feet already hurting.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157444 -  ..
157445 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157446 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157448 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157449 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157450 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157451 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157452 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157453 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157454 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157455 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157456 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157457 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157458 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157459 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157460 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157461 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157462 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157463 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157464 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157465 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157466 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157467 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157468 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157469 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157470 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157471 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157472 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157473 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157474 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157475 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157476 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157477 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157478 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157479 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157480 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157481 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157482 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157483 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157484 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157485 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157486 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157487 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157488 -        Blister little toe left foot.................   0        100  applied lamb's wool between little and ring toes - with only 1 pair double ply socks and laced shoes loosely                                                                                                                                                                                                                                                                                                                                                                                                                                 
157489 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157490 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157491 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157492 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157493 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157494 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157495 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157496 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157498 -  ..
157499 - Today, body had good energy throuout hike after hiking 21 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157500 - yesterday, and 22 miles the day before - seems remarkable.  Hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157501 - only 7 miles due to heavy rain storm, did not cause fatigue; not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157502 - wobbly nor disoriented taking only 2 naproxen starting the hike, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157503 - nothing after that.
157505 - -
157506 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157507 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157508 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157510 -  ..
157511 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157513 -  ..
157514 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157515 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157516 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157518 -  ..
157519 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157520 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157521 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157522 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157523 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157525 -  ..
157526 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157527 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157529 -  ..
157530 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157531 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157532 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157534 -  ..
157535 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157536 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157537 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157538 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157539 - ref SDS 77 SM4M  After hike on 201116, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157540 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157541 - ref SDS 0 PY5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157543 -  ..
157544 - Concord 7 mile route - starting energy good.  Had to take naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157545 - even though it raises blood pressure and LDL, because left knee and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157546 - feet reach intollerable pain without PRP due to repetitive stress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157547 - Wearing Hoka Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157548 - that prevent feet and knee injuries.  Wore 1-pair double-ply Wright                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157549 - socks received on 191010 1344, ref SDS 79 SM4M, to prevent blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157550 - Wearing only 1 pair, reduced pressure horizontally across toes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157551 - Placed lamb's wool between little toe and ring toe, held in place by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157552 - sock.  Laced shoes loosely to reduce pressure across toes.  Worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157553 - well during hike to prevent toes from crimping, and hiking only 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157554 - miles also helped avoid compounding injury from yesterday.  Hiked from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157555 - Cuneo uphill to Treat.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157556 - Temperature reached 63.  Hiked East normal pace on Treat 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157557 - Clayton - time to 1.25 miles 20 minutes.  Turned corner hiking South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157558 - on Clayton 2 miles at normal pace, mostly on flat concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157559 - At mile 3.5, turned West onto Ygnacio Valley Road hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157560 - sidewalk another .5 mile.  About mile 4 crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157561 - Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157562 - traffic.  At mile 5, stopped at Texaco gas station - EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157563 - 91 Unclassified - see below. ref SDS 0 VTQW  Bought Coca Cola and ate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157564 - half of half sandwich peanut butter margarine and jam.  Drank half of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157565 - Coca Cola for hydration and energy.  Hiked .25 mile on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157566 - Road to Pine Hollow; turned left and hiked about 50 yards.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157567 - right onto Campus Road.  Hiked 1-mile West uphill 3% - 4% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157568 - California Sate University East Bay campus.  Energy seemed to improve.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157569 - Hiked 1-loop of about 1.5 miles through adjoining Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157570 - Parking lots.  Seemed to feel vasodilation surge of energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157571 - strength hiking up last long hill in Student parking lot.  At mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157572 - back at Visitor Parking.  Was raining hard, so drove home with Kathy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157573 - ending 7 mile hike.  EKG at 1627 showed HR 102 in Tachycardia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157574 - perfect sinus curve. ref SDS 0 VTTW  Kathy drove us home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157576 -  ..
157577 - Kardia recorded HR 65 at 0836 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157578 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157579 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157580 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157583 -               ..
157584 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201117-ecg-083615_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157587 -  ..
157588 - EKG looks perfect, after atrial flutter occurred on 201031 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157589 - taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157590 - medication again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157594 -  ..
157595 - Polar HR did GPS study for Concord elevation 100, 7-mile hike shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157596 - HR profile that rises and falls with changes in terrain elevations for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157597 - most of the hike; HR seems in expected range for recovering from 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157598 - ablation procedures...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157602 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                                 Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                              
157603 -       Date       201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 2008  
157604 -       Miles          7     21     22     22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     14      9     1  
157605 -       HR AVG       106    109    111    114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    118    113    11  
157606 -         MAX        128    133    134    152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    144    124    13  
157607 -         Min         69     83     86     80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     87     94     8  
157608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157611 -              https://flow.polar.com/training/analysis/5357257703                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157614 -               ..
157616 -   
157617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157619 -  ..
157620 - HR profile Concord elevation 100, 7-mile route showing average 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157621 - and max 128, aligns with temperature 63, Hike had some long hills 2% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157622 - 4% grade with expected HR changes following cardiac ablation on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157623 - 0546. ref SDS 94 244I and following treatment in the ER infusing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157624 - through IV catheter high concentrate metoprolol that slowed heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157625 - from atrial flutter at HR 160, down to 60s and 70s, on 201007 2218.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157626 - ref SDS B3 X36J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157629 -  ..
157630 - EKG at mile 5 HR 96 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157634 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201117-ecg-113405_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157637 -  ..
157638 - EKG looks perfect, after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157643 -  ..
157644 - EKG 1 minute after 7-mile hike HR 107 time 1223 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157645 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157648 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201117-ecg-122336_mile_07.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157651 -  ..
157652 - EKG looks perfect after hiking 7 miles, and after pausing metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157653 - on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157686 -  ..
157687 - Breakfast - ensure with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157688 - Lunch - half sandwich peanut butter margarine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157689 - Dinner - potato salad hamburger                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157691 -  ..
157692 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157699 -         ..
157700 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157701 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157702 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157703 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157704 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157705 -  323.  201118 0740............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157706 -               0740....BP HR..................................................... 138  82  71  Kardia ECG reports HR normal, see below. ref SDS 0 WQT3                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157707 -               0745....BP HR..................................................... 130  88  70  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157708 -               0750....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157709 -               0750... 20 978180 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157710 -               0750... 80 217400 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157711 -               0000... 05 2775 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157712 -               0000... 75 10475 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157713 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
157714 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157715 -               0000... Oxycodone HCL Plain  5  325 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157716 -               0000... Gabapentin 300MG  46100MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157717 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157718 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157719 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157720 -               1700... 40 63920 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
157721 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
157722 -               1830............ 10 14530  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157723 -               1830............ 10 14120  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157724 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157725 -               2050... 40 44100 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157726 -               2120... 1000  986000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157727 -               2140....Tramadol 50 2150 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
157728 -               0000... 05 2780 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
157729 -               2200... 80 217480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157730 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157732 -  ..
157733 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157734 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157735 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157736 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157737 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157738 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157739 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157740 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157741 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157742 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157743 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157744 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157745 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157746 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157747 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157748 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157749 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157750 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157751 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157752 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157753 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157754 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157755 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157756 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157757 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157758 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157760 -  ..
157761 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157762 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157764 -  ..
157765 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157766 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157767 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157769 -  ..
157770 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157772 -  ..
157773 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157774 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157776 -  ..
157777 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157779 -  ..
157780 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157781 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157783 -  ..
157784 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157785 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157786 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
157787 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157788 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157789 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157790 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157791 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157792 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157793 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157794 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
157795 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157796 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157797 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157798 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157799 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157801 -  ..
157802 - Kardia recorded HR 69 at 0736 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157803 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157804 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157805 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157808 -               ..
157809 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201118-ecg-073636_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157812 -  ..
157813 - EKG looks perfect, after atrial flutter occurred on 201031 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157814 - taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157815 - medication again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157846 -  ..
157847 - Breakfast - ensure with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157848 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157849 - Dinner - lettuce asparagus broccoli onion sausage tomato avocado,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157850 - beer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157852 -  ..
157853 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157860 -         ..
157861 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157862 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157863 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157864 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157865 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157866 -  324.  201119 0720............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157867 -               0730....BP HR..................................................... 151  86  65  Kardia ECG reports HR normal, see below. ref SDS 0 WUPY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157868 -               0735....BP HR..................................................... 137  86  64  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157869 -               0740....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157870 -               0740... 20 978200 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157871 -               0740... 80 217560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157872 -               0000... 05 2775 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157873 -               0000... 75 10475 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157874 -               0910... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
157875 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157876 -               0000... Oxycodone HCL Plain  5  325 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157877 -               0000... Gabapentin 300MG  46100MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157878 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157879 -               0950....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157880 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157881 -               0955....miles...........  16.0  44.0  274   745 minutes  temp  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157883 -               0000... Oxycodone HCL Plain  5  325 mg RX90533728 took for pain management during hike not combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157884 -               0000... Gabapentin 300MG  46100MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157885 -               0000... Naproxen (Aleve) 2 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
157886 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157888 -               1535....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157889 -               1545....BP HR..................................................... 123  68  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157890 -               1550....BP HR..................................................... 128  73  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157891 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157892 -               1700... 40 63960 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
157893 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
157894 -             1 0000............ 10 14530  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157895 -             1 0000............ 10 14120  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157896 -               2030... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157897 -               2050... 40 44140 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157898 -               2120... 1000  987000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157899 -               0000....Tramadol 50 2100 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
157900 -               0000... 05 2780 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
157901 -               2200... 80 217640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157902 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157904 -  ..
157905 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157906 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157907 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157908 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157909 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157910 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157911 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157912 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157913 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157914 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157915 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157916 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157917 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157918 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157919 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157920 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157921 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157922 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157923 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157924 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157925 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157926 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157927 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157928 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157929 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157930 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157932 -  ..
157933 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157934 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157936 -  ..
157937 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157938 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157939 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157941 -  ..
157942 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157944 -  ..
157945 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157946 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157948 -  ..
157949 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157951 -  ..
157952 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157953 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157955 -  ..
157956 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157957 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157958 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
157959 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157960 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157961 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157962 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157963 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157964 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157965 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157966 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
157967 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157968 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157969 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157970 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157971 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157973 -  ..
157974 - Today, in order to hike and to avoid oxycodone (opioids), took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157975 - naproxen to start hike, and skipped Crystal Ranch Road hills, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157976 - feet already hurting.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157978 -  ..
157979 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157980 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157982 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157983 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157984 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157985 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157986 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157987 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157988 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157989 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157990 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157991 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157992 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157993 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157994 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157995 -        Knee left meniscus...PRP 191009..............   1          6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157996 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157997 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157998 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157999 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158000 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158001 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158002 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158003 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158004 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158005 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158006 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158007 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158008 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158009 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158010 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158011 -        Metatarsalgia left foot...PRP 191009.........   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158012 -        Metatarsalgia right foot..PRP 191009.........   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158013 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158014 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158015 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158016 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158017 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158018 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158019 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158020 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158021 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158022 -        Blister little toe left foot.................   2         50  applied lamb's wool between little and ring toes - with 2 pair double ply socks and laced shoes loosely - didn't work well                                                                                                                                                                                                                                                                                                                                                                                                                   
158023 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158024 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158025 -        Blister little toe right foot................   2         30  applied lamb's wool between little and ring toes - with 2 pair double ply socks and laced shoes loosely - didn't work well                                                                                                                                                                                                                                                                                                                                                                                                                   
158026 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158027 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158028 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158029 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158030 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158031 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158033 -  ..
158034 - Today, body had low energy starting hike, and despite not hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158035 - yesterday.  Energy increased getting into hike.  Fatigued after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158036 - 16 miles.  After hiking 13 miles body little wobbly nor disoriented                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158037 - taking only 2 naproxen starting the hike, and nothing after that.
158039 - -
158040 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158041 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158042 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158044 -  ..
158045 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158047 -  ..
158048 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158049 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158050 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158052 -  ..
158053 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158054 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158055 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158056 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158057 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158059 -  ..
158060 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158061 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158063 -  ..
158064 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158065 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158066 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158068 -  ..
158069 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158070 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158071 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158072 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158073 - ref SDS 77 SM4M  After hike on 201119, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158074 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158075 - ref SDS 0 VG8O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158077 -  ..
158078 - Concord 16 mile route - starting energy good.  Had to take naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158079 - even though it raises blood pressure and LDL, because left knee and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158080 - feet reach intollerable pain without PRP due to repetitive stress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158081 - Wearing Hoka Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158082 - that prevent feet and knee injuries.  Wore 2-pair double-ply Wright                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158083 - socks received on 191010 1344, ref SDS 79 SM4M, to prevent blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158084 - Wrapped left foot little toe and ring toe with Coban tape for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158085 - cushioning.  Did not work well; little toes crimped.  Little toe on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158086 - left foot was signicantly injured.  Hiked from Cuneo uphill to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158087 - Breathed easily through nose entire hike.  Temperature reached 68.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158088 - Hiked East fast pace on Treat 1 mile to Clayton - time to 1.25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158089 - 19 minutes.  Turned corner hiking South on Clayton 2 miles at normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158090 - pace, mostly on flat concrete sidewalk.  At mile 3.5, turned West onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158091 - Ygnacio Valley Road hiking on concrete sidewalk another .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158092 - About mile 4 crossed to South side Ygnacio Valley Road hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158093 - asphalt shoulder aganist East bound traffic.  At mile 5, stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158094 - Texaco gas station - EKG reported HR 97 Normal - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158095 - ref SDS 0 WUVR  Bought Coca Cola and banana.  Ate half of banana and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158096 - half sandwich peanut butter margarine and jam.  Drank half of Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158097 - Cola for hydration and energy.  Hiked .25 mile on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158098 - to Pine Hollow; turned left and hiked about 50 yards.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158099 - onto Campus Road.  Hiked 1-mile West uphill 3% - 4% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158100 - California Sate University East Bay campus.  Energy seemed to improve.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158101 - Hiked 1-loop of about 1.5 miles through adjoining Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158102 - Parking lots.  Seemed to feel vasodilation surge of energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158103 - strength hiking up last long hill in Student parking lot.  At mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158104 - back at Visitor Parking hiked North downhill 3% grade .3 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158105 - Ygnacio Valley Road.  Turned left and hiked West .5 mile on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158106 - Valley Road flat pavement.  At mile 8, did not turn South and hike 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158107 - mile up steep hill 5% grade on Crystal Ranch Road.  Little toes on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158108 - left and right feet pain level 2, so continued West on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158109 - Road uphill 2% grade past Cowell.  Crossed from South side of Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158110 - Valley Road to the North side in order to avoid severely sloped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158111 - shoulder on South Side.  On North side continued West uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158112 - over the summit past end of concrete traffic barriar.  At mile 9,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158113 - crossed back to South side Ygnacio Valley Road to use wider, flatter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158114 - roadway shoulder.  Hiked 1.5 miles downhill. and crossed back to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158115 - Side of the road.  Hiked another mile to Oak Grove.  Hiked 3 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158116 - loops around safeway shopping center.  Turned left hiking North on Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158117 - Grove 1 mile to Treat for 13 miles.  Turned right and hiked East 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158118 - miles to San Miguel.  Continued uphill 4% grade 1 mile, then home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158119 - 16 mile hike.  EKG at 1627 showed HR 102 in Tachycardia - perfect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158120 - sinus curve.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158122 -  ..
158123 - Kardia recorded HR 66 at 0822 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158124 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158125 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158126 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158129 -               ..
158130 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201119-ecg-082230_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158133 -  ..
158134 - EKG looks perfect, except a few beats appear incomplete, i.e., more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158135 - abrupt, after atrial flutter occurred on 201031 1500, taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158136 - metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158137 - again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158141 -  ..
158142 - Polar HR did GPS study for Concord elevation 100, 16-mile hike shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158143 - HR profile that rises and falls with changes in terrain elevations for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158144 - most of the hike; HR seems in expected range for recovering from 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158145 - ablation procedures...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158149 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                                 Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                                
158150 -       Date       201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 2009  
158151 -       Miles         16      0      7     21     22     22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     19     1  
158152 -       HR AVG       108     no    106    109    111    114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    118    11  
158153 -         MAX        128  report   128    133    134    152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    141    14  
158154 -         Min         87            69     83     86     80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     74     8  
158155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158158 -              https://flow.polar.com/training/analysis/5364458553                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158161 -               ..
158163 -   
158164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158166 -  ..
158167 - HR profile Concord elevation 100, 7-mile route showing average 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158168 - and max 128, aligns with temperature 64, Hike had some long hills 2% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158169 - 4% grade with expected HR changes following cardiac ablation on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158170 - 0546. ref SDS 94 244I and following treatment in the ER infusing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158171 - through IV catheter high concentrate metoprolol that slowed heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158172 - from atrial flutter at HR 160, down to 60s and 70s, on 201007 2218.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158173 - ref SDS B3 X36J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158176 -  ..
158177 - EKG at mile 5 HR 97 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158181 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201119-ecg-111756_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158184 -  ..
158185 - EKG few beats look raggedy, but mainly consistent, after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158186 - metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158190 -  ..
158191 - EKG 1 minute after 16-mile hike HR 97 time 1515 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158192 - Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158195 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201119-ecg-151551_mile_16.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158198 -  ..
158199 - EKG couple irregular beats, but rest seems perfect, after hiking 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158200 - miles, and after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158233 -  ..
158234 - Breakfast - ensure with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158235 - Lunch - cheese triscuits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158236 - Dinner - macaroni cheese asparagus hamburger broccoli onion avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158238 -  ..
158239 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158246 -         ..
158247 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158248 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158249 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158250 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158251 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158252 -  325.  201120 0700............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158253 -               0710....BP HR..................................................... 121  69  60  Kardia ECG reports HR normal, see below. ref SDS 0 WYPX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158254 -               0715....BP HR..................................................... 137  86  64  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158255 -               0720....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158256 -               0720... 20 978220 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158257 -               0720... 80 217720 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158258 -               0000... 05 2775 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158259 -               0000... 75 10475 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158260 -               0910... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
158261 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158262 -               0000... Oxycodone HCL Plain  5  325 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158263 -               0000... Gabapentin 300MG  46100MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158264 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158265 -               0950....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158266 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158267 -               1025....miles...........  11.0  55.0  187   745 minutes  temp  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158269 -               0000... Oxycodone HCL Plain  5  325 mg RX90533728 took for pain management during hike not combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158270 -               0000... Gabapentin 300MG  46100MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158271 -               0000... Naproxen (Aleve) 2 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
158272 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158274 -               1405....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158275 -               1425....BP HR..................................................... 128  69  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158276 -               1430....BP HR..................................................... 116  66  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158277 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158278 -               1700... 40 64000 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
158279 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
158280 -               1830............ 10 14540  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158281 -               1830............ 10 14130  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158282 -               2030... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158283 -               2050... 40 44140 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158284 -               2120... 1000  988000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158285 -               0000....Tramadol 50 2100 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158286 -               0000... 05 2780 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
158287 -               2200... 80 217800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158288 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158290 -  ..
158291 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158292 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158293 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158294 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158295 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158296 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158297 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158298 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158299 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158300 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158301 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158302 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158303 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158304 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158305 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158306 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158307 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158308 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158309 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158310 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158311 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158312 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158313 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158314 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158315 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158316 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158318 -  ..
158319 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158320 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158322 -  ..
158323 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158324 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158325 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158327 -  ..
158328 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158330 -  ..
158331 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158332 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158334 -  ..
158335 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158337 -  ..
158338 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158339 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158341 -  ..
158342 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158343 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158344 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158345 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158346 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158347 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158348 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158349 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158350 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158351 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158352 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158353 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158354 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158355 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158356 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158357 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158359 -  ..
158360 - Today, in order to hike and to avoid oxycodone (opioids), took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158361 - naproxen to start hike, and skipped Crystal Ranch Road hills, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158362 - feet already hurting.  So did entire hike with only the 2 naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158364 -  ..
158365 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158366 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158368 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158369 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158370 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158371 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158372 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158373 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158374 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158375 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158376 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158377 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158378 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158379 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158380 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158381 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158382 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158383 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158384 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158385 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158386 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158387 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158388 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158389 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158390 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158391 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158392 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158393 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158394 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158395 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158396 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158397 -        Metatarsalgia left foot...PRP 191009.........   1          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158398 -        Metatarsalgia right foot..PRP 191009.........   1          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158399 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158400 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158401 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158402 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158403 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158404 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158405 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158406 -        Blister little toe right foot................   2         80  applied hydrafera blue dressing between little and ring toes - with 2 pair double ply socks and laced shoes loosely - did not work well                                                                                                                                                                                                                                                                                                                                                                                                      
158407 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158408 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158409 -        Blister little toe left foot.................   1          5  applied hydrafera blue dressing between little and ring toes - with 2 pair double ply socks and laced shoes loosely - worked well                                                                                                                                                                                                                                                                                                                                                                                                            
158410 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158411 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158412 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158413 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158414 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158415 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158416 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158417 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158419 -  ..
158420 - Today, body energy okay starting hike, better than yesterday.  Energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158421 - increased getting into hike.  After hiking 11 miles body not fatibued,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158422 - wobbly nor disoriented taking only 2 naproxen starting the hike, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158423 - nothing after that.
158425 - -
158426 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158427 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158428 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158430 -  ..
158431 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158433 -  ..
158434 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158435 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158436 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158438 -  ..
158439 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158440 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158441 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158442 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158443 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158445 -  ..
158446 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158447 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158449 -  ..
158450 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158451 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158452 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158454 -  ..
158455 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158456 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158457 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158458 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158459 - ref SDS 77 SM4M  After hike on 201120, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158460 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158461 - ref SDS 0 PH7L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158463 -  ..
158464 - Concord 11 mile route - starting energy okay.  Had to take naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158465 - even though it raises blood pressure and LDL, because left knee and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158466 - feet reach intollerable pain without PRP due to repetitive stress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158467 - Wearing Hoka Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158468 - that prevent feet and knee injuries.  Wore 2-pair double-ply Wright                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158469 - socks received on 191010 1344, ref SDS 79 SM4M, to prevent blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158470 - Wrapped both feet little toe and ring toe with hydrafera blue dressing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158471 - for cushioning, protection and healing, secured with white tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158472 - Worked well on left foot, but no the right foot.  Hiked from Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158473 - uphill to Treat.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158474 - Temperature reached 64.  Hiked East normal pace on Treat 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158475 - Clayton - time to 1.25 miles 20 minutes.  Turned corner hiking South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158476 - on Clayton 2 miles at normal pace, mostly on flat concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158477 - At mile 3.5, turned West onto Ygnacio Valley Road hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158478 - sidewalk another .5 mile.  About mile 4 crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158479 - Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158480 - traffic.  At mile 5, stopped at Texaco gas station - EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158481 - 97 Normal - see below. ref SDS 0 WYVR  Bought Coca Cola.  Ate half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158482 - sandwich peanut butter margarine and jam.  Drank half of Coca Cola for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158483 - hydration and energy.  Hiked .25 mile on Ygnacio Valley Road to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158484 - Hollow; turned left and hiked about 50 yards.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158485 - Campus Road.  Hiked 1-mile West uphill 3% - 4% grade to California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158486 - Sate University East Bay campus.  Energy seemed to improve.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158487 - 1-loop of about 1.5 miles through adjoining Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158488 - Parking lots.  Seemed to feel vasodilation surge of energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158489 - strength hiking up last long hill in Student parking lot.  At mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158490 - back at Visitor Parking hiked North downhill 3% grade .3 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158491 - Ygnacio Valley Road.  Turned left and hiked West .5 mile on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158492 - Valley Road flat pavement.  At mile 8, did not turn South and hike 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158493 - mile up steep hill 5% grade on Crystal Ranch Road.  Little toe on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158494 - foot pain level 1, and little toe on right foot pain level 2+, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158495 - continued West on Ygnacio Valley Road uphill 2% grade past Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158496 - Crossed from South side of Ygnacio Valley Road to the North side in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158497 - order to avoid severely sloped shoulder on South Side.  On North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158498 - continued West uphill 3% grade over the summit and downhill past end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158499 - of concrete traffic barriar.  At mile 9, turned around and hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158500 - .4 miles uphill 3% grade back over the summit on Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158501 - Continued East .4 miles downhill.  Turned left hiking North on Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158502 - downhill 4% grade for .5 miles - little toes pain level 3.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158503 - .5 miles and turned left hiking West on Treat to Cuneo and reaching                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158504 - home for 11 mile hike.  EKG at 1346 showed HR 102 in Tachycardia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158505 - perfect sinus curve. ref SDS 0 WYWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158507 -  ..
158508 - Kardia recorded HR 62 at 0720 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158509 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158510 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158511 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158514 -               ..
158515 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201120-ecg-072031_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158518 -  ..
158519 - EKG looks perfect, after atrial flutter occurred on 201031 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158520 - taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158521 - medication again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158525 -  ..
158526 - Polar HR did GPS study for Concord elevation 100, 11-mile hike shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158527 - HR profile that rises and falls with changes in terrain elevations for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158528 - most of the hike; HR seems in expected range for recovering from 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158529 - ablation procedures...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158533 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                                 Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                                         
158534 -       Date       201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 2009  
158535 -       Miles         11     16      0      7     21     22     22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     18     14     1  
158536 -       HR AVG       108    108     no    106    109    111    114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    123    115    11  
158537 -         MAX        125    128  report   128    133    134    152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    145    136    14  
158538 -         Min         79     87            69     83     86     80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     90     78     7  
158539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158542 -              https://flow.polar.com/training/analysis/5367389093                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158545 -               ..
158547 -   
158548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158550 -  ..
158551 - HR profile Concord elevation 100, 11-mile route showing average 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158552 - and max 125, aligns with temperature 64, Hike had some long hills 2% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158553 - 4% grade with expected HR changes following cardiac ablation on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158554 - 0546. ref SDS 94 244I and following treatment in the ER infusing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158555 - through IV catheter high concentrate metoprolol that slowed heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158556 - from atrial flutter at HR 160, down to 60s and 70s, on 201007 2218.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158557 - ref SDS B3 X36J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158560 -  ..
158561 - EKG at mile 5 HR 97 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158565 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201120-ecg-114345_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158568 -  ..
158569 - EKG few beats look raggedy, but mainly consistent, after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158570 - metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158574 -  ..
158575 - EKG 1 minute after 11-mile hike HR 102 time 1346 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158576 - tachychardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158579 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201120-ecg-134629_mile_11.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158582 -  ..
158583 - EKG couple irregular beats, but rest seems perfect, after hiking 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158584 - miles, and after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158588 -  ..
158589 - HR profile post-hike beginning 2102 until in morning OA 0700 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158590 - mostly steady heart beat 61 +/-.  Max HR 102, and minimum HR 47 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158591 - with indoor activity - sleeping; 0 spikes above 130 indicates no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158592 - atrial flutter, after atrial flutter episode on 201031, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158593 - ref SDS 0 GZ4I, after not taking metoprolol, which is a beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158594 - that lowers HDL, beginning on 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158597 -        ..
158598 -       Date      201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 200831 20  
158599 -        Hours       10      9      7      2      7     10     10     10      9      9      7      7     11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13     12      
158600 -       HR AVG       61     59     66     65     64     67     64     65     62     62     65     60     66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72     75      
158601 -         MAX       102     99     97    112     98    111    102    109    145    112    158    108     97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143    140      
158602 -         Min        47     47     55     43     52     50     52     54     41     47     48     44     49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36     46      
158603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158606 -              https://flow.polar.com/training/analysis/5369559828                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158611 -   
158612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158615 -  ..
158616 - Breakfast - ensure with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158617 - Lunch - cheese triscuits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158618 - Dinner - macaroni cheese broccoli steak onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158620 -  ..
158621 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158628 -         ..
158629 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158630 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158631 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158632 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158633 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158634 -  326.  201121 0730............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158635 -               0740....BP HR..................................................... 137  87  65  Kardia ECG reports HR normal, see below. ref SDS 0 XPWS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158636 -               0745....BP HR..................................................... 135  80  64  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158637 -               0750....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158638 -               0750... 20 978240 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158639 -               0750... 80 217880 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158640 -               0000... 05 2775 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158641 -               0000... 75 10475 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158642 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
158643 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158644 -               0000... Oxycodone HCL Plain  5  325 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158645 -               0000... Gabapentin 300MG  46100MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158646 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158647 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158648 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158649 -               1700... 40 64040 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
158650 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
158651 -             1 0000............ 10 14540  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158652 -             1 0000............ 10 14130  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158653 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158654 -               2050... 40 44180 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158655 -               2120... 1000  989000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158656 -               0000....Tramadol 50 2100 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158657 -               0000... 05 2780 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
158658 -               2200... 80 217960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158659 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158661 -  ..
158662 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158663 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158664 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158665 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158666 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158667 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158668 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158669 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158670 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158671 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158672 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158673 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158674 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158675 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158676 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158677 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158678 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158679 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158680 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158681 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158682 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158683 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158684 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158685 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158686 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158687 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158689 -  ..
158690 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158691 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158693 -  ..
158694 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158695 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158696 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158698 -  ..
158699 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158701 -  ..
158702 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158703 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158705 -  ..
158706 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158708 -  ..
158709 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158710 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158712 -  ..
158713 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158714 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158715 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158716 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158717 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158718 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158719 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158720 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158721 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158722 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158723 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158724 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158725 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158726 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158727 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158728 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158731 -  ..
158732 - Kardia recorded HR 65 at 0744 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158733 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158734 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158735 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158738 -               ..
158739 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201121-ecg-074410_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158742 -  ..
158743 - EKG looks perfect, after atrial flutter occurred on 201031 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158744 - taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158745 - medication again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158748 -  ..
158749 - HR profile post-hike beginning 2002 until in morning OA 0800 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158750 - mostly steady heart beat 66 +/-.  Max HR 99, and minimum HR 53 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158751 - with indoor activity - sleeping; 0 spikes above 130 indicates no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158752 - atrial flutter, after atrial flutter episode on 201031, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158753 - ref SDS 0 GZ4I, after not taking metoprolol, which is a beta blocker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158754 - that lowers HDL, beginning on 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158757 -        ..
158758 -       Date      201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 200902 200901 20  
158759 -        Hours       11     10      9      7      2      7     10     10     10      9      9      7      7     11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9     13     13      
158760 -       HR AVG       66     61     59     66     65     64     67     64     65     62     62     65     60     66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64     72     72      
158761 -         MAX        99    102     99     97    112     98    111    102    109    145    112    158    108     97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110    143    143      
158762 -         Min        53     47     47     55     43     52     50     52     54     41     47     48     44     49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35     36     36      
158763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158766 -              https://flow.polar.com/training/analysis/5373684558                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158771 -   
158772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158775 -  ..
158776 - Breakfast - eggs pancake with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158777 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158778 - Dinner - cottage cheese onion tomato avocado mashed potatoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158780 -  ..
158781 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158788 -         ..
158789 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158790 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158791 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158792 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158793 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158794 -  327.  201122 0740............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158795 -               0740....BP HR..................................................... 147  85  70  Kardia ECG reports HR normal, see below. ref SDS 0 XTVX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158796 -               0745....BP HR..................................................... 152  80  73  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158797 -               0750....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158798 -               0750... 20 978260 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158799 -               0750... 80 218040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158800 -               0000... 05 2775 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158801 -               0000... 75 10475 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158802 -               0930... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
158803 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158804 -               0000... Oxycodone HCL Plain  5  325 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158805 -               0000... Gabapentin 300MG  46100MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158806 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158807 -               0930....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158808 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158809 -               1010....miles...........  12.0  67.0  201  1133 minutes  temp  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158811 -               0000... Oxycodone HCL Plain  5  325 mg RX90533728 took for pain management during hike not combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158812 -               0000... Gabapentin 300MG  46100MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158813 -               0000... Naproxen (Aleve) 2 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
158814 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158816 -               1405....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158817 -               1435....BP HR..................................................... 106  67  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158818 -               1440....BP HR..................................................... 121  87  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158819 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158820 -               1700... 40 64080 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
158821 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
158822 -               1830............ 10 14550  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158823 -               1830............ 10 14140  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158824 -               2010... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158825 -               2050... 40 44220 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158826 -               2120... 1000  990000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158827 -               0000....Tramadol 50 2100 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158828 -               0000... 05 2780 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
158829 -               2200... 80 218120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158830 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158832 -  ..
158833 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158834 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158835 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158836 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158837 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158838 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158839 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158840 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158841 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158842 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158843 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158844 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158845 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158846 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158847 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158848 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158849 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158850 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158851 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158852 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158853 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158854 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158855 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158856 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158857 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158858 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158860 -  ..
158861 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158862 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158864 -  ..
158865 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158866 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158867 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158869 -  ..
158870 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158872 -  ..
158873 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158874 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158876 -  ..
158877 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158879 -  ..
158880 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158881 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158883 -  ..
158884 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158885 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158886 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158887 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158888 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158889 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158890 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158891 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158892 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158893 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158894 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158895 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158896 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158897 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158898 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158899 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158901 -  ..
158902 - Today, in order to hike and to avoid oxycodone (opioids), took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158903 - naproxen to start hike, and skipped Crystal Ranch Road hills, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158904 - little toe right foot already hurting.  So did entire hike with only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158905 - the 2 naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158907 -  ..
158908 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158909 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158911 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158912 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158913 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158914 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158915 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158916 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158917 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158918 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158919 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158920 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158921 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158922 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158923 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158924 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158925 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158926 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158927 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158928 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158929 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158930 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158931 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158932 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158933 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158934 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158935 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158936 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158937 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158938 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158939 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158940 -        Metatarsalgia left foot...PRP 191009.........   1          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158941 -        Metatarsalgia right foot..PRP 191009.........   1          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158942 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158943 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158944 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158945 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158946 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158947 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158948 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158949 -        Blister little toe right foot................   3         20  applied hydrafera blue dressing between little toe - with 2 pair double ply socks and laced shoes loosely - worked well for 10 miles, then hurt last 2 miles                                                                                                                                                                                                                                                                                                                                                                                 
158950 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158951 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158952 -        Blister little toe left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158953 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158954 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158955 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158956 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158957 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158958 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158959 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158960 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158962 -  ..
158963 - Today, body energy good starting hike.  After hiking 12 miles body not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158964 - fatibued, wobbly nor disoriented taking only 2 naproxen starting the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158965 - hike, and nothing after that.
158967 - -
158968 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158969 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158970 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158972 -  ..
158973 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158975 -  ..
158976 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158977 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158978 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158980 -  ..
158981 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158982 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158983 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158984 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158985 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158987 -  ..
158988 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158989 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158991 -  ..
158992 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158993 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158994 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158996 -  ..
158997 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158998 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158999 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159000 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159001 - ref SDS 77 SM4M  After hike on 201122, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159002 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
159003 - ref SDS 0 ZN3M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
159005 -  ..
159006 - Concord 12 mile route - starting energy okay.  Had to take naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159007 - even though it raises blood pressure and LDL, because left knee and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159008 - feet reach intollerable pain without PRP due to repetitive stress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159009 - Wearing Hoka Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159010 - that prevent feet and knee injuries.  Wore 2-pair double-ply Wright                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159011 - socks received on 191010 1344, ref SDS 79 SM4M, to prevent blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159012 - Wrapped both feet little toes with hydrafera blue dressing for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
159013 - cushioning, protection and healing, secured with white tape.  Worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159014 - well on left foot entire hike and for about 9 miles on right foot,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159015 - then had severe pain so cut hike short.  Hiked from Cuneo uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159016 - Treat.  Breathed easily through nose entire hike.  Temperature reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159017 - 65.  Hiked East normal pace on Treat 1 mile to Clayton - time to 1.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159018 - miles 19 minutes.  Turned corner hiking South on Clayton 2 miles at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159019 - normal pace, mostly on flat concrete sidewalk.  At mile 3.5, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159020 - West onto Ygnacio Valley Road hiking on concrete sidewalk another .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159021 - mile.  About mile 4 crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159022 - West on asphalt shoulder aganist East bound traffic.  At mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159023 - stopped at Texaco gas station - EKG reported HR 97 Normal - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159024 - ref SDS 0 XURQ  Bought Coca Cola and banana.  Ate half sandwich peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159025 - butter margarine and jam, and ate half of banana.  Drank half of Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159026 - Cola for hydration and energy.  Hiked .25 mile on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159027 - to Pine Hollow; turned left and hiked about 50 yards.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159028 - onto Campus Road.  Hiked 1-mile West uphill 3% - 4% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159029 - California Sate University East Bay campus.  Energy seemed to improve.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159030 - Hiked 1-loop of about 1.5 miles through adjoining Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159031 - Parking lots.  Seemed to feel vasodilation surge of energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
159032 - strength hiking up last long hill in Student parking lot.  At mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159033 - back at Visitor Parking hiked North downhill 3% grade .3 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159034 - Ygnacio Valley Road.  Turned left and hiked West .5 mile on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159035 - Valley Road flat pavement.  At mile 8, did not turn South and hike 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159036 - mile up steep hill 5% grade on Crystal Ranch Road.  Little toe on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159037 - foot pain level 1, and little toe on right foot pain level 2+, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159038 - continued West on Ygnacio Valley Road uphill 2% grade past Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159039 - Crossed from South side of Ygnacio Valley Road to the North side in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159040 - order to avoid severely sloped shoulder on South Side.  On North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159041 - continued West uphill 3% grade over the summit and downhill past end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159042 - of concrete traffic barriar.  At mile 9.5 turned around and hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159043 - .5 miles uphill 3% grade back over the summit on Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159044 - Continued East .5 miles downhill.  Turned left hiking North on Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159045 - downhill 4% grade for .5 miles - left foot little toe pain level 3.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159046 - Continued .5 miles and turned left hiking West on Treat to Cuneo and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159047 - reaching home for 12 mile hike.  EKG at 1355 showed HR 99 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159048 - Tachycardia - perfect sinus curve. ref SDS 0 XUSU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159050 -  ..
159051 - Kardia recorded HR 72 at 0831 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159052 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159053 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159054 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159057 -               ..
159058 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201122-ecg-083148_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159061 -  ..
159062 - EKG looks perfect, after atrial flutter occurred on 201031 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159063 - taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159064 - medication again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159068 -  ..
159069 - Polar HR did GPS study for Concord elevation 100, 12-mile hike shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159070 - HR profile that rises and falls with changes in terrain elevations for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159071 - most of the hike; HR seems in expected range for recovering from 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159072 - ablation procedures...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159076 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                                 Half Dome              Lafyt  Concrd Lafyt                                                                                                                                                           
159077 -       Date       201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 2009  
159078 -       Miles         12      0     11     16      0      7     21     22     22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0      0     12     14     12     1  
159079 -       HR AVG       113     no    108    108     no    106    109    111    114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     no    117    121    120    12  
159080 -         MAX        129  report   125    128  report   128    133    134    152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report report   132    159    135    14  
159081 -         Min         83            79     87            69     83     86     80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                        90     90     95     9  
159082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159085 -              https://flow.polar.com/training/analysis/5374924573                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159088 -               ..
159090 -   
159091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159093 -  ..
159094 - HR profile Concord elevation 100, 12-mile route showing average 113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159095 - and max 129, aligns with temperature 65, Hike had some long hills 2% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159096 - 4% grade with expected HR changes following cardiac ablation on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159097 - 0546. ref SDS 94 244I and following treatment in ER injecting high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159098 - concentrate metoprolol that slowed atrial flutter HR 160, down to 60s                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159099 - and 70s, on 201007 2218. ref SDS B3 X36J  A second isolated episode of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159100 - atrial flutter recurred on 201031, with HR 150, and was treated with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159101 - Metoprolol Tartrate pill that lowered HR into 70s. ref SDS 0 GZ4I  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159102 - further episodes of atrial fibrilltion nor flutter have occurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159105 -  ..
159106 - EKG at mile 5 HR 103 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159110 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201122-ecg-113310_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159113 -  ..
159114 - EKG looks perfect, after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159118 -  ..
159119 - EKG 1 minute after 12-mile hike HR 99 time 1355 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159120 - tachychardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159123 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201122-ecg-135531_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159126 -  ..
159127 - EKG little raggedy initial 1/3rd, then perfect, after hiking 11 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159128 - and after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159161 -  ..
159162 - Breakfast - cream of wheat (few bites)  with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159163 - Lunch - triscuits cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159164 - Dinner - cottage cheese onion tomato avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159166 -  ..
159167 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159174 -         ..
159175 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159176 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159177 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159178 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159179 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159180 -  328.  201123 0640............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159181 -               0730....BP HR..................................................... 148  80  68  Kardia ECG reports HR normal, see below. ref SDS 0 XVSQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159182 -               0735....BP HR..................................................... 140  84  66  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159183 -               0740....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159184 -               0740... 20 978280 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159185 -               0740... 80 218200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159186 -               0000... 05 2775 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159187 -               0000... 75 10475 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159188 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
159189 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159190 -               0000... Oxycodone HCL Plain  5  325 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159191 -               0000... Gabapentin 300MG  46100MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159192 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159193 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159194 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159195 -               1700... 40 64120 Pantopr*zole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
159196 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
159197 -             1 0000............ 10 14550  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159198 -             1 0000............ 10 14140  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159199 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159200 -               2050... 40 44260 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159201 -               2120... 1000  991000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159202 -               0000....Tramadol 50 2100 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159203 -               0000... 05 2780 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
159204 -               2200... 80 218280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159205 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159207 -  ..
159208 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159209 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159210 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159211 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159212 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159213 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159214 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159215 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159216 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159217 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159218 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159219 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159220 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159221 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159222 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159223 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159224 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159225 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159226 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159227 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159228 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159229 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159230 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159231 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159232 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159233 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159235 -  ..
159236 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159237 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159239 -  ..
159240 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159241 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159242 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159244 -  ..
159245 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159247 -  ..
159248 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159249 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159251 -  ..
159252 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159254 -  ..
159255 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159256 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159258 -  ..
159259 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159260 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159261 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159262 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159263 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159264 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159265 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159266 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159267 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159268 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159269 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159270 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159271 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159272 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159273 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159274 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159277 -  ..
159278 - Kardia recorded HR 69 at 0639 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159279 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159280 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159281 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159284 -               ..
159285 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201123-ecg-063951_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159288 -  ..
159289 - EKG looks perfect, after atrial flutter occurred on 201031 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159290 - taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159291 - medication again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159296 -  ..
159297 - HR profile post-hike beginning 2038 until in morning OA 0530 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159298 - mostly steady heart beat 67 +/-.  Max HR 102, and minimum HR 54 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159299 - with indoor activity - sleeping; 0 spikes above 130 indicates likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159300 - no attrial fibrillation nor flutter, after atrial flutter episode on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159301 - 201031, per above, ref SDS 0 GZ4I, after not taking metoprolol, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159302 - is a beta blocker that lowers HDL, beginning on 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159305 -        ..
159306 -       Date      201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 200903 20  
159307 -        Hours        9      9     11     10      9      7      2      7     10     10     10      9      9      7      7     11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      9      
159308 -       HR AVG       67     63     66     61     59     66     65     64     67     64     65     62     62     65     60     66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78     64      
159309 -         MAX       102    153     99    102     99     97    112     98    111    102    109    145    112    158    108     97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137    110      
159310 -         Min        54     48     53     47     47     55     43     52     50     52     54     41     47     48     44     49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40     35      
159311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159314 -              https://flow.polar.com/training/analysis/5380521773                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159319 -   
159320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159323 -  ..
159324 - Breakfast - eggs bacon avocado toast with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159325 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159326 - Dinner - rice cheese broccoli hamburger macaroni onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159328 -  ..
159329 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159336 -         ..
159337 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159338 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159339 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159340 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159341 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
159342 -  329.  201124 0710............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159343 -               0720....BP HR..............naproxen paused yesterday.............. 132  77  77  Kardia ECG reports HR normal, see below. ref SDS 0 YPQW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159344 -               0725....BP HR..................................................... 128  81  75  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159345 -               0730....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159346 -               0730... 20 978300 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159347 -               0730... 80 218360 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159348 -               0000... 05 2775 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159349 -               0000... 75 10475 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159350 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
159351 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159352 -               0000... Oxycodone HCL Plain  5  325 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159353 -               0000... Gabapentin 300MG  46100MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159354 -               0930... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159355 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159356 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159357 -               1700... 40 64160 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
159358 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
159359 -               1830............ 10 14560  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159360 -               1830............ 10 14150  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159361 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159362 -               2050... 40 44300 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159363 -               2120... 1000  992000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159364 -               0000....Tramadol 50 2100 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159365 -               0000... 05 2780 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
159366 -               2200... 80 218440 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159367 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159369 -  ..
159370 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159371 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159372 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159373 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159374 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159375 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159376 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159377 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159378 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159379 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159380 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159381 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159382 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159383 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159384 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159385 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159386 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159387 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159388 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159389 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159390 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159391 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159392 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159393 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159394 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159395 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159397 -  ..
159398 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159399 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159401 -  ..
159402 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159403 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159404 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159406 -  ..
159407 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159409 -  ..
159410 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159411 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159413 -  ..
159414 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159416 -  ..
159417 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159418 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159420 -  ..
159421 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159422 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159423 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159424 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159425 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159426 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159427 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159428 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159429 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159430 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159431 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159432 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159433 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159434 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159435 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159436 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159438 -  ..
159439 - Kardia recorded HR 73 at 0912 - Unclassified - after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159440 - Metorpolol Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159441 - atrial flutter that occurred at 1500, after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159442 - 201101, per above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159445 -               ..
159446 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201124-ecg-091227_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159449 -  ..
159450 - EKG looks perfect, so unclear why "Unclassified", after atrial flutter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159451 - occurred on 201031 1500, taking metoprolol tartrate at 1640,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159452 - ref SDS 0 SVXS, then pausing medication again the next day on 201101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159453 - per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159457 -  ..
159458 - HR profile post-hike beginning 2143 until in morning OA 0610 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159459 - mostly steady heart beat 66 +/-.  Max HR 130, and minimum HR 51 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159460 - with indoor activity - sleeping; 1 spike above 130 indicates possibble                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159461 - attrial fibrillation and no flutter, after atrial flutter episode on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159462 - 201031, per above, ref SDS 0 GZ4I, after not taking metoprolol, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159463 - is a beta blocker that lowers HDL, beginning on 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159466 -        ..
159467 -       Date      201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 200904 20  
159468 -        Hours        8      9      9     11     10      9      7      2      7     10     10     10      9      9      7      7     11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13     12      
159469 -       HR AVG       66     67     63     66     61     59     66     65     64     67     64     65     62     62     65     60     66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76     78      
159470 -         MAX       130    102    153     99    102     99     97    112     98    111    102    109    145    112    158    108     97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111    137      
159471 -         Min        51     54     48     53     47     47     55     43     52     50     52     54     41     47     48     44     49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48     40      
159472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159475 -              https://flow.polar.com/training/analysis/5383413488                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159480 -   
159481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159484 -  ..
159485 - Breakfast - eggs bacon avocado toast with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159486 - Lunch - cheese triscuits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159487 - Dinner - rice cheese broccoli hamburger macaroni onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159489 -  ..
159490 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159497 -         ..
159498 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159499 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159500 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159501 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159502 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159503 -  330.  201125 0620............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159504 -               0620....BP HR..............naproxen paused 201123................. 103  71  80  Kardia ECG reports HR normal, see below. ref SDS 0 YQXT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159505 -               0625....BP HR..................................................... 115  76  82  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159506 -               0630....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159507 -               0630... 20 978320 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159508 -               0630... 80 218520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159509 -               0000... 05 2775 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159510 -               0000... 75 10475 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159511 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
159512 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159513 -               0000... Oxycodone HCL Plain  5  325 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159514 -               0000... Gabapentin 300MG  46100MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159515 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159516 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159517 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159518 -               1700... 40 64200 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
159519 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
159520 -             1 0000............ 10 14560  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159521 -             1 0000............ 10 14150  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159522 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159523 -               2050... 40 44340 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159524 -               2120... 1000  993000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159525 -               0000....Tramadol 50 2100 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159526 -               0000... 05 2780 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
159527 -               2200... 80 218600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159528 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159530 -  ..
159531 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159532 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159533 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159534 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159535 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159536 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159537 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159538 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159539 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159540 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159541 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159542 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159543 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159544 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159545 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159546 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159547 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159548 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159549 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159550 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159551 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159552 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159553 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159554 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159555 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159556 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159558 -  ..
159559 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159560 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159562 -  ..
159563 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159564 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159565 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159567 -  ..
159568 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159570 -  ..
159571 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159572 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159574 -  ..
159575 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159577 -  ..
159578 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159579 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159581 -  ..
159582 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159583 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159584 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159585 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159586 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159587 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159588 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159589 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159590 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159591 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159592 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159593 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159594 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159595 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159596 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159597 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159599 -  ..
159600 - Kardia recorded HR 73 at 0644 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159601 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159602 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159603 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159606 -               ..
159607 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201125-ecg-064432_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159610 -  ..
159611 - EKG looks perfect, after atrial flutter occurred on 201031 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159612 - taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159613 - medication again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159617 -  ..
159618 - HR profile post-hike beginning 1927 until in morning OA 0700 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159619 - mostly steady heart beat 66 +/-.  Max HR 160, and minimum HR 49 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159620 - with indoor activity - sleeping; 1 spike above 130 indicates possibble                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159621 - attrial fibrillation and no flutter, after atrial flutter episode on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159622 - 201031, per above, ref SDS 0 GZ4I, after not taking metoprolol, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159623 - is a beta blocker that lowers HDL, beginning on 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159626 -        ..
159627 -       Date      201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 200905 20  
159628 -        Hours       12      8      9      9     11     10      9      7      2      7     10     10     10      9      9      7      7     11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13     13      
159629 -       HR AVG       66     66     67     63     66     61     59     66     65     64     67     64     65     62     62     65     60     66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76     76      
159630 -         MAX       160    130    102    153     99    102     99     97    112     98    111    102    109    145    112    158    108     97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111    111      
159631 -         Min        49     51     54     48     53     47     47     55     43     52     50     52     54     41     47     48     44     49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48     48      
159632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159635 -              https://flow.polar.com/training/analysis/5386760278                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159640 -   
159641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159644 -  ..
159645 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159646 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159647 - Dinner - macaroni cheese broccoli tuna onion tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159649 -  ..
159650 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159657 -         ..
159658 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159659 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159660 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159661 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159662 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159663 -  331.  201126 0710............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159664 -               0710....BP HR..............naproxen paused 201123................. 140  79  68  Kardia ECG reports HR normal, see below. ref SDS 0 YUWP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159665 -               0715....BP HR..................................................... 124  76  67  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159666 -               0720....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159667 -               0720... 20 978340 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159668 -               0720... 80 218680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159669 -               0000... 05 2775 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159670 -               0000... 75 10475 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159671 -               0930... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
159672 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159673 -               0000... Oxycodone HCL Plain  5  325 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159674 -               0000... Gabapentin 300MG  46100MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159675 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159676 -               0930....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159677 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159678 -        * cr   0950....miles...........  25.0  25.0  418   418 minutes  temp  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159680 -               1340... Oxycodone HCL Plain  5  325 mg RX90533728 took for pain management during hike not combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159681 -               1340... Gabapentin 300MG  46400MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159682 -               0000... Naproxen (Aleve) 2 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
159683 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159685 -               1805....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159686 -               1815....BP HR.....................................................  85  50  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159687 -               1820....BP HR.....................................................  83  46  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159688 -               1830....BP HR.....................................................  95  55  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159689 -               1840....BP HR..................................................... 102  60  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159690 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159691 -               1700... 40 64240 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
159692 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
159693 -               1830............ 10 14570  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159694 -               1830............ 10 14160  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159695 -               2010... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159696 -               2050... 40 44380 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159697 -               2120... 1000  994000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159698 -               0000....Tramadol 50 2100 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159699 -               0000... 05 2780 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
159700 -               2200... 80 218760 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159701 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159703 -  ..
159704 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159705 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159706 - daily hike. ref SDS 55 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159707 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159708 - at top of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159709 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159710 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159711 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159713 -  ..
159714 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159715 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159716 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159717 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159718 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159719 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159720 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159721 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159722 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159723 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159724 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159725 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159726 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159727 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159728 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159729 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159730 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159731 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159732 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159733 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159734 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159735 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159736 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159737 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159738 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159739 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159741 -  ..
159742 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159743 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159745 -  ..
159746 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159747 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159748 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159750 -  ..
159751 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159753 -  ..
159754 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159755 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159757 -  ..
159758 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159760 -  ..
159761 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159762 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159764 -  ..
159765 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159766 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159767 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159768 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159769 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159770 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159771 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159772 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159773 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159774 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159775 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159776 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159777 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159778 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159779 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159780 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159782 -  ..
159783 - Today, in order to hike and to avoid oxycodone (opioids), took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159784 - naproxen to start hike, and skipped Crystal Ranch Road hills, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159785 - little toe right foot already hurting.  So did entire hike with only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159786 - the 2 naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159788 -  ..
159789 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159790 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159792 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159793 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159794 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159795 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159796 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159797 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159798 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159799 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159800 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159801 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159802 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159803 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159804 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159805 -        Knee left meniscus...PRP 191009..............   1          2   felt knee short distance somewhere along the hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159806 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159807 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159808 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159809 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159810 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159811 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159812 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159813 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159814 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159815 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159816 -        Little Toe blister left foot.................   2          5  wrapped hydrofera blue dressing worked okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159817 -        Tailor's Bunion left foot.. PRP 190612.......   3         20  very painful last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
159818 -        Tailor's Bunion right foot..PRP 190816.......   3         20  very painful last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
159819 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159820 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159821 -        Metatarsalgia left foot...PRP 191009.........   2         10  oxycodone and gabapentin less helpful last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159822 -        Metatarsalgia right foot..PRP 191009.........   2         10  oxycodone and gabapentin less helpful last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159823 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159824 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159825 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159826 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159827 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159828 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159829 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159830 -        Blister little toe right foot................   3         20  applied hydrafera blue dressing between little toe - with 2 pair double ply socks and laced shoes loosely - worked well for 10 miles, then hurt last 2 miles                                                                                                                                                                                                                                                                                                                                                                                 
159831 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159832 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159833 -        Blister little toe left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159834 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159835 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159836 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159837 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159838 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159839 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159840 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159841 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159843 -  ..
159844 - Today, energy good starting hike.  After hiking 25 miles body not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159845 - fatibued, wobbly nor disoriented taking 2 naproxen starting the hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159846 - and oxycodone and gabapentin at mile 13.
159848 - -
159849 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159850 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159851 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159853 -  ..
159854 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159856 -  ..
159857 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159858 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159859 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159861 -  ..
159862 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159863 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159864 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159865 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159866 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159868 -  ..
159869 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159870 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159872 -  ..
159873 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159874 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159875 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159877 -  ..
159878 - Little toes both feet wrapped with hydrofera blue antibacterial foam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159879 - dressing to heal and protect wounds from crimping.  Provides                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159880 - additional cushioning to prevent crimping during long hikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159882 -  ..
159883 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159884 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159885 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159886 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159887 - ref SDS 77 SM4M  After hike on 201126, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159888 - Tailor's Bunions, and applied ammonium lactate lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
159889 - ref SDS 0 YSPX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
159891 -  ..
159892 - Concord 25 mile route - starting energy okay.  Had to take naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159893 - even though it raises blood pressure and LDL, because left knee and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159894 - feet reach intollerable pain without PRP due to repetitive stress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159895 - Wearing Hoka Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159896 - that prevent feet and knee injuries.  Wore 2-pair double-ply Wright                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159897 - socks received on 191010 1344, ref SDS 79 SM4M, to prevent blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159898 - Wrapped both little toes with hydrofera blue antibacterial foam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159899 - dressing.  Worked well begin feeling pain level 2 only after 23 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159900 - Hiked from Cuneo uphill to Treat.  Breathed easily through nose entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159901 - hike.  Temperature reached 64.  Hiked East faster pace on Treat 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159902 - to Clayton - time to 1.25 miles 19 minutes.  Turned corner hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159903 - South on Clayton 2 miles at normal to fast pace, mostly on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159904 - concrete sidewalk.  At mile 3.5, turned West onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159905 - hiking on concrete sidewalk another .5 mile.  About mile 4 crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159906 - South side Ygnacio Valley Road hiking West on asphalt shoulder aganist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159907 - East bound traffic.  At mile 5, stopped at Texaco gas station - EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159908 - reported HR 110 Tachycardia - see below. ref SDS 0 YVRU  Bought Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159909 - Cola and banana.  Ate half of half sandwich peanut butter margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159910 - and jam.  Ate half of banana.  Drank half of Coca Cola for hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159911 - and energy.  Hiked .25 mile on Ygnacio Valley Road to Pine Hollow;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159912 - turned left and hiked about 50 yards.  Turned right onto Campus Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159913 - Hiked 1-mile West uphill 3% - 4% grade to California Sate University                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159914 - East Bay campus.  Energy seemed to improve.  At Visitor Parking saw                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159915 - Ted, who spoke with him and his wife on 201111, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159916 - TTWS  He has not investigated PRP; he did get an MRI on his knee, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159917 - waiting for results.  Hiked 1-loop of about 2 miles through adjoining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159918 - Faculty and Student Parking lots, including sub-loop.  Seemed to feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159919 - vasodilation surge of energy and strength hiking up last long hill in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159920 - Student parking lot.  At mile 7.5 back at Visitor Parking hiked North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159921 - downhill 3% grade .3 mile to Ygnacio Valley Road.  Turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159922 - hiked West .5 mile on Ygnacio Valley Road flat pavement.  At mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159923 - turned South and hiked 1 mile up steep hill 5% grade on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159924 - Road.  Handled this long hill well, with energy that maintained speed,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159925 - and breathing easily through nose all the way.  Hiked another mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159926 - flat pavement through residential area.  Hiked downhill .5 mile past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159927 - Rolling Woods Way.  Hiked up another steep hill 5% grade .5 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159928 - the end of Crystal Ranch Road.  Breathed through nose all the way -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159929 - surprised how easy this part of the hike was.  Hiked back downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159930 - Crystal Ranch Road.  Turned East on Rolling Woods Way.  Hiked up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159931 - hill 5% grade .33 mile, then downhill .66 miles.  Turned North onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159932 - Pine Hillow.  Hiked 1 mile back to Ygnacio Valley Road.  At mile 13,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159933 - stopped at Texaco Gas Station again - EKG reported HR 116 Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159934 - - see below. ref SDS 0 YVSX  Bought another Coca Cola - drank half to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159935 - take oxycodone 5 mg pill.  Ate 2nd half of half sandwitch with pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159936 - medication pill.  Continued on Ygnacio Valley Road to Pine Hollow;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159937 - turned left and hiked about 50 yards.  Turned right onto Campus Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159938 - Hiked 1-mile West uphill 3% - 4% grade to California Sate University                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159939 - East Bay campus.  Hiked 1-loop of about 1.5 miles through adjoining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159940 - Faculty and Student Parking lots; did not added sub-loops of .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159941 - Back at Visitor Parking took Campus Drive North .33 mile downhill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159942 - Ygnacio Valley Road, mile 15 in the hike.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159943 - Valley Road and hiked West .5 miles.  Adrenalin seemed to kick in,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159944 - because increased pace hiking West on Ygnacio Valley Road uphill 2%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159945 - grade past Cowell.  Crossed from South side of Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159946 - the North side in order to avoid severely sloped shoulder on South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159947 - Side.  On North side continued West uphill 3% grade over the summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159948 - past end of concrete traffic barriar.  Feeling very good - strong even                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159949 - though beginnint to feel feet metatarsalgia pain level 2.  At mile 17,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159950 - crossed back to South side Ygnacio Valley Road to use wider, flatter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159951 - roadway shoulder.  Hiked 1.5 miles downhill. and crossed back to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159952 - Side of the road.  Hiked another mile to Oak Grove.  Hiked 2 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159953 - loops around safeway shopping center.  Turned left hiking North on Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159954 - Grove 1 mile to Treat.  Turned right and hiked 2 miles to San Miguel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159955 - on flat concrete sidewalk.  After turning corner onto Treat, fell to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159956 - the ground because sidewalk is covered with tree leaves.  Stepped into                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159957 - a hole in the sidewalk which could not be seen due to leaves.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159958 - serious injuries, scraped right hand, and thumb on left hand.  Got up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159959 - quickly, and continued hike.  Feet hurt on this part of hike.  At San                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159960 - Miguel, hiked uphill 4% grade .75 mile.  Turned left onto Cuneo.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159961 - Feeling strong, so hiked 1-mile loop around the block, then home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159962 - 25 miles.  EKG at end of hike found time 1727, HR 111 TTTachycardia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159963 - see below. ref SDS 0 DN7F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159965 -  ..
159966 - Kardia recorded HR 68 at 0838 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159967 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159968 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159969 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159972 -               ..
159973 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201126-ecg-083812_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159976 -  ..
159977 - EKG looks good, but several raggedy beats, after atrial flutter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159978 - occurred on 201031 1500, taking metoprolol tartrate at 1640,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159979 - ref SDS 0 SVXS, then pausing medication again the next day on 201101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159980 - per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159984 -  ..
159985 - Polar HR did GPS study for Concord elevation 100, 12-mile hike shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159986 - HR profile that rises and falls with changes in terrain elevations for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159987 - most of the hike; HR seems in expected range for recovering from 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159988 - ablation procedures...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159992 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                                 Half Dome              Lafyt  Concrd Lafyt                                                                                                                        
159993 -       Date       201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 200912 200911 200910 200909 2009  
159994 -       Miles         25      0      0      0     12      0     11     16      0      7     21     22     22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8      0      0      0      0        
159995 -       HR AVG       120     no     no     no    113     no    108    108     no    106    109    111    114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     no     no     no     no     n  
159996 -         MAX        150  report report report   129  report   125    128  report   128    133    134    152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  report report report report repo  
159997 -         Min         86                          83            79     87            69     83     86     80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86                                    
159998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160002 -              https://flow.polar.com/training/analysis/5388430798                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160004 -               ..
160006 -   
160007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160009 -  ..
160010 - HR profile Concord elevation 100, 12-mile route showing average 113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160011 - and max 129, aligns with temperature 65, Hike had some long hills 2% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160012 - 4% grade with expected HR changes following cardiac ablation on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160013 - 0546. ref SDS 94 244I and following treatment in ER injecting high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
160014 - concentrate metoprolol that slowed atrial flutter HR 160, down to 60s                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160015 - and 70s, on 201007 2218. ref SDS B3 X36J  A second isolated episode of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160016 - atrial flutter recurred on 201031, with HR 150, and was treated with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160017 - Metoprolol Tartrate pill that lowered HR into 70s. ref SDS 0 GZ4I  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160018 - further episodes of atrial fibrilltion nor flutter have occurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160021 -  ..
160022 - EKG at mile 5 HR 110 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160026 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201126-ecg-110818_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160029 -  ..
160030 - EKG 2-3 raggedy beats but overall looks perfect, after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160031 - metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160035 -  ..
160036 - EKG at mile 13 HR 116 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160040 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201126-ecg-133450_mile_13.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160043 -  ..
160044 - EKG 2-3 raggedy beats but overall looks perfect, after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160045 - metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160049 -  ..
160050 - EKG 1 minute after 12-mile hike HR 111 time 1727 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160051 - tachychardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160054 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201126-ecg-172730_mile_25.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160057 -  ..
160058 - EKG little raggedy then perfect, but 2nd half of chart shows several                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160059 - erratic beats, after hiking 11 miles, and after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160060 - 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160066 -  ..
160067 - HR profile post-hike beginning 1959 until in morning OA 0830 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160068 - mostly steady heart beat 66 +/-.  Max HR 151, and minimum HR 36 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160069 - with indoor activity - sleeping; 4 spikes above 130 indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160070 - possibble attrial fibrillation and no flutter, after atrial flutter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160071 - episode on 201031, per above, ref SDS 0 GZ4I, after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160072 - metoprolol, which is a beta blocker that lowers HDL, beginning on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160073 - 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160076 -        ..
160077 -       Date      201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 200906 20  
160078 -        Hours       13     12      8      9      9     11     10      9      7      2      7     10     10     10      9      9      7      7     11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12     13      
160079 -       HR AVG       66     66     66     67     63     66     61     59     66     65     64     67     64     65     62     62     65     60     66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75     76      
160080 -         MAX       151    160    130    102    153     99    102     99     97    112     98    111    102    109    145    112    158    108     97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125    111      
160081 -         Min        36     49     51     54     48     53     47     47     55     43     52     50     52     54     41     47     48     44     49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38     48      
160082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160085 -              https://flow.polar.com/training/analysis/5390243828                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160090 -   
160091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160094 -  ..
160095 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160096 - Lunch - cottage cheese chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160097 - Dinner - macaroni cheese broccoli tuna onion tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160099 -  ..
160100 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160106 -         ..
160107 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160108 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160109 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160110 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160111 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160112 -  332.  201127 0800............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160113 -               0810....BP HR..................................................... 135  76  58  Kardia ECG reports HR normal, see below. ref SDS 0 PQPQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160114 -               0815....BP HR..................................................... 129  72  56  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160115 -               0820....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160116 -               0820... 20 978360 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160117 -               0820... 80 218840 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160118 -               0000... 05 2775 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160119 -               0000... 75 10475 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160120 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
160121 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160122 -               0000... Oxycodone HCL Plain  5  325 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160123 -               0000... Gabapentin 300MG  46100MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160124 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160125 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160126 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160127 -               1700... 40 64280 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
160128 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
160129 -             1 0000............ 10 14570  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160130 -             1 0000............ 10 14160  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160131 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160132 -               2050... 40 44420 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160133 -               2120... 1000  995000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160134 -               0000....Tramadol 50 2100 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
160135 -               0000... 05 2780 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
160136 -               2200... 80 218920 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160137 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160139 -  ..
160140 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160141 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160142 - daily hike. ref SDS 55 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160143 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160144 - at top of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160145 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160146 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160147 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160149 -  ..
160150 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160151 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160152 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160153 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160154 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160155 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160156 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160157 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160158 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160159 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160160 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160161 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160162 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160163 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160164 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160165 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160166 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160167 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160168 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160169 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160170 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160171 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160172 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160173 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160174 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160175 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160177 -  ..
160178 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160179 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160181 -  ..
160182 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160183 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160184 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160186 -  ..
160187 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160189 -  ..
160190 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160191 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160193 -  ..
160194 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160196 -  ..
160197 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160198 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160200 -  ..
160201 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160202 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160203 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
160204 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160205 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160206 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160207 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160208 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160209 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160210 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160211 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
160212 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160213 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160214 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160215 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160216 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160218 -  ..
160219 - Kardia recorded HR 66 at 0851 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160220 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160221 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160222 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160225 -               ..
160226 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201127-ecg-085139_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160229 -  ..
160230 - EKG looks perfect, after atrial flutter occurred on 201031 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160231 - taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160232 - medication again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160236 -  ..
160237 - HR profile post-hike beginning 1928 until in morning OA 0700 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160238 - mostly steady heart beat 64 +/-.  Max HR 157, and minimum HR 52 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160239 - with indoor activity - sleeping; 1 spike above 130 indicates possibble                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160240 - atrial fibrillation and no flutter, after atrial flutter episode on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160241 - 201031, per above, ref*SDS 0 GZ4I, after not taking metoprolol, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160242 - is a beta blocker that lowers HDL, beginning on 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160245 -        ..
160246 -       Date      201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 200907 20  
160247 -        Hours       12     13     12      8      9      9     11     10      9      7      2      7     10     10     10      9      9      7      7     11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13     12      
160248 -       HR AVG       64     66     66     66     67     63     66     61     59     66     65     64     67     64     65     62     62     65     60     66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76     75      
160249 -         MAX       157    151    160    130    102    153     99    102     99     97    112     98    111    102    109    145    112    158    108     97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105    125      
160250 -         Min        52     36     49     51     54     48     53     47     47     55     43     52     50     52     54     41     47     48     44     49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61     38      
160251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160254 -              https://flow.polar.com/training/analysis/5393151198                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160259 -   
160260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160263 -  ..
160264 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160265 - Lunch - cottage cheese chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160266 - Dinner - macaroni cheese broccoli tuna onion tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160268 -  ..
160269 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160276 -         ..
160277 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160278 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160279 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160280 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160281 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160282 -  333.  201128 0700............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160283 -               0720....BP HR..................................................... 135  83  69  Kardia ECG reports HR normal, see below. ref SDS 0 PQPS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160284 -               0725....BP HR..................................................... 128  80  67  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160285 -               0730....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160286 -               0730... 20 978380 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160287 -               0730... 80 219000 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160288 -               0000... 05 2775 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160289 -               0000... 75 10475 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160290 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
160291 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160292 -               0000... Oxycodone HCL Plain  5  325 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160293 -               0000... Gabapentin 300MG  46100MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160294 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160295 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160296 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160297 -               1700... 40 64320 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
160298 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
160299 -               1830............ 10 14580  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160300 -               1830............ 10 14170  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160301 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160302 -               2030... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160303 -               2050... 40 44460 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160304 -               2120... 1000  996000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160305 -               0000....Tramadol 50 2100 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
160306 -               0000... 05 2780 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
160307 -               2200... 80 219080 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160308 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160310 -  ..
160311 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160312 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160313 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160314 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160315 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160316 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160317 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160318 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160319 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160320 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160321 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160322 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160323 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160324 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160325 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160326 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160327 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160328 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160329 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160330 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160331 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160332 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160333 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160334 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160335 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160336 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160338 -  ..
160339 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160340 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160342 -  ..
160343 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160344 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160345 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160347 -  ..
160348 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160350 -  ..
160351 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160352 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160354 -  ..
160355 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160357 -  ..
160358 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160359 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160361 -  ..
160362 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160363 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160364 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
160365 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160366 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160367 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160368 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160369 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160370 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160371 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160372 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
160373 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160374 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160375 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160376 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160377 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160379 -  ..
160380 - Kardia recorded HR 66 at 0722 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160381 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160382 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160383 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160386 -               ..
160387 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201128-ecg-072225_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160390 -  ..
160391 - EKG looks perfect, after atrial flutter occurred on 201031 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160392 - taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160393 - medication again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160395 -  ..
160396 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160397 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160398 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160399 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160400 - ref SDS 77 SM4M  After hike on 201126, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160401 - Tailor's Bunions, and applied Urea 20 replacing ammonium lactate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160402 - lotion to feet. ref SDS 0 TK6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160405 -  ..
160406 - HR profile post-hike beginning 1922 until in morning OA 0640 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160407 - mostly steady heart beat 70 +/-.  Max HR 107, and minimum HR 56 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160408 - with indoor activity - sleeping; 0 spikes above 130 indicates no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160409 - likely atrial fibrillation nor flutter, after atrial flutter episode                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160410 - on 201031, per above, ref SDS 0 GZ4I, after not taking metoprolol,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160411 - which is a beta blocker that lowers HDL, beginning on 201010.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160412 - ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160415 -        ..
160416 -       Date      201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 200908 20  
160417 -        Hours       11     12     13     12      8      9      9     11     10      9      7      2      7     10     10     10      9      9      7      7     11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11     13      
160418 -       HR AVG       70     64     66     66     66     67     63     66     61     59     66     65     64     67     64     65     62     62     65     60     66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66     76      
160419 -         MAX       107    157    151    160    130    102    153     99    102     99     97    112     98    111    102    109    145    112    158    108     97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124    105      
160420 -         Min        56     52     36     49     51     54     48     53     47     47     55     43     52     50     52     54     41     47     48     44     49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45     61      
160421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160424 -              https://flow.polar.com/training/analysis/5396830468                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160429 -   
160430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160433 -  ..
160434 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160435 - Lunch - half sandwich tuna avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160436 - Dinner - macaroni cheese broccoli steak onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160438 -  ..
160439 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160446 -         ..
160447 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160448 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160449 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160450 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160451 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160452 -  334.  201129 0650............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160453 -               0650....BP HR..................................................... 138  89  67  Kardia ECG reports HR normal, see below. ref SDS 0 P5WT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160454 -               0655....BP HR..................................................... 145  81  67  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160455 -               0700....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160456 -               0700... 20 978400 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160457 -               0700... 80 219160 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160458 -               0000... 05 2775 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160459 -               0000... 75 10475 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160460 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
160461 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160462 -               0000... Oxycodone HCL Plain  5  325 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160463 -               0000... Gabapentin 300MG  46100MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160464 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160465 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160466 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160467 -               1700... 40 64360 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
160468 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
160469 -             1 0000............ 10 14580  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160470 -             1 0000............ 10 14170  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160471 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160472 -               2030... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160473 -               2050... 40 44500 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160474 -               2120... 1000  997000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160475 -               0000....Tramadol 50 2100 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
160476 -               0000... 05 2780 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
160477 -               2200... 80 219240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160478 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160480 -  ..
160481 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160482 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160483 - daily hike. ref SDS 55 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160484 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160485 - at top of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160486 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160487 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160488 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160490 -  ..
160491 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160492 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160493 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160494 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160495 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160496 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160497 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160498 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160499 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160500 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160501 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160502 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160503 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160504 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160505 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160506 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160507 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160508 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160509 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160510 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160511 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160512 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160513 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160514 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160515 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160516 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160518 -  ..
160519 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160520 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160522 -  ..
160523 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160524 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160525 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160527 -  ..
160528 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160530 -  ..
160531 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160532 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160534 -  ..
160535 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160537 -  ..
160538 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160539 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160541 -  ..
160542 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160543 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160544 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
160545 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160546 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160547 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160548 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160549 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160550 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160551 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160552 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
160553 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160554 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160555 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160556 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160557 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160559 -  ..
160560 - Kardia recorded HR 66 at 0704 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160561 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160562 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160563 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160566 -               ..
160567 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201129-ecg-070445_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160570 -  ..
160571 - EKG looks raggedy initial 6 beats, then perfect, after atrial flutter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160572 - occurred on 201031 1500, taking metoprolol tartrate at 1640,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160573 - ref SDS 0 SVXS, then pausing medication again the next day on 201101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160574 - per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160577 -  ..
160578 - HR profile post-hike beginning 2017 until in morning OA 0630 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160579 - mostly steady heart beat 69 +/-.  Max HR 124, and minimum HR 49 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160580 - with indoor activity - sleeping; 0 spikes above 130 indicates no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160581 - likely atrial fibrillation nor flutter, after atrial flutter episode                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160582 - on 201031, per above, ref SDS 0 GZ4I, after not taking metoprolol,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160583 - which is a beta blocker that lowers HDL, beginning on 201010.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160584 - ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160587 -        ..
160588 -       Date      201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 200910 200909 20  
160589 -        Hours       10     11     12     13     12      8      9      9     11     10      9      7      2      7     10     10     10      9      9      7      7     11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14     16     11      
160590 -       HR AVG       69     70     64     66     66     66     67     63     66     61     59     66     65     64     67     64     65     62     62     65     60     66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69     68     66      
160591 -         MAX       124    107    157    151    160    130    102    153     99    102     99     97    112     98    111    102    109    145    112    158    108     97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111    111    124      
160592 -         Min        49     56     52     36     49     51     54     48     53     47     47     55     43     52     50     52     54     41     47     48     44     49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49     42     45      
160593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160596 -              https://flow.polar.com/training/analysis/5396830468                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160601 -   
160602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160605 -  ..
160606 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160607 - Lunch - half sandwich tuna avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160608 - Dinner - macaroni cheese broccoli onion, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160610 -  ..
160611 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160619 -         ..
160620 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160621 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160622 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160623 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160624 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160625 -  335.  201130 0630............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160626 -               0640....BP HR..................................................... 137  81  70  Kardia ECG reports HR normal, see below. ref SDS 0 PTUV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160627 -               0645....BP HR..................................................... 131  80  70  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160628 -               0650....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160629 -               0650... 20 978420 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160630 -               0650... 80 219320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160631 -               0000... 05 2775 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160632 -               0000... 75 10475 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160633 -               0930... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
160634 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160635 -               0000... Oxycodone HCL Plain  5  325 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160636 -               0000... Gabapentin 300MG  46100MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160637 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160638 -               0930....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160639 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160640 -        * cr   0950....miles...........  21.0  21.0  348   348 minutes  temp  66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160642 -               1340... Oxycodone HCL Plain  5  330 mg RX90533728 took for pain management during hike not combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160643 -               1350... Gabapentin 300MG  46400MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160644 -               0000... Naproxen (Aleve) 2 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
160645 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160647 -               1735....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160648 -               1750....BP HR..................................................... 111  67  83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160649 -               1755....BP HR..................................................... 115  72  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160650 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160651 -               1700... 40 64400 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
160652 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
160653 -               1830............ 10 14590  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160654 -               1830............ 10 14180  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160655 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160656 -               2030... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160657 -               2050... 40 44540 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160658 -               2120... 1000  998000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160659 -               0000....Tramadol 50 2100 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
160660 -               0000... 05 2780 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
160661 -               2200... 80 219400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160662 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160664 -  ..
160665 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160666 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160667 - daily hike. ref SDS 55 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160668 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160669 - at top of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160670 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160671 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160672 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160674 -  ..
160675 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160676 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160677 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160678 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160679 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160680 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160681 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160682 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160683 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160684 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160685 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160686 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160687 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160688 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160689 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160690 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160691 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160692 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160693 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160694 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160695 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160696 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160697 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160698 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160699 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160700 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160702 -  ..
160703 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160704 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160706 -  ..
160707 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160708 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160709 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160711 -  ..
160712 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160714 -  ..
160715 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160716 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160718 -  ..
160719 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160721 -  ..
160722 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160723 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160725 -  ..
160726 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160727 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160728 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
160729 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160730 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160731 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160732 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160733 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160734 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160735 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160736 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
160737 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160738 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160739 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160740 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160741 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160743 -  ..
160744 - Today, in order to hike took 2 naproxen to start hike; and mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160745 - took 1 oxycodone and 1 gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160747 -  ..
160748 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160749 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160751 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160752 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160753 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160754 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160755 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160756 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160757 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160758 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160759 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160760 -        Hip left.....................................   1          5  along Ygnacio Valley Road where it slopes about mile 17 in the hike; resolved when road became flat.                                                                                                                                                                                                                                                                                                                                                                                                                                         
160761 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160762 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160763 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160764 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160765 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160766 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160767 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160768 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160769 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160770 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160771 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160772 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160773 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160774 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160775 -        Little Toe blister left foot.................   0        100  wrapped hydrofera blue dressing worked okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160776 -        Tailor's Bunion left foot.. PRP 190612.......   0        100  oxycodone and gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160777 -        Tailor's Bunion right foot..PRP 190816.......   0        100  oxycodone and gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160778 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160779 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160780 -        Metatarsalgia left foot...PRP 191009.........   1         20  oxycodone and gabapentin less helpful last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160781 -        Metatarsalgia right foot..PRP 191009.........   1         20  oxycodone and gabapentin less helpful last 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160782 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160783 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160784 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160785 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160786 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160787 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160788 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160789 -        Blister little toe right foot................   0        100  applied hydrafera blue dressing between little toe - with 2 pair double ply socks and laced shoes loosely - worked well entire 21 miles                                                                                                                                                                                                                                                                                                                                                                                                      
160790 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160791 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160792 -        Blister little toe left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160793 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160794 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160795 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160796 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160797 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160798 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160799 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160800 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160802 -  ..
160803 - Today, energy good starting hike.  After hiking 21 miles body not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160804 - excessively fatibued, wobbly nor disoriented taking 2 naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160805 - starting the hike, and oxycodone and gabapentin at mile 13. After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160806 - hike have normal energy not taking blood thinners.
160808 - -
160809 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160810 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160811 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160813 -  ..
160814 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160816 -  ..
160817 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160818 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160819 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160821 -  ..
160822 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160823 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160824 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160825 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160826 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160828 -  ..
160829 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160830 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160832 -  ..
160833 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160834 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160835 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160837 -  ..
160838 - Little toes both feet wrapped with hydrofera blue antibacterial foam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160839 - dressing to heal and protect wounds from crimping.  Provides                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160840 - additional cushioning to prevent crimping during long hikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160842 -  ..
160843 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160844 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160845 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160846 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160847 - ref SDS 77 SM4M  After hike on 201130, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160848 - Tailor's Bunions, and applied Urea 20 replacing ammonium lactate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160849 - lotion to feet. ref SDS 0 5QTS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160851 -  ..
160852 - Concord 21 mile route - starting energy okay.  Had to take naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160853 - even though it raises blood pressure and LDL, because left knee and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160854 - feet reach intollerable pain without PRP due to repetitive stress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160855 - Wearing Hoka Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160856 - that prevent feet and knee injuries.  Wore 2-pair double-ply Wright                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160857 - socks received on 191010 1344, ref SDS 79 SM4M, to prevent blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160858 - Wrapped both little toes with hydrofera blue antibacterial foam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160859 - dressing.  Worked well - pain level 0 entire 21 miles.  Hiked from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160860 - Cuneo uphill to Treat.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160861 - Temperature reached 66.  Hiked East faster pace on Treat 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160862 - Clayton - time to 1.25 miles 19 minutes.  Turned corner hiking South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160863 - on Clayton 2 miles at normal to fast pace, mostly on flat concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160864 - sidewalk.  At mile 3.5, turned West onto Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160865 - concrete sidewalk another .5 mile.  About mile 4 crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160866 - Ygnacio Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160867 - traffic.  At mile 5, stopped at Texaco gas station - EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160868 - 107 Tachycardia - see below. ref SDS 0 PU2R  Bought Coca Cola.  Ate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160869 - half of half sandwich peanut butter margarine and jam.  Ate half of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160870 - banana.  Drank half of Coca Cola for hydration and energy.  Hiked .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160871 - mile on Ygnacio Valley Road to Pine Hollow; turned left and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160872 - about 50 yards.  Turned right onto Campus Road.  Hiked 1-mile West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160873 - uphill 3% - 4% grade to California Sate University East Bay campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160874 - Energy seemed to improve.  Hiked 1-loop of about 2 miles through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160875 - adjoining Faculty and Student Parking lots, including sub-loop.  Said                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160876 - hello to Lacy with her 23 dogs today.  Seemed to feel vasodilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160877 - surge of energy and strength hiking up last long hill in Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160878 - parking lot.  At mile 7.5 back at Visitor Parking hiked North downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160879 - 3% grade .3 mile to Ygnacio Valley Road.  Turned left and hiked West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160880 - .5 mile on Ygnacio Valley Road flat pavement.  At mile 8 turned South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160881 - and hiked 1 mile up steep hill 5% grade on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160882 - Handled this long hill well, with energy that maintained speed, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160883 - breathing easily through nose all the way.  Hiked another mile on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160884 - pavement through residential area.  Hiked downhill .5 mile past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160885 - Rolling Woods Way.  Hiked up another steep hill 5% grade .5 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160886 - the end of Crystal Ranch Road.  Breathed through nose all the way -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160887 - surprised how easy this part of the hike was.  Hiked back downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160888 - Crystal Ranch Road.  Turned East on Rolling Woods Way.  Hiked up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160889 - hill 5% grade .33 mile, then downhill .66 miles.  Saw Paloma and spoke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160890 - for few minutes.  Turned North onto Pine Hillow.  Hiked 1 mile back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160891 - Ygnacio Valley Road.  At mile 13, stopped at Texaco Gas Station again                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160892 - - EKG reported HR 118 Tachycardia - see below. ref SDS 0 PURV  Bought                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160893 - another Coca Cola - drank half to take oxycodone 5 mg pill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160894 - gabapentin 300 mg pill.  Ate 2nd half of half sandwitch with pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160895 - medication pill.  Continued on Ygnacio Valley Road to Pine Hollow;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160896 - turned left and hiked about 50 yards.  Turned right onto Campus Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160897 - Hiked 1-mile West uphill 3% - 4% grade to California Sate University                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160898 - East Bay campus.  Hiked 1-loop of about 1.5 miles through adjoining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160899 - Faculty and Student Parking lots; did not added sub-loops of .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160900 - Back at Visitor Parking took Campus Drive North .33 mile downhill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160901 - Ygnacio Valley Road, mile 15 in the hike.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160902 - Valley Road and hiked West .5 miles.  Adrenalin seemed to kick in,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160903 - because increased pace hiking West on Ygnacio Valley Road uphill 2%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160904 - grade past Cowell.  Crossed from South side of Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160905 - the North side in order to avoid severely sloped shoulder on South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160906 - Side.  On North side continued West uphill 3% grade over the summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160907 - past end of concrete traffic barriar.  Feeling very good - strong.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160908 - mile 17, crossed back to South side Ygnacio Valley Road to use wider,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160909 - flatter roadway shoulder.  Hiked 1.5 miles downhill. and crossed back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160910 - to North Side of the road.  Hiked another mile to Oak Grove.  Hiked 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160911 - 1-mile loops around safeway shopping center.  Turned left hiking North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160912 - on Oak Grove 1 mile to Treat.  Kathy drove us home for 21 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160913 - EKG at end of hike - time 1727, HR 118 TTTachycardia, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160914 - ref SDS 0 PUTP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160916 -  ..
160917 - Kardia recorded HR 69 at 0647 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160918 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160919 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160920 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160923 -               ..
160924 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201130-ecg-064759_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160927 -  ..
160928 - EKG looks perfect, after atrial flutter occurred on 201031 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160929 - taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160930 - medication again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160934 -  ..
160935 - Polar HR did GPS study for Concord elevation 100, 21-mile hike shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160936 - HR profile that rises and falls with changes in terrain elevations for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160937 - most of the hike; HR seems higher than expected range for recovering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160938 - from 2 IVUS cardiac ablation procedures.  Maybe laying off 3 days for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160939 - both little toes to heal is a factor...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160943 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                                 Half Dome              Lafyt  Concrd Lafyt                                                                                            
160944 -       Date       201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 200913 2009  
160945 -       Miles         21      0      0      0     25      0      0      0     12      0     11     16      0      7     21     22     22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0      8        
160946 -       HR AVG       120     no     no     no    120     no     no     no    113     no    108    108     no    106    109    111    114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    115     n  
160947 -         MAX        147  report report report   150  report report report   129  report   125    128  report   128    133    134    152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   127  repo  
160948 -         Min         90                          86                          83            79     87            69     83     86     80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          86        
160949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160952 -              https://flow.polar.com/training/analysis/5401900838                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160955 -               ..
160957 -   
160958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160960 -  ..
160961 - HR profile Concord elevation 100, 21-mile route showing average 120                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160962 - and max 147, aligns with temperature 66, Hike had some long hills 2% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160963 - 5% grade with expected HR changes following cardiac ablation on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160964 - 0546. ref SDS 94 244I and following treatment in ER injecting high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
160965 - concentrate metoprolol that slowed atrial flutter HR 160, down to 60s                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160966 - and 70s, on 201007 2218. ref SDS B3 X36J  A second isolated episode of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160967 - atrial flutter recurred on 201031, with HR 150, and was treated with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160968 - Metoprolol Tartrate pill that lowered HR into 70s. ref SDS 0 GZ4I  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160969 - further episodes of atrial fibrilltion nor flutter have occurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160972 -  ..
160973 - EKG at mile 5 HR 107 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160977 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201130-ecg-110822_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160980 -  ..
160981 - EKG 2-3 initial few raggedy beats, then looks perfect, after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160982 - metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160986 -  ..
160987 - EKG at mile 13 HR 118 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160991 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201130-ecg-133303_mile_13.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160994 -  ..
160995 - EKG few raggedy beats but overall looks perfect, after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160996 - metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161000 -  ..
161001 - EKG 1 minute after 21-mile hike HR 118 time 1612 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161002 - tachychardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161006 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201130-ecg-161243_mile_21.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161009 -  ..
161010 - EKG looks perfect - very consistent heart beat, after hiking 21 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161011 - and after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161045 -  ..
161046 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161047 - Lunch - half sandwich peanut butter margarine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161048 - Dinner - rice hamburger cheese broccoli onion lettuce avocado, ice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161049 - cream peach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161051 -  ..
161052 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161061 -         ..
161062 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161063 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161064 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161065 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161066 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161067 -  336.  201201 0200............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161068 -               0205....BP HR..................................................... 135  79  66  Kardia ECG reports HR normal, see below. ref SDS 0 PVPP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161069 -               0200....BP HR..................................................... 126  77  64  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161070 -               0210....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161071 -               0255....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161072 -               0800... 20 978440 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161073 -               0800... 80 219480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161074 -               0000... 05 2785 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161075 -               0000... 75 10550 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161076 -               0355... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
161077 -               0355... Gabapentin 300MG  47000MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161078 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161079 -               0000... Oxycodone HCL Plain  5  325 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161080 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161081 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161082 -               0400....miles...........  15.0  34.0  246   594 minutes  temp  53  foggy starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161084 -               0000... Oxycodone HCL Plain  5  330 mg RX90533728 took for pain management during hike not combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161085 -               0000... Gabapentin 300MG  46400MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161086 -               0000... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
161087 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161089 -               0750....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161090 -               0750....BP HR..................................................... 113  78 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161091 -               0755....BP HR..................................................... 118  78  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161092 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161093 -               1700... 40 64440 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
161094 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
161095 -             1 0000............ 10 14590  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161096 -             1 0000............ 10 14180  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161097 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161098 -               0000... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161099 -               2050... 40 44580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161100 -               2120... 1000  999000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161101 -               0000....Tramadol 50 2100 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
161102 -               0000... 05 2790 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
161103 -               2200... 80 219560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161104 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161106 -  ..
161107 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161108 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161109 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161110 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161111 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161112 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161113 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161114 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161115 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161116 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161117 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161118 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161119 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161120 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161121 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161122 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161123 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161124 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161125 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161126 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161127 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161128 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161129 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161130 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161131 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161132 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161134 -  ..
161135 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161136 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161138 -  ..
161139 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161140 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161141 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161143 -  ..
161144 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161146 -  ..
161147 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161148 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161150 -  ..
161151 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161153 -  ..
161154 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161155 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161157 -  ..
161158 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161159 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161160 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
161161 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161162 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161163 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161164 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161165 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161166 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161167 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161168 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
161169 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161170 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161171 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161172 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161173 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161175 -  ..
161176 - Today, in order to hike took 2 naproxen and 1 gabapentin to start                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161177 - the hike, and at mile 13, after ending took 1 naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161179 -  ..
161180 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161181 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161183 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161184 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161185 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161186 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161187 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161188 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161189 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161190 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161191 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161192 -        Hip left.....................................   1          5  along John F Kennedy Road going up hill about mile 2 in the hike; also on Stanyon going uphill - all resolved within .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                
161193 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161194 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161195 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161196 -        Knee left meniscus...PRP 191009..............   1          1  going downhill on Stanyon - resolved within 300 yards                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161197 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161198 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161199 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161200 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161201 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161202 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161203 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161204 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161205 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161206 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161207 -        Little Toe blister left foot.................   0        100  wrapped hydrofera blue dressing worked okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161208 -        Tailor's Bunion left foot.. PRP 190612.......   2         10  last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161209 -        Tailor's Bunion right foot..PRP 190816.......   2         10  last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161210 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161211 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161212 -        Metatarsalgia left foot...PRP 191009.........   2         10  last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161213 -        Metatarsalgia right foot..PRP 191009.........   2         10  last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161214 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161215 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161216 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161217 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161218 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161219 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161220 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161221 -        Blister little toe right foot................   0        100  applied hydrafera blue dressing between little toe - with 2 pair double ply socks and laced shoes loosely - worked well entire 13 miles                                                                                                                                                                                                                                                                                                                                                                                                      
161222 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161223 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161224 -        Blister little toe left foot.................   0        100  applied hydrafera blue dressing between little toe - with 2 pair double ply socks and laced shoes loosely - worked well entire 13 miles                                                                                                                                                                                                                                                                                                                                                                                                      
161225 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161226 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161227 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161228 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161229 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161230 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161231 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161232 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161234 -  ..
161235 - Today, energy good starting hike.  After hiking 13 miles body not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161236 - excessively fatibued, wobbly nor disoriented taking 2 naproxen and 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161237 - gabapentin starting hike.  After hike have normal energy not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161238 - blood thinners.
161240 - -
161241 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161242 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161243 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161245 -  ..
161246 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161248 -  ..
161249 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161250 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161251 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161253 -  ..
161254 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161255 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161256 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161257 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161258 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161260 -  ..
161261 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161262 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161264 -  ..
161265 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161266 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161267 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161269 -  ..
161270 - Little toes both feet wrapped with hydrofera blue antibacterial foam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161271 - dressing to heal and protect wounds from crimping.  Provides                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161272 - additional cushioning to prevent crimping during long hikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161274 -  ..
161275 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161276 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161277 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161278 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161279 - ref SDS 77 SM4M  After hike on 201130, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161280 - Tailor's Bunions, and applied Urea 20 replacing ammonium lactate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161281 - lotion to feet. ref SDS 0 5QTS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161283 -  ..
161284 - San Francisco 15 mile route, reported on 170519, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161285 - ref SDS 36 WTRS  Weather cool, foggy, temperature 54 and no wind this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161286 - morning.  Started hike leaving parking lot at VAMCSF at 0400.  Walked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161287 - from parking lot in front of hospital, then slow downhill on 42nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161288 - Street to warm up.  Tailor's Bunion on both feet pain level 0 going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161289 - down hill - good signal.  Turned corner continued downhill West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161290 - Point Lobos to the Cliff House at mile 1.  Loud roar of ocean and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161291 - wind.  Too dark to see anything.  Road bends and changes to the "Great                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161292 - Highway" going South along the Ocean Beach.  At mile 2 turned onto the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161293 - Lincoln Avenue section of John F Kennedy (JFK) Drive entering Golden                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161294 - Gate Park.  Maintained pace going slightly uphill into the park.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161295 - Turned corner and continued East on JFK.  Waved and said Good Morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161296 - to jogger, who is usually out very early.  Passed the Buffalo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161297 - compound.  Hiked past Spreckles Lake, then Lindley Meadow.  About mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161298 - 3.5 nearng Hellman Hollow.  Have seen very few bikers and runners at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161299 - this hour.  Hiked under bridge at 19th street.  JFK is blocked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161300 - vehicle traffic the rest of the way through the park, to limit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161301 - attendance for keeping people separated from spreading coronavirus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161302 - Continued hiking past De Young Museum at mile 4.25.  Big ferris wheel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161303 - was not lit up this morning.  Nearing the end of JFK Drive, crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161304 - the street to make left turn onto Stanyon at mile 5.5.  Hiked uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161305 - on Stanyon several blocks to Fulton.  Hiked few more blocks downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161306 - to Paramont street across from Koret Health and Recreation Center,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161307 - part of USF.  Touched the wall at Ann's house - time 0650 and mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161308 - 6.32.  Hiked back on Stanyon to John F Kennedy drive.  About 50% of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161309 - the way down, found a flat surface where EKG could be checked.  EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161310 - found HR 94 and Unclassified, see below. ref SDS 0 PVUV  Hiked on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161311 - South side against traffic going West.  Passing De Young Museum did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161312 - not increase pace despite feeling good, because need steady moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161313 - pace that avoids flipping heart into atrial flutter.  Did not see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161314 - waterfall, because still too early.  Hiked under the 19th Street                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161315 - bridge and past Helman Hollow.  Knee pain level 0, feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161316 - metatarsalgia both feet pain level 1, but no pain from little toes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161317 - indicating hydrofera blue dressing was effective today.  Hiked past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161318 - Lindley Meadow to Spreckles Lake, then past the Buffalo Compound.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161319 - Crossed over to North side of JFK going with traffic.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161320 - from JFK onto Lincoln Avenue and headed toward the ocean.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161321 - North onto the Great Highway.  Both feet pain level 2; left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161322 - patella pain level 0.  Hiked parallel to ocean toward the Cliff House                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161323 - and the hospital.  Maintained pace hiking up steep hill - 5% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161324 - Breathing through nose for 1.5 miles uphill all the way to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161325 - hospital.  At the Cliff House, turned onto Point Lobos going East;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161326 - feeling strong handling uphill for 1 mile.  Turned onto 42nd street                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161327 - and maintained pace going up final steep hill to the VA campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161328 - Arrived at 0730.  Hiked 2 loops around parking lot.  EKG at 0740 found                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161329 - HR at 102 Tachycardia, see below. ref SDS 0 PVXT  Got the computer and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161330 - keyboard and went into the hospital.  Went through screening for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161331 - coronavirus.  Heading for cafateria to take medicine and eat some food                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161332 - required for the medicine.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161335 -  ..
161336 - Kardia recorded HR 64 at 0206 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161337 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161338 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161339 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161342 -               ..
161343 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201201-ecg-020615_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161346 -  ..
161347 - EKG looks perfect, after atrial flutter occurred on 201031 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161348 - taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161349 - medication again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161353 -  ..
161354 - Polar HR did GPS study for Concord elevation 100, 15-mile hike shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161355 - HR profile that rises and falls with changes in terrain elevations for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161356 - most of the hike; HR seems higher than expected range for recovering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161357 - from 2 IVUS cardiac ablation procedures.  Maybe laying off 3 days for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161358 - both little toes to heal is a factor...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161362 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                                 Half Dome              Lafyt  Concrd Lafyt                                                                                     
161363 -       Date       201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200914 200914 2009  
161364 -       Miles         15     21      0      0      0     25      0      0      0     12      0     11     16      0      7     21     22     22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14      0      0      0        
161365 -       HR AVG        99    120     no     no     no    120     no     no     no    113     no    108    108     no    106    109    111    114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     no     no     no    11  
161366 -         MAX        130    147  report report report   150  report report report   129  report   125    128  report   128    133    134    152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  report report report   12  
161367 -         Min         59     90                          86                          83            79     87            69     83     86     80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80                          8  
161368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161371 -              https://flow.polar.com/training/analysis/5404675143                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161373 -        low accuracy GPS used                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161375 -               ..
161377 -   
161378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161380 -  ..
161381 - HR profile Concord elevation 100, 15-mile route showing average 99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161382 - and max 130, aligns with temperature 54, Hike had some long hills 2% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161383 - 5% grade with expected HR changes following cardiac ablation on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161384 - 0546. ref SDS 94 244I and following treatment in ER injecting high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
161385 - concentrate metoprolol that slowed atrial flutter HR 160, down to 60s                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161386 - and 70s, on 201007 2218. ref SDS B3 X36J  A second isolated episode of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161387 - atrial flutter recurred on 201031, with HR 150, and was treated with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161388 - Metoprolol Tartrate pill that lowered HR into 70s. ref SDS 0 GZ4I  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161389 - further episodes of atrial fibrilltion nor flutter have occurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161393 -  ..
161394 - EKG at mile 6 HR 94 - Kardia reported Unclassafied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161398 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201201-ecg-055308_mile_06.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161401 -  ..
161402 - EKG 1 erratic beat, but looks perfect, after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161403 - 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161407 -  ..
161408 - EKG 1 minute after 13-mile hike HR 102 time 0740 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161409 - tachychardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161413 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201201-ecg-074058_mile_13.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161416 -  ..
161417 - EKG looks perfect - very consistent heart beat, after hiking 13 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161418 - and after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161424 -  ..
161425 - HR profile post-hike beginning 2221 until in morning OA 0730 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161426 - mostly steady heart beat 78 +/-.  Max HR 110, and minimum HR 58 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161427 - with indoor activity - sleeping; 0 spikes above 130 indicates no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161428 - likely atrial fibrillation nor flutter, after atrial flutter episode                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161429 - on 201031, per above, ref SDS 0 GZ4I, after not taking metoprolol,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161430 - which is a beta blocker that lowers HDL, beginning on 201010.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161431 - ref SDS 0 RD6N  Noticably elevated HR this morning, indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161432 - possibble reaction to shingles injection, reported on 201201 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161433 - ref SDS B7 NE9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161436 -        ..
161437 -       Date      201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 200911 20  
161438 -        Hours        9      4     10     11     12     13     12      8      9      9     11     10      9      7      2      7     10     10     10      9      9      7      7     11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12     14      
161439 -       HR AVG       78     67     69     70     64     66     66     66     67     63     66     61     59     66     65     64     67     64     65     62     62     65     60     66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66     69      
161440 -         MAX       110     93    124    107    157    151    160    130    102    153     99    102     99     97    112     98    111    102    109    145    112    158    108     97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109    111      
161441 -         Min        58     53     49     56     52     36     49     51     54     48     53     47     47     55     43     52     50     52     54     41     47     48     44     49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44     49      
161442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161445 -              https://flow.polar.com/training/analysis/5406657298                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161450 -   
161451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161454 -  ..
161455 - Breakfast - eggs sausage hashbrown potatoes - with medications after hiking 13 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161456 - Lunch - half sandwich peanut butter margarine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161457 - Dinner - rice hamburger cheese broccoli onion avocado, ice cream peach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161459 -  ..
161460 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161467 -         ..
161468 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161469 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161470 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161471 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161472 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161473 -  337.  201202 0750............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161474 -               0750....BP HR..................................................... 140  76  75  Kardia ECG reports HR normal, see below. ref SDS 0 QPPU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161475 -               0755....BP HR..................................................... 127  78  70  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161476 -               0830....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161477 -               0800... 20 978460 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161478 -               0800... 80 219640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161479 -               0800... 05 2785 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161480 -               0800... 75 10550 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161481 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
161482 -               0000... Gabapentin 300MG  47000MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161483 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161484 -               0000... Oxycodone HCL Plain  5  325 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161485 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161486 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161487 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161488 -               1700... 40 64520 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
161489 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
161490 -               1830............ 10 14600  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161491 -               1830............ 10 14190  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161492 -               2010... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161493 -               0000... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161494 -               2050... 40 44620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161495 -               2120... 1000 1000000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161496 -               0000....Tramadol 50 2100 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
161497 -               0000... 05 2790 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
161498 -               2200... 80 219720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161499 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161501 -  ..
161502 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161503 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161504 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161505 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161506 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161507 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161508 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161509 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161510 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161511 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161512 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161513 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161514 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161515 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161516 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161517 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161518 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161519 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161520 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161521 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161522 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161523 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161524 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161525 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161526 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161527 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161529 -  ..
161530 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161531 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161533 -  ..
161534 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161535 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161536 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161538 -  ..
161539 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161541 -  ..
161542 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161543 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161545 -  ..
161546 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161548 -  ..
161549 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161550 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161552 -  ..
161553 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161554 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161555 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
161556 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161557 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161558 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161559 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161560 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161561 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161562 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161563 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
161564 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161565 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161566 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161567 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161568 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161570 -  ..
161571 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161572 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161573 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161574 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161575 - ref SDS 77 SM4M  After hike on 201202, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161576 - Tailor's Bunions, and applied Urea 20 replacing ammonium lactate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161577 - lotion to feet. ref SDS 0 GX4M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161580 -  ..
161581 - Kardia recorded HR 85 at 0744 - Possible Atrial Fibrillation - after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161582 - pausing Metorpolol Tartrate on 201031 1640, per above, ref SDS 0 7Z4N,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161583 - to calm atrial flutter that occurred at 1500, after pausing metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161584 - on 201101, per above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161587 -               ..
161588 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201202-ecg-074402_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161591 -  ..
161592 - EKG looks raggedy, after atrial flutter occurred on 201031 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161593 - taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161594 - medication again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161597 -  ..
161598 - HR profile post-hike beginning 1558 until in morning OA 0620 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161599 - mostly steady heart beat 67 +/-.  Max HR 130, and minimum HR 46 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161600 - with indoor activity - sleeping; 1 spike above 130 indicates possibble                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161601 - atrial fibrillation and no flutter, after atrial flutter episode on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161602 - 201031, per above, ref SDS 0 GZ4I, after not taking metoprolol, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161603 - is a beta blocker that lowers HDL, beginning on 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161606 -        ..
161607 -       Date      201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 200912 20  
161608 -        Hours       14      9      4     10     11     12     13     12      8      9      9     11     10      9      7      2      7     10     10     10      9      9      7      7     11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15     12      
161609 -       HR AVG       67     78     67     69     70     64     66     66     66     67     63     66     61     59     66     65     64     67     64     65     62     62     65     60     66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75     66      
161610 -         MAX       130    110     93    124    107    157    151    160    130    102    153     99    102     99     97    112     98    111    102    109    145    112    158    108     97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131    109      
161611 -         Min        46     58     53     49     56     52     36     49     51     54     48     53     47     47     55     43     52     50     52     54     41     47     48     44     49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58     44      
161612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161615 -              https://flow.polar.com/training/analysis/5409726838                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161620 -   
161621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161625 -  ..
161626 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161627 - Lunch - half sandwich balogna cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161628 - Dinner - pasta hamburger cheese - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161630 -  ..
161631 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161638 -         ..
161639 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161640 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161641 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161642 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161643 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161644 -  338.  201203 0630............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161645 -               0750....BP HR..................................................... 119  78  68  Kardia ECG reports HR normal, see below. ref SDS 0 QQVV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161646 -               0755....BP HR..................................................... 120  77  69  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161647 -               0830....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161648 -               0800... 20 978480 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161649 -               0800... 80 219800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161650 -               0800... 05 2795 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161651 -               0800... 75 10625 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161652 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
161653 -               0000... Gabapentin 300MG  47000MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161654 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161655 -               0000... Oxycodone HCL Plain  5  325 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161656 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161657 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161658 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161659 -               1700... 40 64560 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
161660 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
161661 -             1 0000............ 10 14600  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161662 -             1 0000............ 10 14190  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161663 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161664 -               0000... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161665 -               2050... 40 44660 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161666 -               2120... 1000 1001000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161667 -               0000....Tramadol 50 2100 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
161668 -               0000... 05 2800 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
161669 -               2200... 80 219880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161670 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161672 -  ..
161673 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161674 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161675 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161676 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161677 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161678 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161679 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161680 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161681 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161682 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161683 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161684 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161685 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161686 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161687 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161688 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161689 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161690 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161691 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161692 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161693 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161694 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161695 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161696 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161697 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161698 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161700 -  ..
161701 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161702 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161704 -  ..
161705 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161706 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161707 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161709 -  ..
161710 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161712 -  ..
161713 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161714 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161716 -  ..
161717 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161719 -  ..
161720 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161721 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161723 -  ..
161724 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161725 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161726 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
161727 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161728 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161729 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161730 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161731 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161732 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161733 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161734 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
161735 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161736 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161737 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161738 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161739 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161741 -  ..
161742 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161743 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161744 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161745 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161746 - ref SDS 77 SM4M  After hike on 201202, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161747 - Tailor's Bunions, and applied Urea 20 replacing ammonium lactate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161748 - lotion to feet. ref SDS 0 GX4M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161751 -  ..
161752 - Kardia recorded HR 68 at 0703 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161753 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161754 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161755 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161758 -               ..
161759 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201203-ecg-070242_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161762 -  ..
161763 - EKG looks perfect, after atrial flutter occurred on 201031 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161764 - taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161765 - medication again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161769 -  ..
161770 - HR profile post-hike beginning 1434 until in morning OA 0630 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161771 - mostly steady heart beat 68 +/-.  Max HR 166, and minimum HR 53 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161772 - with indoor activity - sleeping; 1 spike above 130 indicates possibble                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161773 - atrial fibrillation and no flutter, after atrial flutter episode on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161774 - 201031, per above, ref SDS 0 GZ4I, after not taking metoprolol, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161775 - is a beta blocker that lowers HDL, beginning on 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161778 -        ..
161779 -       Date      201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 200913 20  
161780 -        Hours       16     14      9      4     10     11     12     13     12      8      9      9     11     10      9      7      2      7     10     10     10      9      9      7      7     11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10     15      
161781 -       HR AVG       68     67     78     67     69     70     64     66     66     66     67     63     66     61     59     66     65     64     67     64     65     62     62     65     60     66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68     75      
161782 -         MAX       166    130    110     93    124    107    157    151    160    130    102    153     99    102     99     97    112     98    111    102    109    145    112    158    108     97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97    131      
161783 -         Min        53     46     58     53     49     56     52     36     49     51     54     48     53     47     47     55     43     52     50     52     54     41     47     48     44     49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46     58      
161784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161787 -              https://flow.polar.com/training/analysis/5412782178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161792 -   
161793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161797 -  ..
161798 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161799 - Lunch - half sandwich balogna cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161800 - Dinner - pasta hamburger cheese - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161802 -  ..
161803 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161810 -         ..
161811 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161812 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161813 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161814 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161815 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161816 -  339.  201204 0630............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161817 -               0635....BP HR..................................................... 141  86  71  Kardia ECG reports HR normal, see below. ref SDS 0 QVTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161818 -               0640....BP HR..................................................... 131  81  68  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161819 -               0650....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161820 -               0650... 20 978500 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161821 -               0650... 80 219960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161822 -               0650... 05 2805 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161823 -               0650... 75 10700 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161824 -               0940... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
161825 -               0940... Gabapentin 300MG  47300MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161826 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161827 -               0000... Oxycodone HCL Plain  5  325 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161828 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161829 -               0940....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161830 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161831 -        * cr   0000....miles...........  23.0  59.0  382   976 minutes  temp 63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161833 -               0000... Oxycodone HCL Plain  5  330 mg RX90533728 took for pain management during hike not combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161834 -               1125... Gabapentin 300MG  46700MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161835 -               1125... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
161836 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161838 -               1750....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161839 -               1815....BP HR.....................................................  94  60  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161840 -               1820....BP HR.....................................................  84  61  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161841 -               1845....BP HR..................................................... 104  62  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161842 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161843 -               1700... 40 64600 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
161844 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
161845 -               1830............ 10 14610  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161846 -               1830............ 10 14200  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161847 -               2010... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161848 -               0000... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161849 -               2050... 40 44700 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161850 -               2120... 1000 1002000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161851 -               0000....Tramadol 50 2100 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
161852 -               0000... 05 2810 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
161853 -               2200... 80 220040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161854 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161856 -  ..
161857 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161858 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161859 - daily hike. ref SDS 55 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161860 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161861 - at top of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161862 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161863 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161864 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161866 -  ..
161867 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161868 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161869 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161870 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161871 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161872 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161873 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161874 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161875 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161876 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161877 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161878 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161879 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161880 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161881 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161882 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161883 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161884 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161885 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161886 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161887 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161888 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161889 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161890 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161891 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161892 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161894 -  ..
161895 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161896 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161898 -  ..
161899 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161900 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161901 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161903 -  ..
161904 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161906 -  ..
161907 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161908 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161910 -  ..
161911 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161913 -  ..
161914 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161915 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161917 -  ..
161918 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161919 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161920 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
161921 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161922 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161923 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161924 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161925 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161926 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161927 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161928 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
161929 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161930 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161931 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161932 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161933 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161935 -  ..
161936 - Today, in order to hike took 2 naproxen and 1 gabapentin to start the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161937 - hike, and again at mile 13.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161939 -  ..
161940 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161941 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161943 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161944 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161945 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161946 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161947 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161948 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161949 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161950 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161951 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161952 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161953 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161954 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161955 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161956 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161957 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161958 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161959 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161960 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161961 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161962 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161963 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161964 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161965 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161966 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161967 -        Little Toe blister left foot.................   0        100  wrapped hydrofera blue dressing worked okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161968 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161969 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161970 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161971 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161972 -        Metatarsalgia left foot...PRP 191009.........   1         10  last 2 miles very tolerable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161973 -        Metatarsalgia right foot..PRP 191009.........   1         10  last 2 miles very tolerable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161974 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161975 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161976 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161977 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161978 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161979 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161980 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161981 -        Blister little toe right foot................   4          5  removed dressing after at start applied hydrafera blue dressing between little toe - with 2 pair double ply socks and laced shoes loosely                                                                                                                                                                                                                                                                                                                                                                                                    
161982 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161983 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161984 -        Blister little toe left foot.................   0        100  applied hydrafera blue dressing between little toe - with 2 pair double ply socks and laced shoes loosely - worked well entire 13 miles                                                                                                                                                                                                                                                                                                                                                                                                      
161985 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161986 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161987 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161988 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161989 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161990 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161991 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161992 -        Wobbly disoriented staggering dizzy..........   1          2  Last mile or so recognize drifting slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161994 -  ..
161995 - Today, energy good starting hike.  After hiking 23 miles body not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161996 - excessively fatibued, and is little wobbly/disoriented taking 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161997 - naproxen and 1 gabapentin starting hike, and taking this again at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161998 - 5.  After hike have low energy taking blood thinners.  Vasodilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161999 - may be causing wobbly/disoriented feeling after hike.
162001 - -
162002 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162003 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162004 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162006 -  ..
162007 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162009 -  ..
162010 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162011 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162012 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162014 -  ..
162015 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162016 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162017 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162018 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162019 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162021 -  ..
162022 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162023 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162025 -  ..
162026 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162027 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162028 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162030 -  ..
162031 - Little toes both feet wrapped with hydrofera blue antibacterial foam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162032 - dressing to heal and protect wounds from crimping.  Provides                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162033 - additional cushioning to prevent crimping during long hikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162035 -  ..
162036 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162037 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162038 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162039 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162040 - ref SDS 77 SM4M  After hike on 201204, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162041 - Tailor's Bunions, and applied Urea 20 replacing ammonium lactate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162042 - lotion to feet. ref SDS 0 Q16O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162044 -  ..
162045 - Concord 23 mile route - starting energy okay.  Had to take naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162046 - even though it raises blood pressure and LDL, because left knee and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162047 - feet reach intollerable pain without PRP due to repetitive stress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162048 - Wearing Hoka Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162049 - that prevent feet and knee injuries.  Wore 2-pair double-ply Wright                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162050 - socks received on 191010 1344, ref SDS 79 SM4M, to prevent blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162051 - Wrapped both little toes with hydrofera blue antibacterial foam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162052 - dressing.  Worked well on left foot - pain level 0 entire 23 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162053 - Failed on right foot - had to remove it about mile 7.  Fortunately, it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162054 - was healed enough not to hurt the rest of the hike.  Hiked from Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162055 - uphill to Treat.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162056 - Temperature reached 63.  Hiked East normal pace on Treat 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162057 - Clayton - time to 1.25 miles 20 minutes.  Turned corner hiking South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162058 - on Clayton 2 miles at normal to fast pace, mostly on flat concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162059 - sidewalk.  At mile 3.5, turned West onto Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162060 - concrete sidewalk another .5 mile.  Little toe right foot pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162061 - 2, dressed with hydrofera blue, and so well cushioned.  About mile 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162062 - crossed to South side Ygnacio Valley Road hiking West on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162063 - shoulder aganist East bound traffic.  At mile 5, stopped at Texaco gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162064 - station - EKG reported HR 107 Tachycardia - see below. ref SDS 0 QVTR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162065 - Bought Coca Cola.  Ate half of half sandwich peanut butter margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162066 - and jam.  Drank half of Coca Cola for hydration and energy.  Hiked .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162067 - mile on Ygnacio Valley Road to Pine Hollow; turned left and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162068 - about 50 yards.  Turned right onto Campus Road.  Hiked 1-mile West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162069 - uphill 3% - 4% grade to California Sate University East Bay campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162070 - Energy seemed to improve.  Hiked 1-loop of about 2 miles through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162071 - adjoining Faculty and Student Parking lots, including sub-loop.  Said                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162072 - hello to Lacy with her 21 dogs today.  Seemed to feel vasodilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162073 - surge of energy and strength hiking up last long hill in Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162074 - parking lot.  At mile 7.5 back at Visitor Parking had to stop at the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162075 - bus station and remove right shoe and sock to remove the dressing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162076 - the right foot little toe.  Replaced the sock and shoe.  This reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162077 - pressure on the area of the toenail, so there was pain level 0 the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162078 - rest of 23 miles.  Hiked North downhill 3% grade .3 mile to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162079 - Valley Road.  Turned left and hiked West .5 mile on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162080 - Road flat pavement.  At mile 8 turned South and hiked 1 mile up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162081 - hill 5% grade on Crystal Ranch Road.  Handled this long hill well,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162082 - with energy that maintained speed, and breathing easily through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162083 - all the way.  Hiked another mile on flat pavement through residential                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162084 - area.  Hiked downhill .5 mile past Rolling Woods Way.  Hiked up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162085 - another steep hill 5% grade .5 mile to the end of Crystal Ranch Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162086 - mile 10 in the hike.  Breathed through nose all the way - surprised                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162087 - how easy this part of the hike was.  Hiked back downhill on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162088 - Ranch Road.  Turned East on Rolling Woods Way.  Hiked up steep hill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162089 - grade .33 mile, then downhill .66 miles.  Saw Paloma and spoke for few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162090 - minutes.  Told her having another ablation next Thursday.  She said                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162091 - her brother had 3 ablation procedures to recover from atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162092 - fibrillation, so he could continue hiking.  Turned North onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162093 - Hillow.  Hiked 1 mile back to Ygnacio Valley Road.  At mile 13,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162094 - stopped at Texaco Gas Station again - EKG reported HR 115 Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162095 - - see below. ref SDS 0 OS5F  Bought another Coca Cola - drank half to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162096 - take 2 nupigen pills, and gabapentin 300 mg pill.  Ate 2nd half of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162097 - half sandwitch with pain medication pill.  Continued on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162098 - Road to Pine Hollow; turned left and hiked about 50 yards.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162099 - right onto Campus Road.  Hiked 1-mile West uphill 3% - 4% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162100 - California Sate University East Bay campus.  Hiked 1-loop of about 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162101 - miles through adjoining Faculty and Student Parking lots; added                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162102 - sub-loop of .5 mile.  Back at Visitor Parking took Campus Drive North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162103 - .33 mile downhill to Ygnacio Valley Road, mile 15 in the hike.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162104 - left onto Ygnacio Valley Road and hiked West .5 miles.  Adrenalin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162105 - seemed to kick in, because increased pace hiking West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162106 - Valley Road uphill 2% grade past Cowell.  Crossed from South side of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162107 - Ygnacio Valley Road to the North side in order to avoid severely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162108 - sloped shoulder on South Side.  On North side continued West uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162109 - grade over the summit past end of concrete traffic barriar.  Feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162110 - very good - strong, and pain level 0 in feet and knees.  At mile 17,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162111 - crossed back to South side Ygnacio Valley Road to use wider, flatter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162112 - roadway shoulder.  Hiked 1.5 miles downhill. and crossed back to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162113 - Side of the road.  Hiked another mile to Oak Grove.  Hiked 2 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162114 - loops around safeway shopping center.  Turned left hiking North on Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162115 - Grove 1 mile to Treat.  Crossed Treat and turned left.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162116 - to San Miguel, then 1 mile uphill 4% grade and another mile to Cueno                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162117 - and home for 23 mile hike.  EKG at end of hike - time 1727, HR 118                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162118 - Tachycardia, see below. ref SDS 0 QVUV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162121 -  ..
162122 - Kardia recorded HR 67 at 0642 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162123 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162124 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162125 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162128 -               ..
162129 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201204-ecg-064233_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162132 -  ..
162133 - EKG looks perfect, after atrial flutter occurred on 201031 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162134 - taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162135 - medication again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162139 -  ..
162140 - Polar HR did GPS study for Concord elevation 100, 23-mile hike shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162141 - HR profile that rises and falls with changes in terrain elevations for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162142 - most of the hike; HR seems higher than expected range for recovering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162143 - from 2 IVUS cardiac ablation procedures.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
162144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162147 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                                 Half Dome              Lafyt  Concrd Lafyt                                                                
162148 -       Date       201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 2009  
162149 -       Miles         23      0      0     15     21      0      0      0     25      0      0      0     12      0     11     16      0      7     21     22     22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     22     14        
162150 -       HR AVG       120     no     no     99    120     no     no     no    120     no     no     no    113     no    108    108     no    106    109    111    114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    126    121     n  
162151 -         MAX        147  report report   130    147  report report report   150  report report report   129  report   125    128  report   128    133    134    152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    152    146  repo  
162152 -         Min         87                   59     90                          86                          83            79     87            69     83     86     80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     82     80        
162153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162156 -              https://flow.polar.com/training/analysis/5404675143                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162158 -        low accuracy GPS used                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162160 -               ..
162162 -   
162163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162165 -  ..
162166 - HR profile Concord elevation 100, 23-mile route showing average 120                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162167 - and max 147, aligns with temperature 62, Hike had some long hills 2% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162168 - 5% grade with expected HR changes following cardiac ablation on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162169 - 0546. ref SDS 94 244I and following treatment in ER injecting high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
162170 - concentrate metoprolol that slowed atrial flutter HR 160, down to 60s                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162171 - and 70s, on 201007 2218. ref SDS B3 X36J  A second isolated episode of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162172 - atrial flutter recurred on 201031, with HR 150, and was treated with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162173 - Metoprolol Tartrate pill that lowered HR into 70s. ref SDS 0 GZ4I  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162174 - further episodes of atrial fibrilltion nor flutter have occurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162178 -  ..
162179 - EKG at mile 5 HR 107 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162183 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201204-ecg-111923_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162186 -  ..
162187 - EKG 1 looks generally consistent with few erratic heart beats, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162188 - pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162193 -  ..
162194 - EKG at mile 13 HR 115- Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162198 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201204-ecg-135630_mile_13.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162201 -  ..
162202 - EKG looks generally consistent with few erratic heart beats, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162203 - pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162208 -  ..
162209 - EKG 1 minute after 23-mile hike HR 115 time 1738 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162210 - tachychardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162214 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201204-ecg-173824_mile_23.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162217 -  ..
162218 - EKG looks perfect - very consistent heart beat, after hiking 23 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162219 - and after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162225 -  ..
162226 - HR profile post-hike beginning 1915 until in morning OA 0630 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162227 - mostly steady heart beat 70 +/-.  Max HR 191, and minimum HR 31 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162228 - with indoor activity - sleeping; multiple spikes above 130 indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162229 - possibble atrial fibrillation and no flutter, after atrial flutter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162230 - episode on 201031, per above, ref SDS 0 GZ4I, after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162231 - metoprolol, which is a beta blocker that lowers HDL, beginning on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162232 - 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162235 -        ..
162236 -       Date      201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 200914 20  
162237 -        Hours       12     16     14      9      4     10     11     12     13     12      8      9      9     11     10      9      7      2      7     10     10     10      9      9      7      7     11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10     10      
162238 -       HR AVG       70     68     67     78     67     69     70     64     66     66     66     67     63     66     61     59     66     65     64     67     64     65     62     62     65     60     66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74     68      
162239 -         MAX       191    166    130    110     93    124    107    157    151    160    130    102    153     99    102     99     97    112     98    111    102    109    145    112    158    108     97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133     97      
162240 -         Min        31     53     46     58     53     49     56     52     36     49     51     54     48     53     47     47     55     43     52     50     52     54     41     47     48     44     49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43     46      
162241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162244 -              https://flow.polar.com/training/analysis/5416327493                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162249 -   
162250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162254 -  ..
162255 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162256 - Lunch - half sandwich peanut butter margaine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162257 - Dinner - lettuce tomato broccoli pasta avocado cottage cheese - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162259 -  ..
162260 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162267 -         ..
162268 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162269 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162270 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162271 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162272 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162273 -  340.  201205 0630............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162274 -               0635....BP HR..................................................... 138  83  61  Kardia ECG reports HR normal, see below. ref SDS 0 QXRS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162275 -               0640....BP HR..................................................... 133  79  63  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162276 -               0645....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162277 -               0700... 20 978520 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162278 -               0700... 80 220120 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162279 -               0700... 05 2815 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162280 -               0700... 75 10775 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162281 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
162282 -               0000... Gabapentin 300MG  47300MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162283 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162284 -               0000... Oxycodone HCL Plain  5  325 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162285 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162286 -               0940....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162287 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162288 -               1700... 40 64640 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
162289 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
162290 -             1 0000............ 10 14610  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162291 -             1 0000............ 10 14200  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162292 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162293 -               0000... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162294 -               2050... 40 44740 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162295 -               2120... 1000 1003000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162296 -               0000....Tramadol 50 2100 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
162297 -               0000... 05 2820 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
162298 -               2200... 80 220200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162299 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162301 -  ..
162302 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162303 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162304 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162305 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162306 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162307 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162308 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162309 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162310 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162311 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162312 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162313 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162314 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162315 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162316 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162317 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162318 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162319 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162320 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162321 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162322 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162323 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162324 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162325 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162326 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162327 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162329 -  ..
162330 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162331 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162333 -  ..
162334 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162335 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162336 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162338 -  ..
162339 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162341 -  ..
162342 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162343 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162345 -  ..
162346 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162348 -  ..
162349 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162350 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162352 -  ..
162353 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162354 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162355 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
162356 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162357 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162358 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162359 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162360 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162361 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162362 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162363 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
162364 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162365 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162366 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162367 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162368 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162371 -  ..
162372 - Kardia recorded HR 60 at 0637 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162373 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162374 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162375 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162378 -               ..
162379 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201205-ecg-063735_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162382 -  ..
162383 - EKG looks raggedy throughout, after atrial flutter occurred on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162384 - 1500, taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162385 - medication again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162389 -  ..
162390 - HR profile post-hike beginning 1600 until in morning OA 0600 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162391 - mostly steady heart beat 70 +/-.  Max HR 165, and minimum HR 43 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162392 - with indoor activity - sleeping; 1 spike above 130 indicates possibble                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162393 - atrial fibrillation and no flutter, after atrial flutter episode on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162394 - 201031, per above, ref SDS 0 GZ4I, after not taking metoprolol, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162395 - is a beta blocker that lowers HDL, beginning on 201010. ref SDS 0 RD6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162398 -        ..
162399 -       Date      201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 200919 200918 200917 200916 200915 20  
162400 -        Hours       14     12     16     14      9      4     10     11     12     13     12      8      9      9     11     10      9      7      2      7     10     10     10      9      9      7      7     11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      8     11     14     16     10      
162401 -       HR AVG       70     70     68     67     78     67     69     70     64     66     66     66     67     63     66     61     59     66     65     64     67     64     65     62     62     65     60     66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67     75     71     68     73     74      
162402 -         MAX       165    191    166    130    110     93    124    107    157    151    160    130    102    153     99    102     99     97    112     98    111    102    109    145    112    158    108     97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103    143    127    132    127    133      
162403 -         Min        43     31     53     46     58     53     49     56     52     36     49     51     54     48     53     47     47     55     43     52     50     52     54     41     47     48     44     49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49     38     43     48     52     43      
162404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162407 -              https://flow.polar.com/training/analysis/5419257443                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162412 -   
162413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162417 -  ..
162418 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162419 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162420 - Dinner - lettuce tomato broccoli hamburger pasta avocado cottage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162421 - cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162423 -  ..
162424 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162431 -         ..
162432 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162433 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162434 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162435 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162436 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162437 -  341.  201206 0630............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162438 -               0635....BP HR..................................................... 143  83  63  Kardia ECG reports HR normal, see below. ref SDS 0 RRXP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162439 -               0640....BP HR..................................................... 136  78  62  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162440 -               0645....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162441 -               0700... 20 978540 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162442 -               0700... 80 220280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162443 -               0700... 05 2825 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162444 -               0700... 75 10850 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162445 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
162446 -               1020... Gabapentin 300MG  47300MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162447 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162448 -               1020... Oxycodone HCL Plain  5  335 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162449 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162450 -               1020....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162451 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162452 -        * cr   1026....miles...........  23.0  82.0  381  1357 minutes  temp 64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162454 -               0000... Oxycodone HCL Plain  5  330 mg RX90533728 took for pain management during hike not combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162455 -               1425....Tramadol 50 2150 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
162456 -               1425... Gabapentin 300MG  46700MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162457 -               0000... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
162458 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162460 -               1825....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162461 -               1840....BP HR..................................................... 119  65  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162462 -               1846....BP HR..................................................... 123  69  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162463 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162464 -               1850... 40 64680 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
162465 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
162466 -               1830............ 10 14620  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162467 -               1830............ 10 14210  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162468 -               2030... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162469 -               0000... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162470 -               2050... 40 44780 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162471 -               2120... 1000 1004000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162472 -               0000... 05 2830 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
162473 -               2200... 80 220360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162474 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162476 -  ..
162477 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162478 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162479 - daily hike. ref SDS 55 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162480 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162481 - at top of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162482 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162483 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162484 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162486 -  ..
162487 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162488 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162489 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162490 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162491 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162492 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162493 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162494 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162495 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162496 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162497 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162498 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162499 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162500 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162501 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162502 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162503 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162504 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162505 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162506 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162507 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162508 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162509 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162510 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162511 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162512 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162514 -  ..
162515 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162516 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162518 -  ..
162519 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162520 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162521 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162523 -  ..
162524 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162526 -  ..
162527 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162528 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162530 -  ..
162531 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162533 -  ..
162534 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162535 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162537 -  ..
162538 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162539 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162540 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
162541 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162542 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162543 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162544 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162545 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162546 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162547 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162548 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
162549 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162550 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162551 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162552 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162553 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162555 -  ..
162556 - Today, in order to hike took 1 oxycodone and 1 gabapentin to start the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162557 - hike, and took 1 tramadol and another gabapentin at mile 13, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162558 - above. ref SDS 0 QYVY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162560 -  ..
162561 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162562 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162564 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162565 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162566 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162567 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162568 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162569 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162570 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162571 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162572 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162573 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162574 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162575 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162576 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162577 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162578 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162579 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162580 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162581 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162582 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162583 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162584 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162585 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162586 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162587 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162588 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162589 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162590 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162591 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162592 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162593 -        Metatarsalgia left foot...PRP 191009.........   1         15  last 3 miles very tolerable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162594 -        Metatarsalgia right foot..PRP 191009.........   1         15  last 3 miles very tolerable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162595 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162596 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162597 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162598 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162599 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162600 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162601 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162602 -        Blister little toe right foot................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162603 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162604 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162605 -        Blister little toe left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162606 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162607 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162608 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162609 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162610 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162611 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162612 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162613 -        Wobbly disoriented staggering dizzy..........   1          2  Last mile or so recognize drifting slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162615 -  ..
162616 - Today, energy good starting hike.  After hiking 23 miles body not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162617 - fatigued, but little wobbly/disoriented taking 1 oxycodone with 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162618 - gabapentin starting hike, and 1 tramadol at mile 13.  After hike have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162619 - low energy taking blood thinners.  Vasodilation may be causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162620 - wobbly/disoriented feeling after hike.  Actually, feel pretty good.
162622 - -
162623 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162624 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162625 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162627 -  ..
162628 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162630 -  ..
162631 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162632 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162633 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162635 -  ..
162636 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162637 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162638 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162639 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162640 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162642 -  ..
162643 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162644 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162646 -  ..
162647 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162648 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162649 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162651 -  ..
162652 - Little toes both feet wrapped with hydrofera blue antibacterial foam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162653 - dressing to heal and protect wounds from crimping.  Provides                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162654 - additional cushioning to prevent crimping during long hikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162656 -  ..
162657 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162658 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162659 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162660 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162661 - ref SDS 77 SM4M  After hike on 201206, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162662 - Tailor's Bunions, and applied ammonium lactate 12% lotion to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162663 - ref SDS 0 QYVY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162665 -  ..
162666 - Concord 23 mile route - starting energy okay.  Had to take naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162667 - even though it raises blood pressure and LDL, because left knee and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162668 - feet reach intollerable pain without PRP due to repetitive stress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162669 - Wearing Hoka Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162670 - that prevent feet and knee injuries.  Wore 2-pair double-ply Wright                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162671 - socks received on 191010 1344, ref SDS 79 SM4M, to prevent blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162672 - Wrapped both little toes with hydrofera blue antibacterial foam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162673 - dressing.  Worked well on left foot - pain level 0 entire 23 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162674 - Used smaller piece on right foot - worked well.  Hiked from Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162675 - uphill to Treat.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162676 - Temperature reached 63.  Hiked East normal pace on Treat 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162677 - Clayton - time to 1.25 miles 20 minutes.  Turned corner hiking South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162678 - on Clayton 2 miles at normal to fast pace, mostly on flat concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162679 - sidewalk.  At mile 3.5, turned West onto Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162680 - concrete sidewalk another .5 mile.  About mile 4 crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162681 - Ygnacio Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162682 - traffic.  At mile 5, stopped at Texaco gas station - EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162683 - 107 Tachycardia - see below. ref SDS 0 RSSX  Bought Coca Cola and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162684 - banana.  Ate half of banana and half of half sandwich peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162685 - margarine and jam.  Drank most of Coca Cola for hydration and energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162686 - Hiked .25 mile on Ygnacio Valley Road to Pine Hollow; turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162687 - hiked about 50 yards.  Turned right onto Campus Road.  Hiked 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162688 - West uphill 3% - 4% grade to California Sate University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162689 - campus.  Energy seemed to improve.  Hiked 1-loop of about 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162690 - through adjoining Faculty and Student Parking lots, including                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162691 - sub-loop.  Seemed to feel vasodilation surge of energy and strength                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162692 - hiking up last long hill in Student parking lot.  At mile 7.5 back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162693 - Visitor Parking hiked North downhill 3% grade .3 mile to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162694 - Valley Road.  Turned left and hiked West .5 mile on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162695 - Road flat pavement.  At mile 8 turned South and hiked 1 mile up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162696 - hill 5% grade on Crystal Ranch Road.  Handled this long hill well,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162697 - with energy that maintained speed, and breathing easily through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162698 - all the way.  Hiked another mile on flat pavement through residential                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162699 - area.  Hiked downhill .5 mile past Rolling Woods Way.  Hiked up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162700 - another steep hill 5% grade .5 mile to the end of Crystal Ranch Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162701 - mile 10 in the hike.  Breathed through nose all the way - surprised                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162702 - how easy this part of the hike was.  Hiked back downhill on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162703 - Ranch Road.  Turned East on Rolling Woods Way.  Hiked up steep hill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162704 - grade .33 mile, then downhill .66 miles.  Turned North onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162705 - Hillow.  Hiked 1 mile back to Ygnacio Valley Road.  At mile 13,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162706 - stopped at Texaco Gas Station again - EKG reported HR 108 Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162707 - - see below. ref SDS 0 RSUS  Bought another Coca Cola - drank half to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162708 - take 1 Tramadol.  Ate 2nd half of half sandwitch with pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162709 - pill.  Continued on Ygnacio Valley Road to Pine Hollow; turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162710 - and hiked about 50 yards.  Turned right onto Campus Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162711 - 1-mile West uphill 3% - 4% grade to California Sate University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162712 - Bay campus.  Hiked 1-loop of about 1.5 miles through adjoining Faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162713 - and Student Parking lots; added sub-loop of .5 mile.  Back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162714 - Parking took Campus Drive North .33 mile downhill to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162715 - Road.  Turned left onto Ygnacio Valley Road and hiked West .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162716 - At mile 15 in the hike hike past Crystal Ranch Road and continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162717 - uphill on Ygnacio Valley Road.  Adrenalin seemed to kick in, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162718 - increased pace hiking West on Ygnacio Valley Road uphill 2% grade past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162719 - Cowell.  Crossed from South side of Ygnacio Valley Road to the North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162720 - side in order to avoid severely sloped shoulder on South Side.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162721 - North side continued West uphill 3% grade over the summit past end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162722 - concrete traffic barriar.  Feeling very good - strong, and pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162723 - 0 in feet and knees.  At mile 16, crossed back to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162724 - Valley Road to use wider, flatter roadway shoulder.  Hiked 1.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162725 - downhill. and crossed back to North Side of the road.  Hiked another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162726 - mile to Oak Grove.  Hiked 3 1-mile loops around safeway shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162727 - center.  Turned left hiking North on Oak Grove 1 mile to Treat.  Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162728 - drove us home for 23 mile hike.  EKG at end of hike - time 1837, HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162729 - 107 Tachycardia, see below. ref SDS 0 RSVX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162732 -  ..
162733 - Kardia recorded HR 63 at 0738 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162734 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162735 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162736 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162739 -               ..
162740 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201206-ecg-073811_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162743 -  ..
162744 - EKG has 1 very erratic beat and rest perfect, after atrial flutter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162745 - occurred on 201031 1500, taking metoprolol tartrate at 1640,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162746 - ref SDS 0 SVXS, then pausing medication again the next day on 201101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162747 - per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162751 -  ..
162752 - Polar HR did GPS study for Concord elevation 100, 23-mile hike shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162753 - HR profile that rises and falls with changes in terrain elevations for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162754 - most of the hike; HR lower than hiking same route and distance 2 days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162755 - ago.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162759 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                                 Half Dome              Lafyt  Concrd Lafyt                                                  
162760 -       Date       201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 200919 2009  
162761 -       Miles         23      0     23      0      0     15     21      0      0      0     25      0      0      0     12      0     11     16      0      7     21     22     22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     14     2  
162762 -       HR AVG       116     no    120     no     no     99    120     no     no     no    120     no     no     no    113     no    108    108     no    106    109    111    114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    119    12  
162763 -         MAX        144  report   147  report report   130    147  report report report   150  report report report   129  report   125    128  report   128    133    134    152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    143    15  
162764 -         Min         80            87                   59     90                          86                          83            79     87            69     83     86     80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     85     8  
162765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162768 -              https://flow.polar.com/training/analysis/5421093973                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162770 -        low accuracy GPS used                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162772 -               ..
162774 -   
162775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162777 -  ..
162778 - HR profile Concord elevation 100, 23-mile route showing average 116                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162779 - and max 144, aligns with temperature 64, Hike had some long hills 2% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162780 - 5% grade with expected HR changes following cardiac ablation on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162781 - 0546. ref SDS 94 244I and following treatment in ER injecting high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
162782 - concentrate metoprolol that slowed atrial flutter HR 160, down to 60s                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162783 - and 70s, on 201007 2218. ref SDS B3 X36J  A second isolated episode of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162784 - atrial flutter recurred on 201031, with HR 150, and was treated with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162785 - Metoprolol Tartrate pill that lowered HR into 70s. ref SDS 0 GZ4I  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162786 - further episodes of atrial fibrilltion nor flutter have occurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162790 -  ..
162791 - EKG at mile 5 HR 107 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162795 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201206-ecg-114629_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162798 -  ..
162799 - EKG looks perfect, after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162800 - HR 107 identical to last hike at 5 miles, 2 days ago, reported above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162801 - ref SDS 0 QVTR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162805 -  ..
162806 - EKG at mile 13 HR 108- Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162810 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201206-ecg-141704_mile_13.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162813 -  ..
162814 - EKG looks perfect, after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162819 -  ..
162820 - EKG 1 minute after 23-mile hike HR 107 time 1837 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162821 - tachychardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162825 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201208-ecg-183713_mile_24.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162828 -  ..
162829 - EKG looks like a train wreck after hiking 24 miles, but reported as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162830 - tachycardia, and after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162871 -  ..
162872 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162873 - Lunch - half sandwich peanut butter margaine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162874 - Dinner - steak cut into small pieces, mashed potatoes lettuce tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162875 - broccoli avocado, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162877 -  ..
162878 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162885 -         ..
162886 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162887 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162888 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162889 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162890 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162891 -  342.  201207 0740............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162892 -               0745....BP HR..................................................... 138  79  60  Kardia ECG reports HR normal, see below. ref SDS 0 RRXP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162893 -               0740....BP HR..................................................... 135  77  58  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162894 -               0745....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162895 -               0750... 20 978560 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162896 -               0750... 80 220440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162897 -               0750... 05 2835 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162898 -               0750... 75 10925 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162899 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
162900 -               1020... Gabapentin 300MG  47300MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162901 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162902 -               1020... Oxycodone HCL Plain  5  340 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162903 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162904 -               1020....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162905 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162906 -        * cr   1035....miles...........  15.0  15.0  248   248 minutes  temp 72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162908 -               0000... Oxycodone HCL Plain  5  340 mg RX90533728 took for pain management during hike not combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162909 -               0000....Tramadol 50 2200 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
162910 -               0000... Gabapentin 300MG  46700MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162911 -               0000... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
162912 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162914 -               1725....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162915 -               1730....BP HR..................................................... 113  71  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162916 -               1821....BP HR..................................................... 123  75  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162917 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162918 -               1850... 40 64720 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
162919 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
162920 -             1 0000............ 10 14620  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162921 -             1 0000............ 10 14210  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162922 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162923 -               0000... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162924 -               2050... 40 44820 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162925 -               2120... 1000 1005000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162926 -               0000... 05 2840 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
162927 -               2200... 80 220520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162928 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162930 -  ..
162931 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162932 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162933 - daily hike. ref SDS 55 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162934 - coming down .5 miles very steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162935 - at top of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162936 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162937 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162938 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162940 -  ..
162941 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162942 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162943 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162944 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162945 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162946 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162947 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162948 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162949 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162950 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162951 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162952 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162953 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162954 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162955 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162956 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162957 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162958 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162959 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162960 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162961 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162962 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162963 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162964 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162965 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162966 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162968 -  ..
162969 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162970 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162972 -  ..
162973 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162974 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162975 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162977 -  ..
162978 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162980 -  ..
162981 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162982 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162984 -  ..
162985 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162987 -  ..
162988 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162989 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162991 -  ..
162992 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162993 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162994 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
162995 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162996 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162997 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162998 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162999 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163000 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
163001 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163002 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
163003 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163004 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163005 - collagen that repairs knee joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163006 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163007 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163009 -  ..
163010 - Today, in order to hike took 1 oxycodone and 1 gabapentin to start the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163011 - hike; did not not need 1 tramadol at mile 13, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163012 - Q65H, because ended hike at mile 15.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163014 -  ..
163015 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163016 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163018 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163019 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163020 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163021 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163022 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163023 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163024 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163025 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163026 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163027 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163028 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163029 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163030 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163031 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163032 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163033 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163034 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163035 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163036 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163037 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163038 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163039 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163040 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163041 -        Calf right minor scratches new wound.........   2          1  turned corner too sharply assuming only leaves, but scrapped on cut branches caused bleeding because of blood thinner medications so had to end hike at 15 miles                                                                                                                                                                                                                                                                                                                                                                             
163042 -        Little Toe blister left foot.................   0        100  wrapped hydrofera blue dressing worked okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163043 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163044 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163045 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163046 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163047 -        Metatarsalgia left foot...PRP 191009.........   1         15  last 3 miles very tolerable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163048 -        Metatarsalgia right foot..PRP 191009.........   1         15  last 3 miles very tolerable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163049 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163050 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163051 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163052 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163053 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163054 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163055 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163056 -        Blister little toe right foot................   0        100  applied hydrafera blue smaller profile dressing between little toe - with 2 pair double ply socks and laced shoes loosely - worked well entire 23 miles                                                                                                                                                                                                                                                                                                                                                                                      
163057 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163058 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163059 -        Blister little toe left foot.................   0        100  applied hydrafera blue dressing between little toe - with 2 pair double ply socks and laced shoes loosely - worked well entire 23 miles                                                                                                                                                                                                                                                                                                                                                                                                      
163060 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163061 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163062 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163063 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163064 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163065 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163066 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163067 -        Wobbly disoriented staggering dizzy..........   1          2  Last mile or so recognize drifting slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163069 -  ..
163070 - Today, energy okay starting hike.  After hiking 15 miles body fatigued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163071 - and little wobbly/disoriented taking 1 oxycodone with 1 gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163072 - starting hike.  After hike have low energy taking blood thinners.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163073 - Vasodilation may be causing wobbly/disoriented feeling after hike.
163075 - -
163076 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163077 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163078 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163080 -  ..
163081 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163083 -  ..
163084 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163085 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163086 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163088 -  ..
163089 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163090 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163091 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163092 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163093 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163095 -  ..
163096 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163097 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163099 -  ..
163100 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163101 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163102 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163104 -  ..
163105 - Little toes both feet wrapped with hydrofera blue antibacterial foam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163106 - dressing to heal and protect wounds from crimping.  Provides                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163107 - additional cushioning to prevent crimping during long hikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163109 -  ..
163110 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163111 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163112 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163113 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163114 - ref SDS 77 SM4M  After hike on 201202, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163115 - Tailor's Bunions, and applied Urea 20 replacing ammonium lactate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163116 - lotion to feet. ref SDS 0 GX4M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163118 -  ..
163119 - Concord 15 mile route - starting energy okay.  Had to take naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163120 - even though it raises blood pressure and LDL, because left knee and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163121 - feet reach intollerable pain without PRP due to repetitive stress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163122 - Wearing Hoka Bondi 6 shoes received on 190927 1110, ref SDS 77 SM4M,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
163123 - that prevent feet and knee injuries.  Wore 2-pair double-ply Wright                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163124 - socks received on 191010 1344, ref SDS 79 SM4M, to prevent blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
163125 - Wrapped both little toes with hydrofera blue antibacterial foam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163126 - dressing.  Worked well on left foot - pain level 0 entire 23 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163127 - Used smaller piece on right foot - worked well.  Hiked from Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163128 - uphill to Treat.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163129 - Temperature reached 63.  Hiked East normal pace on Treat 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163130 - Clayton - time to 1.25 miles 20 minutes.  Turned corner hiking South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163131 - on Clayton 2 miles at normal to fast pace, mostly on flat concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163132 - sidewalk.  At mile 3.5, turned West onto Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163133 - concrete sidewalk another .5 mile.  About mile 4 crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163134 - Ygnacio Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163135 - traffic.  At mile 5, stopped at Texaco gas station - EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163136 - 96 Possible Atrial Fibrillation - see below. ref SDS 0 RTXP  Bought                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163137 - Coca Cola and banana.  Ate half of banana and half of half sandwich                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163138 - peanut butter margarine and jam.  Drank most of Coca Cola for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163139 - hydration and energy.  Hiked .25 mile on Ygnacio Valley Road to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163140 - Hollow; turned left and hiked about 50 yards.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163141 - Campus Road.  Hiked 1-mile West uphill 3% - 4% grade to California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163142 - Sate University East Bay campus.  Energy seemed to improve.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163143 - 1-loop of about 2 miles through adjoining Faculty and Student Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163144 - lots, including sub-loop.  Seemed to feel vasodilation surge of energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163145 - and strength hiking up last long hill in Student parking lot.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163146 - 7.5 back at Visitor Parking hiked North downhill 3% grade .3 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163147 - Ygnacio Valley Road.  Turned left and hiked West .5 mile on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163148 - Valley Road flat pavement.  At mile 8 turned South and hiked 1 mile up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163149 - steep hill 5% grade on Crystal Ranch Road.  Struggled to maintaine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163150 - speed.  Breathed easily through nose all the way to summit.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163151 - another mile on flat pavement through residential area.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163152 - downhill .5 mile past Rolling Woods Way.  Hiked up another steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163153 - 5% grade .5 mile to the end of Crystal Ranch Road, mile 10 in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163154 - hike.  Breathed through nose all the way.  Not surprised this was more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163155 - of a struggle, since did 23 miles yesterday.  Hiked back downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163156 - Crystal Ranch Road.  Turned East on Rolling Woods Way.  Hiked up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163157 - hill 5% grade .33 mile.  Said hello to Paloma hiking on the other side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163158 - of the street today.  Then downhill .66 miles.  Turned North onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163159 - Hillow.  Hiked 1 mile back to Ygnacio Valley Road.  At mile 13,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163160 - stopped at Texaco Gas Station again - EKG reported HR 100 Normal - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163161 - below. ref SDS 0 RTYU  Bought another Coca Cola - drank half, but did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163162 - not take Tramadol nor gabapentin pills.  Decided to defer until later                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163163 - in hike and take 1 or both pills if necessary with 2nd half of banana.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163164 - Ate 2nd half of half sandwitch with pain medication pill.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163165 - on Ygnacio Valley Road to Pine Hollow; turned left and hiked about 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163166 - yards.  Turned right onto Campus Road.  Hiked 1-mile West uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163167 - 4% grade to California Sate University East Bay campus.  Scraped right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163168 - lower leg on thick hedges turning a corner.  Since taking apixaban and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163169 - clopidogrel blood thinners, this was bleeding.  Used paper towel on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163170 - hand to stem blood flow.  Hiked on up to the campus.  Decided too big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163171 - risk to hike with bleeding wound.  Called for a ride.  Kathy drove us                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163172 - home for 15 mile hike.  EKG at end of hike - time 1615, HR 118                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163173 - Tachycardia, see below. ref SDS 0 RUPY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163176 -  ..
163177 - Kardia recorded HR 59 at 0738 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163178 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163179 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163180 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163183 -               ..
163184 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201207-ecg-081847_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163187 -  ..
163188 - EKG looks perfect, after atrial flutter occurred on 201031 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163189 - taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163190 - medication again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163194 -  ..
163195 - Polar HR did GPS study for Concord elevation 100, 15-mile hike shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163196 - HR profile that rises and falls with changes in terrain elevations for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163197 - most of the hike; HR lower than hiking same route and distance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163198 - yesterday, but profile looks more raggedy than expected.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
163199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163202 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                                 Half Dome              Lafyt  Concrd Lafyt                                           
163203 -       Date       201207 201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 200920 2009  
163204 -       Miles         15     23      0     23      0      0     15     21      0      0      0     25      0      0      0     12      0     11     16      0      7     21     22     22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17      4     1  
163205 -       HR AVG       109    116     no    120     no     no     99    120     no     no     no    120     no     no     no    113     no    108    108     no    106    109    111    114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    117    11  
163206 -         MAX        131    144  report   147  report report   130    147  report report report   150  report report report   129  report   125    128  report   128    133    134    152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    139    14  
163207 -         Min         85     80            87                   59     90                          86                          83            79     87            69     83     86     80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     91     8  
163208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163211 -              https://flow.polar.com/training/analysis/5424207468                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163214 -               ..
163216 -   
163217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163219 -  ..
163220 - HR profile Concord elevation 100, 15-mile route showing average 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163221 - and max 131, aligns with temperature 72, Hike had some long hills 2% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163222 - 5% grade with expected HR changes following cardiac ablation on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163223 - 0546. ref SDS 94 244I and following treatment in ER injecting high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
163224 - concentrate metoprolol that slowed atrial flutter HR 160, down to 60s                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163225 - and 70s, on 201007 2218. ref SDS B3 X36J  A second isolated episode of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163226 - atrial flutter recurred on 201031, with HR 150, and was treated with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163227 - Metoprolol Tartrate pill that lowered HR into 70s. ref SDS 0 GZ4I  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163228 - further episodes of atrial fibrilltion nor flutter have occurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163232 -  ..
163233 - EKG at mile 5 HR 96 - Kardia reported Possibble Atrial Fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163237 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201207-ecg-122105_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163240 -  ..
163241 - EKG looks little raggedy - seems to have P wave; not sure why                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163242 - "Possible Atrial Fibrillation, after pausing metoprolol on 201101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163243 - ref SDS 0 P25F  HR 107 identical to last hike at 5 miles, 2 days ago,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163244 - reported above. ref SDS 0 QVTR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163248 -  ..
163249 - EKG at mile 13 HR 100- Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163253 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201207-ecg-145921_mile_13.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163256 -  ..
163257 - EKG looks raggedy, unclear why "Normal", after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163258 - 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163263 -  ..
163264 - EKG 20 minutes after 15-mile hike HR 102 time 1615 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163265 - tachychardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163269 -               ..
163270 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201207-ecg-161512_mile_15.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163273 -  ..
163274 - EKG looks perfect after 15 miles, and after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163275 - 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163309 -  ..
163310 - Breakfast - pasta - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163311 - Lunch - half sandwich peanut butter margaine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163312 - Dinner - pasta hambburger tomato asparagus onion avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
163314 -  ..
163315 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163322 -         ..
163323 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163324 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163325 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163326 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163327 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163328 -  343.  201208 0740............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163329 -               0750....BP HR..................................................... 139  78  63  Kardia ECG reports HR normal, see below. ref SDS 0 RXUW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163330 -               0755....BP HR..................................................... 133  76  61  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163331 -               0800....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163332 -               0800... 20 978580 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163333 -               0800... 80 220600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163334 -               0800... 05 2845 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163335 -               0800... 75 11000 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163336 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
163337 -               1020... Gabapentin 300MG  47300MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163338 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163339 -               1020... Oxycodone HCL Plain  5  340 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163340 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163341 -               1020....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163342 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163343 -        * cr   1105....miles...........  24.0  39.0  402   650 minutes  temp 70                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163345 -               0000... Oxycodone HCL Plain  5  340 mg RX90533728 took for pain management during hike not combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163346 -               1512....Tramadol 50 2250 for prevent feet knee pain at mile 14 in 24 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163347 -               1512... Gabapentin 300MG  47000MB took today, after pausing on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163348 -               0000... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
163349 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163351 -               1915....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163352 -               1930....BP HR..................................................... 113  72  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163353 -               1935....BP HR..................................................... 106  65  78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163354 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163355 -               1910... 40 64760 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
163356 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
163357 -               1950............ 10 14630  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163358 -               1950............ 10 14220  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163359 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163360 -               0000... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163361 -               2050... 40 44860 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163362 -               2120... 1000 1006000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163363 -               0000... 05 2850 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
163364 -               2200... 80 220680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163365 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163367 -  ..
163368 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163369 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163370 - daily hike. ref SDS 55 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
163371 - coming down .5 miles steep 5% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163372 - top of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
163373 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163374 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163375 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163377 -  ..
163378 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163379 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163380 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163381 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163382 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163383 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163384 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163385 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163386 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163387 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163388 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163389 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163390 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163391 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163392 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163393 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163394 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163395 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163396 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163397 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163398 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163399 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163400 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163401 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163402 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163403 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163405 -  ..
163406 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163407 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163409 -  ..
163410 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163411 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163412 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163414 -  ..
163415 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163417 -  ..
163418 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163419 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
163421 -  ..
163422 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
163424 -  ..
163425 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163426 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163428 -  ..
163429 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163430 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163431 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
163432 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163433 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163434 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
163435 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163436 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163437 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
163438 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163439 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
163440 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163441 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163442 - collagen that repairs joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163443 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163444 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163446 -  ..
163447 - Today, in order to hike took 1 oxycodone and 1 gabapentin to start the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163448 - hike; did not not need 1 tramadol at mile 13, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163449 - Q65H, because ended hike at mile 15.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163451 -  ..
163452 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163453 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163455 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163456 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163457 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163458 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163459 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163460 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163461 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163462 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163463 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163464 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163465 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163466 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163467 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163468 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163469 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163470 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163471 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163472 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163473 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163474 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163475 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163476 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163477 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163478 -        Calf right minor scratches new wound.........   0        100  healing no pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163479 -        Little Toe blister left foot.................   1        100  tried no dressing, worked okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163480 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163481 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163482 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163483 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163484 -        Metatarsalgia left foot...PRP 191009.........   2         15  last 3 miles very tolerable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163485 -        Metatarsalgia right foot..PRP 191009.........   2         15  last 3 miles very tolerable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163486 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163487 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163488 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163489 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163490 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163491 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163492 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163493 -        Blister little toe right foot................   0        100  applied hydrafera blue smaller profile dressing between little toe - with 2 pair double ply socks and laced shoes loosely - worked well entire 23 miles                                                                                                                                                                                                                                                                                                                                                                                      
163494 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163495 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163496 -        Blister little toe left foot.................   0        100  applied hydrafera blue dressing between little toe - with 2 pair double ply socks and laced shoes loosely - worked well entire 23 miles                                                                                                                                                                                                                                                                                                                                                                                                      
163497 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163498 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163499 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163500 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163501 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163502 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163503 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163504 -        Wobbly disoriented staggering dizzy..........   1          2  Last mile or so recognize drifting slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163506 -  ..
163507 - Today, energy okay starting hike.  After hiking 24 miles body fatigued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163508 - and little wobbly/disoriented taking 1 oxycodone with 1 gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163509 - starting hike, and taking 1 tramadol and another gabapentin at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163510 - After hike have low energy taking blood thinners.  Vasodilation may be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163511 - causing wobbly/disoriented feeling after hike.
163513 - -
163514 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163515 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163516 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163518 -  ..
163519 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163521 -  ..
163522 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163523 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163524 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163526 -  ..
163527 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163528 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163529 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163530 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163531 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163533 -  ..
163534 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163535 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163537 -  ..
163538 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163539 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163540 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163542 -  ..
163543 - Little toes both feet wrapped with hydrofera blue antibacterial foam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163544 - dressing to heal and protect wounds from crimping.  Provides                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163545 - additional cushioning to prevent crimping during long hikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163547 -  ..
163548 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163549 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163550 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163551 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163552 - ref SDS 77 SM4M  After hike on 201208, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163553 - Tailor's Bunions, and applied ammonium lactate lotion to feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163554 - above. ref SDS 0 4S9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163556 -  ..
163557 - Concord 24 mile route - starting energy okay.  Had to take oxycodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163558 - because left knee and feet reach intollerable pain without PRP due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163559 - repetitive stress.  Wearing Hoka Bondi 6 shoes received on 190927                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163560 - 1110, ref SDS 77 SM4M, that prevent feet and knee injuries.  Wore                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163561 - 2-pair double-ply Wright socks received on 191010 1344, ref SDS 79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
163562 - SM4M, to prevent blisters.  Applied miconazole nitrate 2% (Thera                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163563 - antifungal) foot powder ordered by Doctor Tang during the meeting in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163564 - Podiatry at VAMCSF on 201201 0930. ref SDS B8 PR6M  It was received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163565 - yesterday on 201207 1549. ref SDS B9 4G4N  Was effective entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
163566 - today.  Did not wrap either little toes with dressing.  Worked well on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163567 - left foot - pain level 0 entire 24 miles.  Hiked from Cuneo uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163568 - Treat.  Breathed easily through nose entire hike.  Temperature reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163569 - 70.  Hiked East normal pace on Treat 1 mile to Clayton - time to 1.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163570 - miles 20 minutes.  Right foot hurting at instep pain level 2, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163571 - worried this would get worse and end hike.  Turned corner hiking South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163572 - on Clayton 2 miles at normal to fast pace, mostly on flat concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163573 - sidewalk.  At mile 3.5, turned West onto Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163574 - concrete sidewalk another .5 mile.  About mile 4 crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163575 - Ygnacio Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163576 - traffic.  Right foot at instep pain level 0 rest of hike.  At mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163577 - stopped at Texaco gas station - EKG reported HR 107 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163578 - below. ref SDS 0 RYQS  Bought Coca Cola and banana.  Ate half of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163579 - banana and half of half sandwich peanut butter margarine and jam.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163580 - Drank most of Coca Cola for hydration and energy.  Hiked .25 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163581 - Ygnacio Valley Road to Pine Hollow; turned left and hiked about 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163582 - yards.  Turned right onto Campus Road.  Hiked 1-mile West uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163583 - 4% grade to California Sate University East Bay campus.  Energy seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163584 - to improve.  Hiked 1-loop of about 2 miles through adjoining Faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163585 - and Student Parking lots, including sub-loop.  Seemed to feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163586 - vasodilation surge of energy and strength hiking up last long hill in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163587 - Student parking lot.  At mile 7.5 back at Visitor Parking hiked North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163588 - downhill 3% grade .3 mile to Ygnacio Valley Road.  Turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163589 - hiked West .5 mile on Ygnacio Valley Road flat pavement.  At mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163590 - turned South and hiked 1 mile up steep hill 5% grade on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163591 - Road.  Handled this long hill well, with energy that maintained speed,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163592 - and breathing easily through nose all the way.  Hiked another mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163593 - flat pavement through residential area.  Hiked downhill .5 mile past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163594 - Rolling Woods Way.  Hiked up another steep hill 5% grade .5 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163595 - the end of Crystal Ranch Road, mile 10 in the hike.  Breathed through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163596 - nose all the way - surprised how easy this part of the hike was.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163597 - Hiked back downhill on Crystal Ranch Road.  Turned East on Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163598 - Woods Way.  Hiked up steep hill 5% grade .33 mile, then downhill .66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163599 - miles.  Turned North onto Pine Hillow.  Hiked 1 mile back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163600 - Valley Road.  At mile 13, stopped at Texaco Gas Station again - EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163601 - reported HR 107 Tachycardia - see below. ref SDS 0 RYRY  Bought                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163602 - another Coca Cola - drank half to take 1 Tramadol.  Ate 2nd half of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163603 - half sandwitch with pain medication pill.  Continued on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163604 - Road to Pine Hollow; turned left and hiked about 50 yards.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163605 - right onto Campus Road.  Hiked 1-mile West uphill 3% - 4% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163606 - California Sate University East Bay campus.  Hiked 1-loop of about 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163607 - miles through adjoining Faculty and Student Parking lots; added                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163608 - sub-loop of .5 mile.  Back at Visitor Parking took Campus Drive North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163609 - .33 mile downhill to Ygnacio Valley Road.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163610 - Valley Road and hiked West .5 miles.  At mile 16 in the hike hike past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163611 - Crystal Ranch Road and continued uphill on Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163612 - Adrenalin seemed to kick in, because increased pace hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163613 - Ygnacio Valley Road uphill 2% grade past Cowell.  Crossed from South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163614 - side of Ygnacio Valley Road to the North side in order to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163615 - severely sloped shoulder on South Side.  On North side continued West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163616 - uphill 3% grade over the summit past end of concrete traffic barriar.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163617 - Feeling good - strong, and pain level 0 in feet and knees.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163618 - 17, crossed back to South side Ygnacio Valley Road to use wider,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163619 - flatter roadway shoulder.  Hiked 1.5 miles downhill. and crossed back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163620 - to North Side of the road.  Hiked another mile to Oak Grove at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163621 - 19.  Hiked 4 1-mile loops around safeway shopping center.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163622 - hiking North on Oak Grove 1 mile to Treat.  Kathy drove us home for 24                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163623 - mile hike.  EKG at end of hike - time 1727, HR 118 Tachycardia, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163624 - below. ref SDS 0 RSVX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163627 -  ..
163628 - Kardia recorded HR 62 at 0750 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163629 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163630 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163631 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163634 -               ..
163635 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201208-ecg-075032_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163638 -  ..
163639 - EKG looks perfect, after atrial flutter occurred on 201031 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163640 - taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163641 - medication again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163645 -  ..
163646 - Polar HR did GPS study for Concord elevation 100, 24-mile hike shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163647 - HR profile that rises and falls with changes in terrain elevations for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163648 - most of the hike; HR lower than hiking same route and distance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163649 - 2 days ago.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163653 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                                 Half Dome              Lafyt  Concrd Lafyt                                    
163654 -       Date       201208 201207 201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 200921 2009  
163655 -       Miles         24     15     23      0     23      0      0     15     21      0      0      0     25      0      0      0     12      0     11     16      0      7     21     22     22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     17        
163656 -       HR AVG       113    109    116     no    120     no     no     99    120     no     no     no    120     no     no     no    113     no    108    108     no    106    109    111    114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    120    11  
163657 -         MAX        133    131    144  report   147  report report   130    147  report report report   150  report report report   129  report   125    128  report   128    133    134    152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    139    13  
163658 -         Min         78     85     80            87                   59     90                          86                          83            79     87            69     83     86     80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     90     9  
163659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163662 -              https://flow.polar.com/training/analysis/5427510429                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163665 -               ..
163667 -   
163668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163670 -  ..
163671 - HR profile Concord elevation 100, 24-mile route showing average 113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163672 - and max 133, aligns with temperature 70, Hike had some long hills 2% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163673 - 5% grade with expected HR changes following cardiac ablation on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163674 - 0546. ref SDS 94 244I and following treatment in ER injecting high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
163675 - concentrate metoprolol that slowed atrial flutter HR 160, down to 60s                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163676 - and 70s, on 201007 2218. ref SDS B3 X36J  A second isolated episode of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163677 - atrial flutter recurred on 201031, with HR 150, and was treated with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163678 - Metoprolol Tartrate pill that lowered HR into 70s. ref SDS 0 GZ4I  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163679 - further episodes of atrial fibrilltion nor flutter have occurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163683 -  ..
163684 - EKG at mile 5 HR 102 - Kardia reported Tachycardia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163688 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201208-ecg-122550_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163691 -  ..
163692 - EKG looks raggedy - after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163693 - HR 107 identical to last hike at 5 miles, 2 days ago, reported above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163694 - ref SDS 0 QVTR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163698 -  ..
163699 - EKG at mile 13 HR 107- Kardia reported Tachycardia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163703 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201208-ecg-150018_mile_13.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163706 -  ..
163707 - EKG looks perfect, after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163712 -  ..
163713 - EKG 1 minutes after 24-mile hike HR 107 time 1837 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163714 - tachychardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163718 -               ..
163719 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201208-ecg-183713_mile_24.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163722 -  ..
163723 - EKG looks raggecy after 24 miles, and after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163724 - 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163758 -  ..
163759 - Breakfast - pasta - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163760 - Lunch - half sandwich peanut butter margaine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163761 - Dinner - meatloaf mashed potatoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163763 -  ..
163764 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163771 -         ..
163772 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163773 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163774 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163775 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163776 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163777 -  344.  201209 0150............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163778 -               0250....BP HR..................................................... 140  75  70  Kardia ECG reports HR normal, see below. ref SDS 0 SSRS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163779 -               0255....BP HR..................................................... 130  77  64  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163780 -               0240....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163781 -               0740... 20 978600 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163782 -               0700... 80 220760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163783 -               1430... 05 2855 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163784 -               1430... 75 11075 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163785 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
163786 -               0420... Gabapentin 300MG  47900MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163787 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163788 -               0420... Oxycodone HCL Plain  5  345 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163789 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163790 -               0240....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163791 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163792 -               0425....miles...........  15.0  54.0  252   902 minutes  temp 52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163794 -               0000... Oxycodone HCL Plain  5  340 mg RX90533728 took for pain management during hike not combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163795 -               0000....Tramadol 50 2250 for prevent feet knee pain at mile 14 in 24 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163796 -               0000... Gabapentin 300MG  47900MB took today, after pausing on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163797 -               0000... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
163798 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163800 -               0810....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163801 -               0810....BP HR..................................................... 121  54  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163802 -               0815....BP HR..................................................... 123  59  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163803 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163804 -               1700... 40 64760 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
163805 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
163806 -             1 0000............ 10 14630  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163807 -             1 0000............ 10 14220  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163808 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163809 -               0000... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163810 -               2050... 40 44900 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163811 -               2120... 1000 1007000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163812 -               2130... 05 2860 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
163813 -               2130... 03    3 Melatonin sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163814 -               2200... 80 220840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163815 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163818 -  ..
163819 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163820 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163821 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163822 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163823 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163824 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163825 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163826 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163827 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163828 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163829 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163830 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163831 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163832 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163833 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163834 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163835 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163836 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163837 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163838 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163839 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163840 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163841 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163842 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163843 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163844 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163846 -  ..
163847 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163848 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163850 -  ..
163851 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163852 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163853 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163855 -  ..
163856 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163858 -  ..
163859 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163860 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
163862 -  ..
163863 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
163865 -  ..
163866 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163867 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163869 -  ..
163870 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163871 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163872 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
163873 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163874 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163875 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
163876 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163877 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163878 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
163879 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163880 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
163881 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163882 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163883 - collagen that repairs joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163884 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163885 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163887 -  ..
163888 - Today, in order to hike took 1 oxycodone and 1 gabapentin to start the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163889 - hike; did not not need 1 tramadol at mile 13, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163890 - Q65H, because ended hike at mile 15.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163892 -  ..
163893 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163894 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163896 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163897 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163898 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163899 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163900 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163901 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163902 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163903 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163904 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163905 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163906 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163907 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163908 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163909 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163910 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163911 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163912 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163913 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163914 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163915 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163916 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163917 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163918 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163919 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163920 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163921 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163922 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163923 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163924 -        Metatarsalgia left foot...PRP 191009.........   2         15  last 3 miles very tolerable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163925 -        Metatarsalgia right foot..PRP 191009.........   2         15  last 3 miles very tolerable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163926 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163927 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163928 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163929 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163930 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163931 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163932 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163933 -        Blister little toe right foot................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163934 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163935 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163936 -        Blister little toe left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163937 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163938 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163939 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163940 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163941 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163942 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163943 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163944 -        Wobbly disoriented staggering dizzy..........   1          2  Last mile or so recognize drifting slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163946 -  ..
163947 - Today, energy okay starting hike.  After hiking 15 miles body fatigued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163948 - and little wobbly/disoriented taking 1 oxycodone with 1 gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163949 - starting hike.  After hike have low energy taking blood thinners.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163950 - Vasodilation may be causing wobbly/disoriented feeling after hike.
163952 - -
163953 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163954 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163955 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163957 -  ..
163958 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163960 -  ..
163961 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163962 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163963 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163965 -  ..
163966 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163967 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163968 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163969 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163970 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163972 -  ..
163973 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163974 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163976 -  ..
163977 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163978 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163979 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163981 -  ..
163982 - Little toes both feet wrapped with hydrofera blue antibacterial foam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163983 - dressing to heal and protect wounds from crimping.  Provides                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163984 - additional cushioning to prevent crimping during long hikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163986 -  ..
163987 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163988 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163989 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163990 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163991 - ref SDS 77 SM4M  After hike on 201208, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163992 - Tailor's Bunions, and applied ammonium lactate lotion to feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163993 - above. ref SDS 0 4S9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163995 -  ..
163996 - San Francisco 15 mile route, reported on 170519, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163997 - ref SDS 36 WTRS  Weather cool, temperature 54 and windy (10 mph) this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163998 - morning.  Started hike leaving parking lot at VAMCSF at 0426.  Walked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163999 - from parking lot in front of hospital, then slow downhill on 42nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164000 - Street to warm up.  Tailor's Bunion on both feet pain level 0 going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164001 - down hill - good signal.  Turned corner continued downhill West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164002 - Point Lobos to the Cliff House at mile 1.  Loud roar of ocean and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164003 - wind.  Too dark to see anything.  Road bends and changes to the "Great                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164004 - Highway" going South along the Ocean Beach.  At mile 2 turned onto the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164005 - Lincoln Avenue section of John F Kennedy (JFK) Drive entering Golden                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164006 - Gate Park.  Maintained pace going slightly uphill into the park.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164007 - Turned corner and continued East on JFK.  Waved and said Good Morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164008 - to jogger, who is usually out very early.  Passed the Buffalo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164009 - compound.  Hiked past Spreckles Lake, then Lindley Meadow.  About mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164010 - 3.5 nearng Hellman Hollow.  Have seen very few bikers and runners at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164011 - this hour.  Hiked under bridge at 19th street.  JFK is blocked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164012 - vehicle traffic the rest of the way through the park, to limit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
164013 - attendance for keeping people separated from spreading coronavirus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164014 - Continued hiking past De Young Museum at mile 4.25.  Big ferris wheel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164015 - was not lit up this morning.  Nearing the end of JFK Drive, crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164016 - the street to make left turn onto Stanyon at mile 5.5.  Hiked uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164017 - on Stanyon several blocks to Fulton.  Hiked few more blocks downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164018 - to Paramont street across from Koret Health and Recreation Center,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164019 - part of USF.  Touched the wall at Ann's house - time 0650 and mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164020 - 6.32.  Hiked back on Stanyon to John F Kennedy drive.  About 50% of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164021 - the way down, found a flat surface where EKG could be checked.  EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164022 - found HR 94 and Unclassified, see below. ref SDS 0 PVUV  Hiked on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164023 - South side against traffic going West.  Passing De Young Museum did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164024 - not increase pace despite feeling good, because need steady moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164025 - pace that avoids flipping heart into atrial flutter.  Did not see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164026 - waterfall, because still too early.  Hiked under the 19th Street                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164027 - bridge and past Helman Hollow.  Knee pain level 0, feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164028 - metatarsalgia both feet pain level 1, but no pain from little toes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164029 - indicating hydrofera blue dressing was effective today.  Hiked past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164030 - Lindley Meadow to Spreckles Lake, then past the Buffalo Compound.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164031 - Crossed over to North side of JFK going with traffic.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164032 - from JFK onto Lincoln Avenue and headed toward the ocean.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164033 - North onto the Great Highway.  Both feet pain level 2; left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164034 - patella pain level 0.  Hiked parallel to ocean toward the Cliff House                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164035 - and the hospital.  Maintained pace hiking up steep hill - 5% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164036 - against 10 mph wind.  Breathing through nose for 1.5 miles uphill all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164037 - the way to the hospital.  At the Cliff House, turned onto Point Lobos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164038 - going East; feeling strong handling uphill for 1 mile and against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164039 - wind.  Turned onto 42nd street and maintained pace going up final                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164040 - steep hill to the VA campus.  Arrived at 0730.  Hiked 2 loops around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164041 - parking lot.  Forgot to do EKG.  Got the computer and keyboard and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164042 - went into the hospital.  Went through screening for coronavirus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164044 -  ..
164045 - Kardia recorded HR 68 at 0226 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164046 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164047 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164048 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164051 -               ..
164052 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201209-ecg-022619_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164055 -  ..
164056 - EKG looks perfect, after atrial flutter occurred on 201031 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164057 - taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164058 - medication again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164062 -  ..
164063 - Polar HR did GPS study for Concord elevation 100, 14-mile hike shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164064 - HR profile that rises and falls with changes in terrain elevations for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164065 - most of the hike;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164069 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                                 Half Dome              Lafyt  Concrd Lafyt                             
164070 -       Date       201209 201208 201207 201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200926 200925 200924 200923 200922 2009  
164071 -       Miles         15     24     15     23      0     23      0      0     15     21      0      0      0     25      0      0      0     12      0     11     16      0      7     21     22     22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16      4     16      0     20     18     1  
164072 -       HR AVG       107    113    109    116     no    120     no     no     99    120     no     no     no    120     no     no     no    113     no    108    108     no    106    109    111    114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    105    116     no    115    118    12  
164073 -         MAX        131    133    131    144  report   147  report report   130    147  report report report   150  report report report   129  report   125    128  report   128    133    134    152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    131    137  report   138    136    13  
164074 -         Min         76     78     85     80            87                   59     90                          86                          83            79     87            69     83     86     80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     66     89            83     91     9  
164075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164078 -              https://flow.polar.com/training/analysis/5429557239                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164082 -               ..
164084 -   
164085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164087 -  ..
164088 - HR profile Concord elevation 100, 14-mile route showing average 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164089 - and max 131, aligns with temperature 54, Hike had some long hills 2% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164090 - 5% grade with expected HR changes following cardiac ablation on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164091 - 0546. ref SDS 94 244I and following treatment in ER injecting high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
164092 - concentrate metoprolol that slowed atrial flutter HR 160, down to 60s                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164093 - and 70s, on 201007 2218. ref SDS B3 X36J  A second isolated episode of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164094 - atrial flutter recurred on 201031, with HR 150, and was treated with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164095 - Metoprolol Tartrate pill that lowered HR into 70s. ref SDS 0 GZ4I  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164096 - further episodes of atrial fibrilltion nor flutter have occurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164100 -  ..
164101 - EKG at mile 6 HR 84 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164105 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201209-ecg-061854_mile_06.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164108 -  ..
164109 - EKG looks raggedy - after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164110 - HR 107 identical to last hike at 5 miles, 2 days ago, reported above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164111 - ref SDS 0 QVTR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
164112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164145 -  ..
164146 - Breakfast - NPO - no medications, pending transesophogel echo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164147 - Lunch - NPO                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
164148 - Dinner - macaroni cheese - pudding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164150 -  ..
164151 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164158 -         ..
164159 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164160 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164161 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164162 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
164163 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164164 -  345.  201210 0530............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164165 -               0610....BP HR..................................................... 123  64  62  Kardia ECG reports HR normal, see below. ref SDS 0 SSRS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164166 -               0615....BP HR..................................................... 121  65  61  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164167 -               0700....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164168 -               0720... 20 978620 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164169 -               0720... 80 220920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164170 -               0720... 05 2865 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164171 -               0720... 75 11150 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164172 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
164173 -               0000... Gabapentin 300MG  47900MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164174 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164175 -               0000... Oxycodone HCL Plain  5  345 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164176 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164177 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164178 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164179 -               1700... 40 64800 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
164180 -           **  0000... 25   2050.0 Metoprolol Tartrate - 201031 after pausing metoprolol succinct on 201010 after 2 days terrific HR profiles on 201007 episode atrial flutter HR 160, resumed Metoprolol Succinct to experimnet again                                                                                                                                                                                                                                                                                                                                                                             
164181 -               1830............ 10 14640  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164182 -               1830............ 10 14230  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164183 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164184 -               0000... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164185 -               2050... 40 44940 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164186 -               2120... 1000 1008000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164187 -               2130... 05 2870 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
164188 -               2130... 03    6 Melatonin sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164189 -               2200... 80 221000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164190 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164193 -  ..
164194 - ** Metoprolol Tartrate 25 MB paused on 201101, after taking on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164195 - at 1640, because heart flipped into atrial flutter 158 BPM on 201031                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164196 - at 1500, about mile 13 hiking up Campus Road with minimum 3% grade and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164197 - temperature 81.  Heart at 158 BPM going up hill and down hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164198 - while sitting; after taking Metoprolol Tartrate at 1649 HR dropped to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164199 - 106 at 1747; but then went up to 148 at 1753, and after Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164200 - Succinct paused on 201010 because past 2 days have been terrific HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164201 - profiles (very low), so testing if taking metoprolol in hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164202 - shocked heart into lower profile; on 201007 episode atrial flutter HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164203 - 160, ref SDS 0 RXYU, metoprolol high concentration through IV in ER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164204 - lowered HR; Doctor Pellegrini ordered experimenting with Metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164205 - pills again, which lower HDL in this case, to see if this will control                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164206 - HR, rather perform 2nd ablation on right atrial to prevent erratic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164207 - electrial signals from causing atrial flutter; previously on 200830                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164208 - paused metoprolol to avoid beta blocker lowering HDL and disrupting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164209 - sexual function; On 200724 Doctor Simpson recommended taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164210 - Metoprolol at night, rather than in the morning, and if HR is below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164211 - 60, then skip taking the pill. ref SDS A9 WA5O  Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164212 - switchted from Tartrate, reported on 200527 0930. ref SDS 97 MU4H  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
164213 - 200612 resumed Metoprolol, clopidogrel and Apixaban - meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164214 - Doctor Pellegrini in hospital; can end Apixaban in 3 months.  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164215 - Monto diagnosed stomach pain as ischemic colotis based on CT test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164216 - finding inflammation in colon, caused by vasodilation hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164217 - distances in combination with 4 coronary medical procedures (angiogram                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164218 - on 200124, stent on 200128, ablation on 200430, another ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164219 - 200511) reported on 200612 0700, ref SDS A2 2U4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164221 -  ..
164222 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164223 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164225 -  ..
164226 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164227 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164228 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164230 -  ..
164231 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164233 -  ..
164234 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164235 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164237 -  ..
164238 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164240 -  ..
164241 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164242 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164244 -  ..
164245 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164246 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164247 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
164248 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164249 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164250 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164251 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164252 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164253 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164254 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164255 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
164256 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164257 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164258 - collagen that repairs joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164259 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164260 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164263 -  ..
164264 - Kardia recorded HR 68 at 0226 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164265 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164266 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164267 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164270 -               ..
164271 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201209-ecg-022619_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164274 -  ..
164275 - EKG looks perfect, after atrial flutter occurred on 201031 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164276 - taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164277 - medication again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164282 -  ..
164283 - HR profile post-hike beginning 1925 until in morning OA 0500 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164284 - mostly steady heart beat 72 +/-.  Max HR 114, and minimum HR 52 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164285 - with indoor activity - sleeping; 0 spikes above 130 indicates no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164286 - likely atrial fibrillation and no flutter, after cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164287 - right atrial this morning, reported on 201210 0700. ref SDS C0 4H5J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164290 -        ..
164291 -       Date      201210 201209 201208 201207 201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 200920 20  
164292 -        Hours       10      8      6     11     10     14     12     16     14      9      4     10     11     12     13     12      8      9      9     11     10      9      7      2      7     10     10     10      9      9      7      7     11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      7      
164293 -       HR AVG       72     60     74     63     62     70     70     68     67     78     67     69     70     64     66     66     66     67     63     66     61     59     66     65     64     67     64     65     62     62     65     60     66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78     67      
164294 -         MAX       114     81    113    113    107    165    191    166    130    110     93    124    107    157    151    160    130    102    153     99    102     99     97    112     98    111    102    109    145    112    158    108     97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160    103      
164295 -         Min        52     54     56     51     53     43     31     53     46     58     53     49     56     52     36     49     51     54     48     53     47     47     55     43     52     50     52     54     41     47     48     44     49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51     49      
164296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164299 -              https://flow.polar.com/training/analysis/5434788664                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164304 -   
164305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164309 -  ..
164310 - Breakfast - NPO - no medications, pending transesophogel echo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164311 - Lunch - NPO                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
164312 - Dinner - macaroni cheese - pudding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164314 -  ..
164315 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164323 -         ..
164324 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164325 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164326 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164327 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
164328 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164329 -  346.  201211 0520............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164330 -               0610....BP HR..................................................... 124  66  61  Kardia ECG reports HR normal, see below. ref SDS 0 SSRS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164331 -               0615....BP HR..................................................... 122  65  61  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164332 -               0700....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164333 -               0720... 20 978640 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164334 -               0720... 80 221080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164335 -               0720... 05 2875 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164336 -               0720... 75 11225 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164337 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
164338 -               0000... Gabapentin 300MG  47900MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164339 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164340 -               0000... Oxycodone HCL Plain  5  345 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164341 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164342 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164343 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164344 -               1700... 40 64840 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
164345 -             1 1830............ 10 14640  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164346 -             1 1830............ 10 14230  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164347 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164348 -               0000... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164349 -               2050... 40 44980 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164350 -               2120... 1000 1009000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164351 -               2130... 05 2880 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
164352 -               0000... 03    6 Melatonin sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164353 -               2200... 80 221160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164354 -               2220....Tramadol 50 2300 body hurts from ablation yesterday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164355 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164358 -  ..
164359 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164360 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164362 -  ..
164363 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164364 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164365 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164367 -  ..
164368 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164370 -  ..
164371 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164372 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164374 -  ..
164375 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164377 -  ..
164378 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164379 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164381 -  ..
164382 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164383 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164384 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
164385 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164386 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164387 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164388 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164389 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164390 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164391 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164392 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
164393 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164394 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164395 - collagen that repairs joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164396 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164397 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164400 -  ..
164401 - HR profile post-hike beginning 1354 until in morning OA 0730 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164402 - mostly steady heart beat 71 +/-.  Max HR 142, and minimum HR 51 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164403 - with indoor activity - sleeping; 1 spike above 130 indicates no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164404 - likely atrial fibrillation and no flutter, after cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164405 - right atrial reported on 201210 0700. ref SDS C0 4H5J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
164406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164408 -        ..
164409 -       Date      201211 201210 201209 201208 201207 201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 200921 20  
164410 -        Hours       18     10      8      6     11     10     14     12     16     14      9      4     10     11     12     13     12      8      9      9     11     10      9      7      2      7     10     10     10      9      9      7      7     11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8     14      
164411 -       HR AVG       72     72     60     74     63     62     70     70     68     67     78     67     69     70     64     66     66     66     67     63     66     61     59     66     65     64     67     64     65     62     62     65     60     66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67     78      
164412 -         MAX       114    114     81    113    113    107    165    191    166    130    110     93    124    107    157    151    160    130    102    153     99    102     99     97    112     98    111    102    109    145    112    158    108     97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170    160      
164413 -         Min        52     52     54     56     51     53     43     31     53     46     58     53     49     56     52     36     49     51     54     48     53     47     47     55     43     52     50     52     54     41     47     48     44     49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50     51      
164414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164417 -              https://flow.polar.com/training/analysis/5438304379                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164422 -   
164423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164427 -  ..
164428 - Breakfast - NPO post cardiac ablation right atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164429 - Lunch - half hamburger                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164430 - Dinner - broccoli rice hamburger onion cheese, chips balogny cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164432 -  ..
164433 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164441 -         ..
164442 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164443 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164444 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164445 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
164446 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164447 -  347.  201212 0750............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164448 -               0810....BP HR..................................................... 138  75  68  Kardia ECG reports HR normal, see below. ref SDS 0 TTUQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164449 -               0815....BP HR..................................................... 141  77  68  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164450 -               0820....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164451 -               0820... 20 978660 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164452 -               0820... 80 221240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164453 -               0820... 05 2885 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164454 -               0820... 75 11300 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164455 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
164456 -               0000... Gabapentin 300MG  47900MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164457 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164458 -               0000... Oxycodone HCL Plain  5  345 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164459 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164460 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164461 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164462 -               1700... 40 64880 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
164463 -               1830............ 10 14650  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164464 -               1830............ 10 14240  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164465 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164466 -               0000... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164467 -               2050... 40 45020 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164468 -               2120... 1000 1010000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164469 -               2130... 05 2890 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
164470 -               0000... 03    6 Melatonin sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164471 -               2200... 80 221320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164472 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164474 -  ..
164475 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164476 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164478 -  ..
164479 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164480 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164481 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164483 -  ..
164484 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164486 -  ..
164487 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164488 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164490 -  ..
164491 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164493 -  ..
164494 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164495 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164497 -  ..
164498 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164499 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164500 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
164501 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164502 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164503 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164504 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164505 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164506 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164507 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164508 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
164509 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164510 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164511 - collagen that repairs joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164512 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164513 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164516 -  ..
164517 - Kardia recorded HR 67 at 0854 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164518 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164519 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164520 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164523 -               ..
164524 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201212-ecg-085408_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164527 -  ..
164528 - EKG looks perfect, after cardiac ablation on 201210 0700, ref SDS C0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164529 - 4H5J, to correct recurrance atrial flutter occurred on 201031 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164530 - taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164531 - medication again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164536 -  ..
164537 - HR profile post-hike beginning 1357 until in morning OA 0730 shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164538 - mostly steady heart beat 67 +/-.  Max HR 110, and minimum HR 52 aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164539 - with indoor activity - sleeping; 0 spikes above 130 indicates no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164540 - likely atrial fibrillation and no flutter, after cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164541 - right atrial reported on 201210 0700. ref SDS C0 4H5J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
164542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164544 -        ..
164545 -       Date      201212 201211 201210 201209 201208 201207 201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 200922 20  
164546 -        Hours       18     18     10      8      6     11     10     14     12     16     14      9      4     10     11     12     13     12      8      9      9     11     10      9      7      2      7     10     10     10      9      9      7      7     11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      8      
164547 -       HR AVG       67     71     72     60     74     63     62     70     70     68     67     78     67     69     70     64     66     66     66     67     63     66     61     59     66     65     64     67     64     65     62     62     65     60     66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67     67      
164548 -         MAX       110    142    114     81    113    113    107    165    191    166    130    110     93    124    107    157    151    160    130    102    153     99    102     99     97    112     98    111    102    109    145    112    158    108     97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128    170      
164549 -         Min        52     51     52     54     56     51     53     43     31     53     46     58     53     49     56     52     36     49     51     54     48     53     47     47     55     43     52     50     52     54     41     47     48     44     49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54     50      
164550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164553 -              https://flow.polar.com/training/analysis/5441907859                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164558 -   
164559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164563 -  ..
164564 - Breakfast - eggs avocado sausage toast with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164565 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164566 - Dinner - pork chop lettuce onion avocado tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164568 -  ..
164569 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164576 -         ..
164577 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164578 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164579 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164580 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
164581 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164582 -  348.  201213 0740............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164583 -               0810....BP HR..................................................... 149  82  68  Kardia ECG reports HR normal, see below. ref SDS 0 TUQP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164584 -               0815....BP HR..................................................... 135  77  66  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164585 -               0820....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164586 -               0820... 20 978680 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164587 -               0820... 80 221400 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164588 -               0820... 05 2895 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164589 -               0820... 75 11375 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164590 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
164591 -               0000... Gabapentin 300MG  47900MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164592 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164593 -               0000... Oxycodone HCL Plain  5  345 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164594 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164595 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164596 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164597 -               1700... 40 64920 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
164598 -             1 0000............ 10 14650  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164599 -             1 0000............ 10 14240  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164600 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164601 -               0000... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164602 -               2050... 40 45060 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164603 -               2120... 1000 1011000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164604 -               2130... 05 2900 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
164605 -               0000... 03    6 Melatonin sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164606 -               2200... 80 221480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164607 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164609 -  ..
164610 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164611 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164613 -  ..
164614 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164615 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164616 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164618 -  ..
164619 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164621 -  ..
164622 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164623 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164625 -  ..
164626 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164628 -  ..
164629 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164630 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164632 -  ..
164633 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164634 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164635 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
164636 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164637 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164638 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164639 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164640 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164641 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164642 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164643 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
164644 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164645 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164646 - collagen that repairs joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164647 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164648 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164651 -  ..
164652 - Kardia recorded HR 66 at 0805 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164653 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164654 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164655 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164658 -               ..
164659 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201213-ecg-080522_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164662 -  ..
164663 - EKG looks perfect, after cardiac ablation on 201210 0700, ref SDS C0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164664 - 4H5J, to correct recurrance atrial flutter on 201031 1500, taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164665 - metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164666 - again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164671 -  ..
164672 - HR profile post-hike beginning 1440 until next day morning OA 0740                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164673 - shows mostly steady heart beat 67 +/-.  Max HR 112, and minimum HR 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164674 - aligns with indoor activity - sleeping; 0 spikes above 130 indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164675 - no likely atrial fibrillation and no flutter, after 3rd cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164676 - ablation which was the 2nd ablation on right atrial reported on 201210                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164677 - 0700. ref SDS C0 4H5J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
164678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164680 -        ..
164681 -       Date      201213 201212 201211 201210 201209 201208 201207 201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 200925 200924 200923 20  
164682 -        Hours       17     18     18     10      8      6     11     10     14     12     16     14      9      4     10     11     12     13     12      8      9      9     11     10      9      7      2      7     10     10     10      9      9      7      7     11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      9      8      9      
164683 -       HR AVG       67     67     71     72     60     74     63     62     70     70     68     67     78     67     69     70     64     66     66     66     67     63     66     61     59     66     65     64     67     64     65     62     62     65     60     66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64     67     65     67      
164684 -         MAX       112    110    142    114     81    113    113    107    165    191    166    130    110     93    124    107    157    151    160    130    102    153     99    102     99     97    112     98    111    102    109    145    112    158    108     97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146    116    145    128      
164685 -         Min        50     52     51     52     54     56     51     53     43     31     53     46     58     53     49     56     52     36     49     51     54     48     53     47     47     55     43     52     50     52     54     41     47     48     44     49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40     48     50     54      
164686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164689 -              https://flow.polar.com/training/analysis/5444985829                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164694 -   
164695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164699 -  ..
164700 - Breakfast - eggs avocado sausage toast with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164701 - Lunch - cheese triscuts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164702 - Dinner - pork chop lettuce onion avocado tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164704 -  ..
164705 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164712 -         ..
164713 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164714 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164715 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164716 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
164717 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164718 -  349.  201214 0645............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164719 -               0810....BP HR..................................................... 148  90  65  Kardia ECG reports HR normal, see below. ref SDS 0 TYQP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164720 -               0815....BP HR..................................................... 136  85  63  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164721 -               0820....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164722 -               0000... 20 978680 CoQ10 Ubiquinol Liquid - paused on 201214 due to expense                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
164723 -               0820... 80 221560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164724 -               0820... 05 2905 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164725 -               0820... 75 11450 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164726 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
164727 -               0000... Gabapentin 300MG  47900MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164728 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164729 -               0000... Oxycodone HCL Plain  5  345 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164730 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164731 -               1005....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164732 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164733 -               1010....miles...........  11.0  11.0  185   185 minutes  temp 56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
164734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164735 -               1135... Oxycodone HCL Plain  5  345 mg RX90533728 took for pain management during hike not combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164736 -               0000....Tramadol 50 2250 for prevent feet knee pain at mile 14 in 24 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164737 -               0000... Gabapentin 300MG  47900MB took today, after pausing on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164738 -               0000... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
164739 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164741 -               1410....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164742 -               1455....BP HR..................................................... 128  76  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164743 -               1500....BP HR..................................................... 124  77  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164744 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164745 -               1700... 40 64960 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
164746 -               1830............ 10 14660  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164747 -               1830............ 10 14250  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164748 -               2010... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164749 -               0000... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164750 -               2050... 40 45100 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164751 -               2120... 1000 1012000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164752 -               2130... 05 2910 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
164753 -               0000... 03    6 Melatonin sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164754 -               2200... 80 221640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164755 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164757 -  ..
164758 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164759 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164761 -  ..
164762 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164763 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164764 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164766 -  ..
164767 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164769 -  ..
164770 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164771 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164773 -  ..
164774 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164776 -  ..
164777 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164778 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164780 -  ..
164781 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164782 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164783 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
164784 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164785 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164786 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164787 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164788 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164789 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164790 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164791 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
164792 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164793 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164794 - collagen that repairs joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164795 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164796 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164798 -  ..
164799 - Today, in order to hike took 1 oxycodone at mile 5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164801 -  ..
164802 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164803 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164805 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164806 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
164807 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164808 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164809 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164810 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164811 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164812 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164813 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164814 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164815 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164816 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164817 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164818 -        Knee left meniscus...PRP 191009..............   1         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164819 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164820 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164821 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164822 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164823 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164824 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164825 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164826 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164827 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164828 -        Little Toe blister left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164829 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164830 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164831 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164832 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164833 -        Metatarsalgia left foot...PRP 191009.........   2         25  last 4 miles very tolerable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164834 -        Metatarsalgia right foot..PRP 191009.........   2         25  last 4 miles very tolerable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164835 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164836 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164837 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164838 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164839 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164840 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164841 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164842 -        Blister little toe right foot................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164843 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164844 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164845 -        Blister little toe left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164846 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164847 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164848 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164849 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164850 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164851 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164852 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164853 -        Wobbly disoriented staggering dizzy..........   1          2  Last mile or so recognize drifting slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164855 -  ..
164856 - Today, energy okay starting hike.  After hiking 11 miles body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164857 - fatigued, not noticably wobbly/disoriented taking 1 oxycodone 5 mg at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164858 - mile 5.  After hike have low energy taking blood thinners.
164860 - -
164861 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164862 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164863 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164865 -  ..
164866 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164868 -  ..
164869 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164870 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164871 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164873 -  ..
164874 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164875 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164876 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164877 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164878 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164880 -  ..
164881 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164882 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164884 -  ..
164885 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164886 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164887 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164889 -  ..
164890 - Little toes both feet wrapped with hydrofera blue antibacterial foam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164891 - dressing to heal and protect wounds from crimping.  Provides                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164892 - additional cushioning to prevent crimping during long hikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164894 -  ..
164895 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164896 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164897 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164898 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164899 - ref SDS 77 SM4M  After hike on 201214, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164900 - Tailor's Bunions, and applied ammonium lactate lotion to feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164901 - above. ref SDS 0 497L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164903 -  ..
164904 - Concord 11 mile route - starting energy okay.  Did not take oxycodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164905 - to try hiking without pain medication starting hike.  Left knee and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164906 - feet have had 5 days rest, because of cardiac ablation on 201210 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164907 - ref SDS C0 4H5J  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164908 - ref SDS 77 SM4M, that prevent feet and knee injuries.  Wore 2-pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
164909 - double-ply Wright socks received on 191010 1344, ref SDS 79 SM4M, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164910 - prevent blisters.  Applied miconazole nitrate 2% (Thera antifungal)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164911 - foot powder ordered by Doctor Tang during the meeting in Podiatry at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164912 - VAMCSF on 201201 0930. ref SDS B8 PR6M  It was received on 201207                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164913 - 1549. ref SDS B9 4G4N  Was effective entire hike today.  Did not wrap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
164914 - either little toes with dressing.  Worked well on left foot - pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164915 - level 0 entire 24 miles.  Hiked from Cuneo uphill to Treat.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164916 - easily through nose entire hike.  Temperature reached 56.  Hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164917 - slow pace on Treat 1 mile to Clayton - time to 1.25 miles 21 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164918 - Turned corner hiking South on Clayton 2 miles at slow to normal pace,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164919 - mostly on flat concrete sidewalk.  At mile 3.5, turned West onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164920 - Ygnacio Valley Road hiking on concrete sidewalk another .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164921 - About mile 4 crossed to South side Ygnacio Valley Road hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164922 - asphalt shoulder aganist East bound traffic.  Right foot at instep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164923 - pain level 0 rest of hike.  At mile 5, stopped at Texaco gas station -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164924 - EKG reported HR 109 Tachycardia - see below. ref SDS 0 TYVW  Bought                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164925 - Coca Cola and banana.  Ate half of banana and half of half sandwich                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164926 - peanut butter margarine and jam.  About 1135, took oxycodone 5 mg,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164927 - because left knee pain level 1 and both feet pain level 2.  Drank most                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164928 - of Coca Cola for hydration and energy.  Hiked .25 mile on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164929 - Valley Road to Pine Hollow; turned left and hiked about 50 yards.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164930 - Turned right onto Campus Road.  Hiked 1-mile West uphill 3% - 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164931 - to California Sate University East Bay campus.  Energy seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164932 - improve.  Hiked 3-loops of about 1.5 miles through adjoining Faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164933 - and Student Parking lots, including sub-loops.  Seemed to feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
164934 - vasodilation surge of energy and strength hiking up last long hill in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164935 - Student parking lot.  At mile 10 back at Visitor Parking hiked North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164936 - downhill 3% grade .3 mile to Ygnacio Valley Road.  Turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164937 - hiked West .5 mile on Ygnacio Valley Road flat pavement.  At mile 10.8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164938 - turned South and hiked .3 mile up steep hill 5% grade on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164939 - Road.  Handled this long hill well, with energy that maintained speed,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164940 - and breathing easily through nose all the way.  Kathy drove us home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164941 - for 11 mile hike.  EKG at end of hike - time 1727, HR 118 Tachycardia,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164942 - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164944 -  ..
164945 - Kardia recorded HR 67 at 0646 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164946 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164947 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164948 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164951 -               ..
164952 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201214-ecg-064632_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164955 -  ..
164956 - EKG looks perfect, after cardiac ablation on 201210 0700, ref SDS C0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164957 - 4H5J, to correct recurrance atrial flutter on 201031 1500, taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164958 - metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164959 - again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164963 -  ..
164964 - Polar HR did GPS study for Concord elevation 100, 11-mile hike - 1st                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164965 - hike after cardiac ablation right atrial on 201210 0700. ref SDS C0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164966 - 4H5J, and 2nd ablation right atrial after the 1st on 200511 0546,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164967 - ref SDS 94 968H, and which is 3rd ablation following initial left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164968 - atrial procedure on 200430 0700. ref SDS 93 7Y3O  HR profile rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164969 - falls with changes in terrain elevations for most of the hike;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
164970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164973 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                                 Half Dome              Lafyt  Conc  
164974 -       Date       201214 201213 201212 201211 201210 201209 201208 201207 201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 2009  
164975 -       Miles         11      0      0      0      0     15     24     15     23      0     23      0      0     15     21      0      0      0     25      0      0      0     12      0     11     16      0      7     21     22     22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     16        
164976 -       HR AVG       118     no     no     no     no    107    113    109    116     no    120     no     no     99    120     no     no     no    120     no     no     no    113     no    108    108     no    106    109    111    114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    112    10  
164977 -         MAX        129  report report report report   131    133    131    144  report   147  report report   130    147  report report report   150  report report report   129  report   125    128  report   128    133    134    152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    135    13  
164978 -         Min         92                                 76     78     85     80            87                   59     90                          86                          83            79     87            69     83     86     80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     87     6  
164979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164982 -              https://flow.polar.com/training/analysis/5446274644                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164986 -               ..
164988 -   
164989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164991 -  ..
164992 - HR profile Concord elevation 100, 14-mile route showing average 118                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164993 - and max 129, aligns with temperature 56, Hike had some long hills 2% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164994 - 3% grade with expected HR changes following cardiac ablation on 201210                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164995 - 0700, ref SDS C0 4H5J; and, following treatment in ER injecting high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164996 - concentrate metoprolol that slowed atrial flutter HR 160, down to 60s                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164997 - and 70s, on 201007 2218. ref SDS B3 X36J  A second isolated episode of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164998 - atrial flutter recurred on 201031, with HR 150, and was treated with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164999 - Metoprolol Tartrate pill that lowered HR into 70s. ref SDS 0 GZ4I  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165000 - further episodes of atrial fibrilltion nor flutter have occurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165004 -  ..
165005 - EKG at mile 5 HR 109 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165010 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201214-ecg-113039_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
165011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165013 -  ..
165014 - EKG looks little raggedy - after pausing metoprolol on 201101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
165015 - ref SDS 0 P25F, and after 5 miles during 1st hike after cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165016 - ablation on 201210 0700. ref SDS C0 4H5J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
165017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165022 -  ..
165023 - EKG 1 minute after 11-mile hike HR 122 time 1340 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165024 - Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165028 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201214-ecg-134012_mile_11.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
165029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165031 -  ..
165032 - EKG looks consistent heart beat, after hiking 11 miles and going up 4%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165033 - grade .3 miles, after cardiac ablation 5 days ago on 201210 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165034 - ref SDS C0 4H5J; and after pausing metoprolol on 201101. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
165035 - P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165069 -  ..
165070 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
165071 - Lunch - half sandwich peanut butter margarine jam; tuna avocado onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165072 - Dinner - pasta cheese hamburger onion olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165074 -  ..
165075 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165082 -         ..
165083 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
165084 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165085 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165086 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
165087 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
165088 -  350.  201215 0620............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165089 -               0640....BP HR..................................................... 139  79  63  Kardia ECG reports HR normal, see below. ref SDS 0 TUVR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165090 -               0645....BP HR..................................................... 137  78  63  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165091 -               0650....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165092 -               0000... 20 978680 CoQ10 Ubiquinol Liquid - paused on 201214 due to expense                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
165093 -               0650... 80 221720 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
165094 -               0650... 05 2915 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165095 -               0650... 75 11525 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165096 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
165097 -               0000... Gabapentin 300MG  47900MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165098 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165099 -               0940... Oxycodone HCL Plain  5  350 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165100 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165101 -               1005....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
165102 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165103 -               0955....miles...........  14.0  25.0  237   422 minutes  temp 58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
165104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165105 -               0000... Oxycodone HCL Plain  5  345 mg RX90533728 took for pain management during hike not combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165106 -               0000....Tramadol 50 2250 for prevent feet knee pain at mile 14 in 24 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165107 -               0000... Gabapentin 300MG  47900MB took today, after pausing on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165108 -               1140... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
165109 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165111 -               1435....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165112 -               1510....BP HR..................................................... 122  74  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165113 -               1550....BP HR..................................................... 113  66  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165114 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165115 -               1700... 40 65000 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
165116 -             1 0000............ 10 14660  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165117 -             1 0000............ 10 14250  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165118 -               2010... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165119 -               0000... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
165120 -               2050... 40 45140 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165121 -               2120... 1000 1013000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165122 -               2130... 05 2920 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
165123 -               0000... 03    6 Melatonin sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165124 -               2200... 80 221800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
165125 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165127 -  ..
165128 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165129 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165131 -  ..
165132 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165133 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165134 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165136 -  ..
165137 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
165139 -  ..
165140 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165141 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
165143 -  ..
165144 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
165146 -  ..
165147 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165148 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165150 -  ..
165151 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165152 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165153 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
165154 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165155 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165156 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen inhibits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
165157 - PRP and apixaban.  Naproxen causes colitis, and it raises blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165158 - pressure and LDL.  Can take oxycodone to manage pain during hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165159 - from patellofemoral osteophytes and quadriceps insertional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
165160 - enthesophyte, shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
165161 - 190925 1330, ref SDS 76 0001, performed with 180 cc at 300% normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
165162 - blood concentration, and supplemented 2 weeks later with 60 cc normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165163 - blood concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165164 - collagen that repairs joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
165165 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165166 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165168 -  ..
165169 - Today, in order to hike took 1 oxycodone starting hike, and 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
165170 - naproxen pill at mile 5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
165172 -  ..
165173 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165174 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165176 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165177 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
165178 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
165179 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165180 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165181 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165182 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165183 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165184 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165185 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165186 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165187 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165188 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165189 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165190 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165191 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165192 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165193 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165194 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165195 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165196 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165197 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165198 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165199 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165200 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165201 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165202 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165203 -        Metatarsalgia left foot...PRP 191009.........   2         10  last 2 miles very tolerable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
165204 -        Metatarsalgia right foot..PRP 191009.........   2         10  last 2 miles very tolerable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
165205 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165206 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165207 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165208 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165209 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165210 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165211 -        Blister forefoot toes left foot..............   3          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165212 -        Blister little toe right foot................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165213 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165214 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165215 -        Blister little toe left foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165216 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165217 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165218 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165219 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165220 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165221 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165222 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165223 -        Wobbly disoriented staggering dizzy..........   1         10  Last mile or so recognize drifting slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
165225 -  ..
165226 - Today, energy okay starting hike.  After hiking 14 miles body little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165227 - fatigued, not noticably wobbly/disoriented taking 1 oxycodone 5 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165228 - before starting, and 1 naproxen at mile 5.  After hike have low energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165229 - taking blood thinners.
165231 - -
165232 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165233 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165234 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165236 -  ..
165237 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165239 -  ..
165240 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165241 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165242 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165244 -  ..
165245 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165246 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165247 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165248 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165249 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165251 -  ..
165252 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165253 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
165255 -  ..
165256 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165257 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165258 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165260 -  ..
165261 - Little toes both feet wrapped with hydrofera blue antibacterial foam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165262 - dressing to heal and protect wounds from crimping.  Provides                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165263 - additional cushioning to prevent crimping during long hikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165265 -  ..
165266 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165267 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
165268 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165269 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165270 - ref SDS 77 SM4M  After hike on 201215, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
165271 - Tailor's Bunions, and applied ammonium lactate lotion to feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165272 - above. ref SDS 0 M36F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165274 -  ..
165275 - Concord 14 mile route - starting energy okay.  Took oxycodone 5 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165276 - starting hike.  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165277 - ref SDS 77 SM4M, that prevent feet and knee injuries.  Wore 2-pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
165278 - double-ply Wright socks received on 191010 1344, ref SDS 79 SM4M, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
165279 - prevent blisters.  Applied miconazole nitrate 2% (Thera antifungal)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165280 - foot powder ordered by Doctor Tang during the meeting in Podiatry at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165281 - VAMCSF on 201201 0930. ref SDS B8 PR6M  It was received on 201207                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
165282 - 1549. ref SDS B9 4G4N  Was effective entire hike today.  Wrapped both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
165283 - little toes with hydrofera blue dressing.  Worked well on right foot -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165284 - pain level 0 entire 24 miles.  Left foot the piece was too small -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165285 - caused pain level 3 last few miles.  Hiked from Cuneo uphill to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165286 - Breathed easily through nose entire hike.  Temperature reached 58.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165287 - Hiked East slow pace on Treat 1 mile to Clayton - time to 1.25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165288 - 21 minutes.  Turned corner hiking South on Clayton 2 miles at slow to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165289 - normal pace, mostly on flat concrete sidewalk.  At mile 3.5, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165290 - West onto Ygnacio Valley Road hiking on concrete sidewalk another .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165291 - mile.  About mile 4 crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165292 - West on asphalt shoulder aganist East bound traffic.  Right foot at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165293 - instep pain level 0 rest of hike.  At mile 5, stopped at Texaco gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165294 - station - EKG reported HR 98 Normal - see below. ref SDS 0 TVRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165295 - Bought Coca Cola.  Ate few bites of banana left over from yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165296 - and half of half sandwich peanut butter margarine and jam.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165297 - 1120, took naproxen, because both feet pain level 1.  Drank most of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165298 - Coca Cola for hydration and energy.  Hiked .25 mile on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165299 - Road to Pine Hollow; turned left and hiked about 50 yards.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165300 - right onto Campus Road.  Hiked 1-mile West uphill 3% - 4% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165301 - California Sate University East Bay campus.  Energy seemed to improve.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165302 - Hiked 1-loop of about 1.5 miles through adjoining Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165303 - Parking lots, with no sub-loops.  Seemed to feel vasodilation surge of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165304 - energy and strength hiking up last long hill in Student parking lot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165305 - At mile 7 back at Visitor Parking hiked North downhill 3% grade .3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165306 - mile to Ygnacio Valley Road.  Turned left and hiked West .5 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165307 - Ygnacio Valley Road flat pavement.  Continued at slow pace past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165308 - Crystal Ranch Road uphill 2% grade past Cowell.  Crossed from South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165309 - side of Ygnacio Valley Road to the North side in order to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165310 - severely sloped shoulder on South Side.  On North side continued West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165311 - uphill 3% grade over the summit past end of concrete traffic barriar.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165312 - Feeling good - strong, and pain level 0 in feet and knees.  At mile 8,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165313 - crossed back to South side Ygnacio Valley Road to use wider, flatter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165314 - roadway shoulder.  Hiked slow pace 1.5 miles downhill. and crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165315 - back to North Side of the road.  Hiked another mile to Oak Grove at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165316 - mile 10 - time 1315, stopped at Lounge Burger in Safeway shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165317 - complex near corner Ygnacio Valley Road and Oak Grove - EKG reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165318 - HR 101 Tachycardia - see below. ref SDS 0 TVRR  Turned corner hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165319 - North on Oak Grove 1 mile to Treat.  Turned right and hiked 2 miles to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165320 - San Miguel.  Continued uphill 4% grade .5 mile and another .5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165321 - home for 14 mile hike.  EKG at end of hike - time 1419, HR 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
165322 - Tachycardia, see below. ref SDS 0 TVTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165324 -  ..
165325 - Kardia recorded HR 64 at 0620 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165326 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165327 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165328 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165331 -               ..
165332 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201215-ecg-062058_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165335 -  ..
165336 - EKG looks perfect, after cardiac ablation on 201210 0700, ref SDS C0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
165337 - 4H5J, to correct recurrance atrial flutter on 201031 1500, taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165338 - metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165339 - again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
165340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165343 -  ..
165344 - Polar HR did GPS study for Concord elevation 100, 14-mile hike - 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165345 - hike after cardiac ablation right atrial on 201210 0700. ref SDS C0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
165346 - 4H5J, and 2nd ablation right atrial after the 1st on 200511 0546,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165347 - ref SDS 94 968H, and which is 3rd ablation following initial left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
165348 - atrial procedure on 200430 0700. ref SDS 93 7Y3O  HR profile rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165349 - falls with changes in terrain elevations for most of the hike;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
165350 - changes seem more raggedy than expected.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
165351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165354 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                                 Half Dome              Lafy  
165355 -       Date       201215 201214 201213 201212 201211 201210 201209 201208 201207 201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 2009  
165356 -       Miles         14     11      0      0      0      0     15     24     15     23      0     23      0      0     15     21      0      0      0     25      0      0      0     12      0     11     16      0      7     21     22     22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0      8     1  
165357 -       HR AVG       112    118     no     no     no     no    107    113    109    116     no    120     no     no     99    120     no     no     no    120     no     no     no    113     no    108    108     no    106    109    111    114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    114    11  
165358 -         MAX        127    129  report report report report   131    133    131    144  report   147  report report   130    147  report report report   150  report report report   129  report   125    128  report   128    133    134    152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   137    13  
165359 -         Min         83     92                                 76     78     85     80            87                   59     90                          86                          83            79     87            69     83     86     80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   63     8  
165360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165363 -              https://flow.polar.com/training/analysis/5449438124                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165367 -               ..
165369 -   
165370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165372 -  ..
165373 - HR profile Concord elevation 100, 14-mile route showing average 112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165374 - and max 127, aligns with temperature 58, Hike had some long hills 2% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165375 - 3% grade with expected HR changes following cardiac ablation on 201210                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165376 - 0700, ref SDS C0 4H5J; and, following treatment in ER injecting high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
165377 - concentrate metoprolol that slowed atrial flutter HR 160, down to 60s                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165378 - and 70s, on 201007 2218. ref SDS B3 X36J  A second isolated episode of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165379 - atrial flutter recurred on 201031, with HR 150, and was treated with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165380 - Metoprolol Tartrate pill that lowered HR into 70s. ref SDS 0 GZ4I  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165381 - further episodes of atrial fibrilltion nor flutter have occurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165385 -  ..
165386 - EKG at mile 5 HR 98 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165390 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201215-ecg-111331_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
165391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165393 -  ..
165394 - EKG looks little raggedy - after pausing metoprolol on 201101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
165395 - ref SDS 0 P25F, and after 5 miles during 1st hike after cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165396 - ablation on 201210 0700. ref SDS C0 4H5J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
165397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165401 -  ..
165402 - EKG at mile 10 HR 101 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165406 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201215-ecg-131515_mile_10.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
165407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165409 -  ..
165410 - EKG looks little raggedy - after pausing metoprolol on 201101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
165411 - ref SDS 0 P25F, and after 5 miles during 1st hike after cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165412 - ablation on 201210 0700. ref SDS C0 4H5J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
165413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165417 -  ..
165418 - EKG 1 minute after 14-mile hike HR 103 time 1419 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165419 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
165420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165423 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201215-ecg-141952_mile_14.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
165424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165426 -  ..
165427 - EKG looks perfect, after hiking 14 miles slow pace and going up 4%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165428 - grade .5 miles, after cardiac ablation 5 days ago on 201210 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165429 - ref SDS C0 4H5J; and after pausing metoprolol on 201101. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
165430 - P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165464 -  ..
165465 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
165466 - Lunch - half sandwich peanut butter margarine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165467 - Dinner - lettuce tomato mushrooms avocado onion cottage cheese chips,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165468 - donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
165470 -  ..
165471 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165478 -         ..
165479 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
165480 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165481 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165482 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
165483 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
165484 -  351.  201216 0620............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165485 -               0640....BP HR..................................................... 120  74  59  Kardia ECG reports HR normal, see below. ref SDS 0 TY4X                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165486 -               0645....BP HR..................................................... 127  75  60  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165487 -               0650....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165488 -               0000... 20 978680 CoQ10 Ubiquinol Liquid - paused on 201214 due to expense                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
165489 -               0650... 80 221880 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
165490 -               0650... 05 2925 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165491 -               0650... 75 11600 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165492 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
165493 -               0000... Gabapentin 300MG  47900MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165494 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165495 -               1035... Oxycodone HCL Plain  5  350 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165496 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165497 -               1035....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
165498 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165499 -               1040....miles...........  13.0  38.0  223   645 minutes  temp 57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
165500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165501 -               0000... Oxycodone HCL Plain  5  345 mg RX90533728 took for pain management during hike not combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165502 -               0000....Tramadol 50 2250 for prevent feet knee pain at mile 14 in 24 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165503 -               0000... Gabapentin 300MG  47900MB took today, after pausing on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165504 -               1140... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
165505 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165507 -               1520....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165508 -               1535....BP HR..................................................... 118  75  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165509 -               1540....BP HR..................................................... 125  81  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165510 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165511 -               1700... 40 65040 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
165512 -               1830............ 10 14670  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165513 -               1830............ 10 14260  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165514 -               2010... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165515 -               0000... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
165516 -               2050... 40 45180 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165517 -               2120... 1000 1014000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165518 -               2130... 05 2930 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
165519 -               0000... 03    6 Melatonin sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165520 -               2200... 80 221960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
165521 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165523 -  ..
165524 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165525 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165527 -  ..
165528 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165529 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165530 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165532 -  ..
165533 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
165535 -  ..
165536 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165537 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
165539 -  ..
165540 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
165542 -  ..
165543 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165544 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165546 -  ..
165547 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165548 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165549 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
165550 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165551 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165552 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
165553 - NSAID that constricts blood vessels, which inhibits PRP and apixaban.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165554 - Vasoconstriction raises blood pressure and causes colitis.  Ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165555 - is another NSAID like naproxen that raises blood pressure; it also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165556 - raises LDL.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165557 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165558 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
165559 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165560 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165561 - concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
165562 - collagen that repairs joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
165563 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165564 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165566 -  ..
165567 - Today, in order to hike took 1 oxycodone starting hike, and 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
165568 - naproxen pill at mile 5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
165570 -  ..
165571 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165572 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165574 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165575 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
165576 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
165577 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165578 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165579 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165580 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165581 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165582 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165583 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165584 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165585 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165586 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165587 -        Knee left meniscus...PRP 191009..............   1          2  going downhill, but okay hiking flat and uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165588 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165589 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165590 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165591 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165592 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165593 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165594 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165595 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165596 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165597 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165598 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165599 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165600 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165601 -        Metatarsalgia left foot...PRP 191009.........   2         20  tried sleeve padded to cushion balls of feet slipoped over little toes and big toes - had to remove at mile 5 before completing 13 mile hike                                                                                                                                                                                                                                                                                                                                                                                                 
165602 -        Metatarsalgia right foot..PRP 191009.........   2         20  tried sleeve padded to cushion balls of feet slipoped over little toes and big toes - had to remove at mile 5 before completing 13 mile hike                                                                                                                                                                                                                                                                                                                                                                                                 
165603 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165604 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165605 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165606 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165607 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165608 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165609 -        Blister forefoot toes left foot..............   3          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165610 -        Blister little toe right foot................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165611 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165612 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165613 -        Blister little toe left foot.................   3         10  tried sleeve padded to cushion balls of feet slipoped over little toes and big toes caused pain on little toe due to pre-existing injury                                                                                                                                                                                                                                                                                                                                                                                                     
165614 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165615 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165616 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165617 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165618 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165619 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165620 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165621 -        Wobbly disoriented staggering dizzy..........   1         10  Last mile or so recognize drifting slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
165623 -  ..
165624 - Today, energy okay starting hike.  After hiking 13 miles body little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165625 - fatigued; not noticably wobbly/disoriented taking 1 oxycodone 5 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165626 - before starting, and 1 naproxen at mile 5.  After hike have low energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165627 - taking blood thinners, but otherwise feeling okay.
165629 - -
165630 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165631 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165632 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165634 -  ..
165635 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165637 -  ..
165638 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165639 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165640 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165642 -  ..
165643 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165644 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165645 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165646 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165647 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165649 -  ..
165650 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165651 - 1344. ref SDS 79 SM4M  No blisters over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
165653 -  ..
165654 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165655 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165656 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165658 -  ..
165659 - Cushioned feet with slip-ons that wrap across balls of feet, received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165660 - from Doctor Tang during meeting in Podiatry at VAMCSF on 201102 1130.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165661 - ref SDS B5 023O  These padding devices slip over little toes and big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
165662 - toes to hold the padding in place.  They worked somewhat for 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165663 - At mile 3+ began feeling pain level increase at top of left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
165664 - little toe.  Took oxycodone 5 mg before starting hike.  This supressed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165665 - metatarsalgia pain until breakthrough pain began about mile 4.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
165666 - Reached gas station at mile 5, so removed shoes and socks and removed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165667 - the padding slip-on devices.  This reduced pain on little toe left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165668 - foot.  Took naproxen which added to oxycodone to reduce pain on balls                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165669 - of feet for next 8 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
165671 -  ..
165672 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165673 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
165674 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165675 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165676 - ref SDS 77 SM4M  After hike on 201214, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
165677 - Tailor's Bunions, and applied ammonium lactate lotion to feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165678 - above. ref SDS 0 TWRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165680 -  ..
165681 - Concord 13 mile route - starting energy okay.  Took oxycodone 5 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165682 - starting hike.  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165683 - ref SDS 77 SM4M, that prevent feet and knee injuries.  Wore 2-pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
165684 - double-ply Wright socks received on 191010 1344, ref SDS 79 SM4M, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
165685 - prevent blisters.  Applied miconazole nitrate 2% (Thera antifungal)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165686 - foot powder ordered by Doctor Tang during the meeting in Podiatry at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165687 - VAMCSF on 201201 0930. ref SDS B8 PR6M  It was received on 201207                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
165688 - 1549. ref SDS B9 4G4N  Was effective entire hike today.  Did not wrap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
165689 - little toes with hydrofera blue dressing today; tried padding devices                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165690 - - had to remove at mile 5, explained above. ref SDS 0 T33L  Hiked from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165691 - Cuneo uphill to Treat.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165692 - Temperature reached 57.  Hiked East slow pace on Treat 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
165693 - Clayton - time to 1.25 miles 22 minutes.  Turned corner hiking South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165694 - on Clayton 2 miles at slow to normal pace, mostly on flat concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165695 - sidewalk.  At mile 3.5, turned West onto Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165696 - concrete sidewalk another .5 mile.  About mile 4 crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165697 - Ygnacio Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165698 - traffic.  Right foot at instep pain level 0 rest of hike.  At mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165699 - stopped at Texaco gas station - EKG reported HR 105 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165700 - below. ref SDS 0 UPRY  Bought Coca Cola.  Ate half of half sandwich                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165701 - peanut butter margarine and jam.  About 1205, took naproxen, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165702 - both feet pain level 1.  Drank most of Coca Cola for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165703 - energy.  Decided to remove feeting padding equipment, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
165704 - ref SDS 0 T33L  Hiked .25 mile on Ygnacio Valley Road to Pine Hollow;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165705 - turned left and hiked about 50 yards.  Turned right onto Campus Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165706 - Hiked 1-mile West uphill 3% - 4% grade to California Sate University                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165707 - East Bay campus.  Energy seemed to improve.  Hiked 1-loop of about 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165708 - miles through adjoining Faculty and Student Parking lots, with one                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165709 - sub-loop.  Seemed to feel vasodilation surge of energy and strength                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165710 - hiking up last long hill in Student parking lot.  At mile 7.5 back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165711 - Visitor Parking hiked North downhill 3% grade .3 mile to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
165712 - Valley Road.  Turned left and hiked West .5 mile on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165713 - Road flat pavement.  Continued at slow pace past Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165714 - uphill 2% grade past Cowell.  Crossed from South side of Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
165715 - Valley Road to the North side in order to avoid severely sloped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165716 - shoulder on South Side.  On North side continued West uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165717 - over the summit past end of concrete traffic barriar.  Feeling good -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165718 - strong, and pain level 0 in feet and knees.  At mile 9, crossed back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165719 - to South side Ygnacio Valley Road to use wider, flatter roadway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165720 - shoulder.  Hiked slow pace 1.5 miles downhill. and crossed back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165721 - North Side of the road.  Hiked another mile to Oak Grove.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165722 - West .25 miles parallel to Ygnacio Valley Road using paved path around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165723 - Safeway shopping center.  At Via Monte turned right and hiked .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165724 - miles to Shadelands.  Turned right and hiked East .25 miles to Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165725 - Grove.  Turned left onto Oak Grove and hiked North .75 miles to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165726 - Kathy drove us home for 13 miles.  EKG at end of hike - time 1419, HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165727 - 103 Tachycardia, see below. ref SDS 0 UPVQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
165729 -  ..
165730 - Kardia recorded HR 62 at 0630 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165731 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165732 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165733 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165736 -               ..
165737 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201216-ecg-063028_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165740 -  ..
165741 - EKG looks perfect, after cardiac ablation on 201210 0700, ref SDS C0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
165742 - 4H5J, to correct recurrance atrial flutter on 201031 1500, taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165743 - metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165744 - again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
165745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165748 -  ..
165749 - Polar reports "low accuracy GPS used" for HR study in Concord,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
165750 - California elevation 100, 13-mile hike - 3rd hike after cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165751 - ablation right atrial on 201210 0700. ref SDS C0 4H5J, and 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165752 - ablation right atrial after the 1st on 200511 0546, ref SDS 94 968H,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
165753 - and which is 3rd ablation following initial left atrial procedure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165754 - 200430 0700. ref SDS 93 7Y3O  HR profile rises and falls with changes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
165755 - in terrain elevations for most of the hike; changes seem more raggedy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165756 - than expected.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
165758 -  ..
165759 - Recorded Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165761 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                           Half Dome              Laf  
165762 -       Date       201216 201215 201214 201213 201212 201211 201210 201209 201208 201207 201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 2009  
165763 -       Miles         13     14     11      0      0      0      0     15     24     15     23      0     23      0      0     15     21      0      0      0     25      0      0      0     12      0     11     16      0      7     21     22     22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0      0        
165764 -       HR AVG       115    112    118     no     no     no     no    107    113    109    116     no    120     no     no     99    120     no     no     no    120     no     no     no    113     no    108    108     no    106    109    111    114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     no    11  
165765 -         MAX        128    127    129  report report report report   131    133    131    144  report   147  report report   130    147  report report report   150  report report report   129  report   125    128  report   128    133    134    152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report report   13  
165766 -         Min         80     83     92                                 76     78     85     80            87                   59     90                          86                          83            79     87            69     83     86     80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82                   6  
165767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165770 -              https://flow.polar.com/training/analysis/5452549649                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165773 -               ..
165775 -   
165776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165778 -  ..
165779 - HR profile Concord elevation 100, 13-mile route showing average 115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165780 - and max 128, aligns with temperature 57, Hike had some long hills 2% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165781 - 3% grade with expected HR changes following cardiac ablation on 201210                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165782 - 0700, ref SDS C0 4H5J; and, following treatment in ER injecting high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
165783 - concentrate metoprolol that slowed atrial flutter HR 160, down to 60s                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165784 - and 70s, on 201007 2218. ref SDS B3 X36J  A second isolated episode of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165785 - atrial flutter recurred on 201031, with HR 150, and was treated with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165786 - Metoprolol Tartrate pill that lowered HR into 70s. ref SDS 0 GZ4I  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165787 - further episodes of atrial fibrilltion nor flutter have occurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165791 -  ..
165792 - EKG at mile 5 HR 105 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165796 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201216-ecg-115845_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
165797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165799 -  ..
165800 - EKG looks erratic in places - after pausing metoprolol on 201101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165801 - ref SDS 0 P25F, and after 5 miles during 1st hike after cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165802 - ablation on 201210 0700. ref SDS C0 4H5J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
165803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165807 -  ..
165808 - EKG at mile 10 HR 101 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165812 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201215-ecg-131515_mile_10.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
165813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165815 -  ..
165816 - EKG looks little raggedy - after pausing metoprolol on 201101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
165817 - ref SDS 0 P25F, and after 5 miles during 1st hike after cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165818 - ablation on 201210 0700. ref SDS C0 4H5J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
165819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165823 -  ..
165824 - EKG 1 minute after 13-mile hike HR 111 time 1437 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165825 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
165826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165829 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201216-ecg-143705_mile_13.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
165830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165832 -  ..
165833 - EKG looks perfect, after hiking 13 miles slow pace and going up 4%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165834 - grade .5 miles, after cardiac ablation 5 days ago on 201210 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165835 - ref SDS C0 4H5J; and after pausing metoprolol on 201101. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
165836 - P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165841 -  ..
165842 - HR profile post-hike beginning 1752 until next day morning OA 0620                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165843 - shows mostly steady heart beat 69 +/-.  Max HR 140, and minimum HR 53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165844 - aligns with indoor activity - sleeping; 1 spike above 130 indicates no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165845 - likely atrial fibrillation and/or flutter, after 3rd cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165846 - which was the 2nd ablation on right atrial reported on 201210 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165847 - ref SDS C0 4H5J  Elevated HR may reflect going up and down stairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
165848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165850 -        ..
165851 -       Date      201216 201215 201214 201213 201212 201211 201210 201209 201208 201207 201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 200926 20  
165852 -        Hours       13     12     14     17     18     18     10      8      6     11     10     14     12     16     14      9      4     10     11     12     13     12      8      9      9     11     10      9      7      2      7     10     10     10      9      9      7      7     11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      8      
165853 -       HR AVG       69     65     75     67     67     71     72     60     74     63     62     70     70     68     67     78     67     69     70     64     66     66     66     67     63     66     61     59     66     65     64     67     64     65     62     62     65     60     66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66     64      
165854 -         MAX       140    158    148    112    110    142    114     81    113    113    107    165    191    166    130    110     93    124    107    157    151    160    130    102    153     99    102     99     97    112     98    111    102    109    145    112    158    108     97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114    146      
165855 -         Min        53     41     49     50     52     51     52     54     56     51     53     43     31     53     46     58     53     49     56     52     36     49     51     54     48     53     47     47     55     43     52     50     52     54     41     47     48     44     49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38     40      
165856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165859 -              https://flow.polar.com/training/analysis/5454021564                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165864 -   
165865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165869 -  ..
165870 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
165871 - Lunch - half sandwich peanut butter margarine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165872 - Dinner - broccoli onion sausage avocado, chips cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165874 -  ..
165875 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165881 -         ..
165882 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
165883 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165884 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165885 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
165886 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165887 -  352.  201217 0630............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165888 -               0650....BP HR..................................................... 128  82  64  Kardia ECG reports HR normal, see below. ref SDS 0 USXQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165889 -               0655....BP HR..................................................... 132  83  63  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165890 -               0710....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165891 -               0000... 20 978680 CoQ10 Ubiquinol Liquid - paused on 201214 due to expense                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
165892 -               0750... 80 222040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
165893 -               0750... 05 2935 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165894 -               0750... 75 11675 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165895 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
165896 -               0000... Gabapentin 300MG  47900MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165897 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165898 -               1105... Oxycodone HCL Plain  5  360 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165899 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165900 -               1105....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
165901 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165902 -               1115....miles...........  15.0  53.0  243   897 minutes  temp 57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
165903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165904 -               0000... Oxycodone HCL Plain  5  345 mg RX90533728 took for pain management during hike not combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165905 -               0000....Tramadol 50 2250 for prevent feet knee pain at mile 14 in 24 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165906 -               0000... Gabapentin 300MG  47900MB took today, after pausing on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165907 -               1240... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
165908 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165910 -               1620....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165911 -               1640....BP HR..................................................... 113  67  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165912 -               1645....BP HR..................................................... 107  69  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165913 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165914 -               1700... 40 65080 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
165915 -             1 0000............ 10 14670  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165916 -             1 0000............ 10 14260  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165917 -               2010... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
165918 -               0000... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
165919 -               2050... 40 45220 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165920 -               2120... 1000 1015000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165921 -               2130... 05 2940 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
165922 -               0000... 03    6 Melatonin sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165923 -               2200... 80 222120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
165924 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165926 -  ..
165927 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165928 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165930 -  ..
165931 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165932 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165933 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165935 -  ..
165936 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
165938 -  ..
165939 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165940 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
165942 -  ..
165943 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
165945 -  ..
165946 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165947 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165949 -  ..
165950 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
165951 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165952 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
165953 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165954 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
165955 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
165956 - NSAID that constricts blood vessels, which inhibits PRP and apixaban.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165957 - Vasoconstriction raises blood pressure and causes colitis.  Ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165958 - is another NSAID like naproxen that raises blood pressure; it also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165959 - raises LDL.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165960 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165961 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
165962 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165963 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165964 - concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
165965 - collagen that repairs joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
165966 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165967 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165969 -  ..
165970 - Today, in order to hike took 1 oxycodone starting hike, and 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
165971 - naproxen pill at mile 5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
165973 -  ..
165974 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
165975 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
165976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
165977 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
165978 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
165979 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
165980 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165981 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165982 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165983 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165984 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165985 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165986 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165987 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165988 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165989 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165990 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165991 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165992 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165993 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165994 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165995 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165996 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165997 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165998 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
165999 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166000 -        Tailor's Bunion left foot.. PRP 190612.......   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166001 -        Tailor's Bunion right foot..PRP 190816.......   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166002 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166003 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166004 -        Metatarsalgia left foot...PRP 191009.........   2         10  feeling balls of feet last 2 miles on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
166005 -        Metatarsalgia right foot..PRP 191009.........   2         10  feeling balls of feet last 2 miles on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
166006 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166007 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166008 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166009 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166010 -        Callus big toe left foot.....................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166011 -        Callus big toe right foot....................   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166012 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166013 -        Blister little toe right foot................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166014 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166015 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166016 -        Blister little toe left foot...blood blister.   3         10  had to remove hydrofera blue dressing at mile 5, and 1 sock this reduced pressure squeezing toes together                                                                                                                                                                                                                                                                                                                                                                                                                                    
166017 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166018 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166019 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166020 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166021 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166022 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166023 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166024 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166026 -  ..
166027 - Today, energy okay starting hike.  After hiking 15 miles body little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166028 - fatigued; not noticably wobbly/disoriented taking 1 oxycodone 5 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166029 - before starting, and 1 naproxen at mile 5.  After hike have better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166030 - energy than usual after hiking 15 miles and taking blood thinners.
166032 - -
166033 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166034 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166035 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166037 -  ..
166038 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166040 -  ..
166041 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166042 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166043 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166045 -  ..
166046 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166047 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166048 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166049 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166050 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166052 -  ..
166053 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166054 - 1344. ref SDS 79 SM4M  Had to remove 2nd sock on left foot after 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
166055 - miles to reduce pressure on little toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
166057 -  ..
166058 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166059 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166060 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166062 -  ..
166063 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166064 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
166065 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166066 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166067 - ref SDS 77 SM4M  After hike on 201217, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
166068 - Tailor's Bunions, and applied ammonium lactate lotion to feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166069 - above. ref SDS 0 UQSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166071 -  ..
166072 - Concord 15 mile route - starting energy okay.  Took oxycodone 5 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166073 - starting hike.  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166074 - ref SDS 77 SM4M, that prevent feet and knee injuries.  Wore 2-pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
166075 - double-ply Wright socks received on 191010 1344, ref SDS 79 SM4M, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
166076 - prevent blisters.  Applied miconazole nitrate 2% (Thera antifungal)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166077 - foot powder ordered by Doctor Tang during the meeting in Podiatry at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166078 - VAMCSF on 201201 0930. ref SDS B8 PR6M  It was received on 201207                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
166079 - 1549. ref SDS B9 4G4N  Was effective entire hike today.  Warpped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166080 - little toes with hydrofera blue dressing today.  Hiked from Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166081 - uphill to Treat.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
166082 - Temperature reached 57.  Hiked East slow pace on Treat 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
166083 - Clayton - time to 1.25 miles 22 minutes.  Turned corner hiking South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166084 - on Clayton 2 miles at slow to normal pace, mostly on flat concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166085 - sidewalk.  At mile 3.5, turned West onto Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166086 - concrete sidewalk another .5 mile.  About mile 4 crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166087 - Ygnacio Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166088 - traffic.  Right foot at instep pain level 0 rest of hike.  At mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166089 - stopped at Texaco gas station - EKG reported HR 102 Unclassified - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166090 - below. ref SDS 0 UTTS  Bought Coca Cola.  Ate half of half sandwich                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166091 - peanut butter margarine and jam.  About 1240, took naproxen, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166092 - both feet pain level 1.  Drank half of Coca Cola for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166093 - energy.  Removed hydrofera blue dressing on little toe left foot,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166094 - because causing pressure on blood blister.  Also wore only 1 sock on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166095 - left foot for next 10 miles of 15 mile hike.  This reduced pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166096 - blood blister little toe, so was able to complete hike.  Hiked .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166097 - mile on Ygnacio Valley Road to Pine Hollow; turned left and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166098 - about 50 yards.  Turned right onto Campus Road.  Hiked 1-mile West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166099 - uphill 3% - 4% grade to California Sate University East Bay campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166100 - Energy seemed to improve.  Hiked 1-loop of about 1.5 miles through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166101 - adjoining Faculty and Student Parking lots, with 2 sub-loops.  Seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166102 - to feel vasodilation surge of energy and strength hiking up last long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166103 - hill in Student parking lot.  At mile 7.5 back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166104 - hiked North downhill 3% grade .3 mile to Ygnacio Valley Road.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166105 - left and hiked West .5 mile on Ygnacio Valley Road flat pavement.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166106 - Continued at slow pace past Crystal Ranch Road uphill 2% grade past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166107 - Cowell.  Crossed from South side of Ygnacio Valley Road to the North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166108 - side in order to avoid severely sloped shoulder on South Side.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166109 - North side continued West uphill 3% grade over the summit past end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166110 - concrete traffic barriar.  Feeling good - strong, and pain level 0 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166111 - feet and knees.  At mile 9, crossed back to South side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166112 - Road to use wider, flatter roadway shoulder.  Hiked slow pace 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166113 - miles downhill. and crossed back to North Side of the road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166114 - another mile to Oak Grove.  Continued West .25 miles parallel to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
166115 - Ygnacio Valley Road using paved path around Safeway shopping center.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166116 - At Via Monte turned right and hiked .25 miles to Shadelands.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166117 - right and hiked East .25 miles to Oak Grove.  Turned left onto Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166118 - Grove and hiked North .75 miles to Treat.  Turned right and hike East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166119 - 3 miles home, including .75 miles uphill at San Miguel 4% grade.  EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166120 - at end of hike - time 1546, HR 112 Tachycardia, see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166121 - UTWU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166123 -  ..
166124 - Kardia recorded HR 64 at 0638 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166125 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166126 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166127 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166130 -               ..
166131 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201217-ecg-063812_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166134 -  ..
166135 - EKG looks perfect, after cardiac ablation on 201210 0700, ref SDS C0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
166136 - 4H5J, to correct recurrance atrial flutter on 201031 1500, taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166137 - metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166138 - again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
166139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166142 -  ..
166143 - Polar HR study in Concord, California elevation 100, 15-mile hike -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166144 - 4th hike after cardiac ablation right atrial on 201210 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166145 - ref SDS C0 4H5J, and 2nd ablation right atrial after the 1st on 200511                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166146 - 0546, ref SDS 94 968H, and which is 3rd ablation following initial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
166147 - left atrial procedure on 200430 0700. ref SDS 93 7Y3O  HR profile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
166148 - rises and falls with changes in terrain elevations for most of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166149 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166151 -  ..
166152 - Recorded Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166154 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                           Half Dome            
166155 -       Date       201217 201216 201215 201214 201213 201212 201211 201210 201209 201208 201207 201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 2009  
166156 -       Miles         15     13     14     11      0      0      0      0     15     24     15     23      0     23      0      0     15     21      0      0      0     25      0      0      0     12      0     11     16      0      7     21     22     22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10      0        
166157 -       HR AVG       113    115    112    118     no     no     no     no    107    113    109    116     no    120     no     no     99    120     no     no     no    120     no     no     no    113     no    108    108     no    106    109    111    114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     no     n  
166158 -         MAX        131    128    127    129  report report report report   131    133    131    144  report   147  report report   130    147  report report report   150  report report report   129  report   125    128  report   128    133    134    152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  report repo  
166159 -         Min         80     80     83     92                                 76     78     85     80            87                   59     90                          86                          83            79     87            69     83     86     80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82               
166160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166163 -              https://flow.polar.com/training/analysis/5455574394                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166166 -               ..
166168 -   
166169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166171 -  ..
166172 - HR profile Concord elevation 100, 15-mile route showing average 113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166173 - and max 131, aligns with temperature 57, Hike had some long hills 2% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166174 - 3% grade with expected HR changes following cardiac ablation on 201210                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166175 - 0700, ref SDS C0 4H5J; and, following treatment in ER injecting high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
166176 - concentrate metoprolol that slowed atrial flutter HR 160, down to 60s                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166177 - and 70s, on 201007 2218. ref SDS B3 X36J  A second isolated episode of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166178 - atrial flutter recurred on 201031, with HR 150, and was treated with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166179 - Metoprolol Tartrate pill that lowered HR into 70s. ref SDS 0 GZ4I  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166180 - further episodes of atrial fibrilltion nor flutter have occurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166184 -  ..
166185 - EKG at mile 5 HR 102 - Kardia reported Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166189 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201217-ecg-123323_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
166190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166192 -  ..
166193 - EKG looks erratic in places - after pausing metoprolol on 201101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166194 - ref SDS 0 P25F, and after 5 miles during 1st hike after cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166195 - ablation on 201210 0700. ref SDS C0 4H5J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
166196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166200 -  ..
166201 - EKG 1 minute after 15-mile hike HR 112 time 1546 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166202 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
166203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166206 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201217-ecg-154625_mile_15.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
166207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166209 -  ..
166210 - EKG looks perfect, after hiking 15 miles slow pace and going up 4%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166211 - grade .75 miles, after cardiac ablation 5 days ago on 201210 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166212 - ref SDS C0 4H5J; and after pausing metoprolol on 201101. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
166213 - P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166218 -  ..
166219 - HR profile post-hike beginning 1732 until next day morning OA 0550                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166220 - shows mostly steady heart beat 65 +/-.  Max HR 158, and minimum HR 41                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166221 - aligns with indoor activity - sleeping; 0 spikes above 130 indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166222 - no likely atrial fibrillation and/or flutter, after 3rd cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166223 - ablation which was the 2nd ablation on right atrial reported on 201210                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166224 - 0700. ref SDS C0 4H5J  Stable HR profile seems positive after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
166225 - 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166229 -        ..
166230 -       Date      201217 201216 201215 201214 201213 201212 201211 201210 201209 201208 201207 201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 200929 200928 200927 20  
166231 -        Hours       12     13     12     14     17     18     18     10      8      6     11     10     14     12     16     14      9      4     10     11     12     13     12      8      9      9     11     10      9      7      2      7     10     10     10      9      9      7      7     11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      5      3     10     10     10      
166232 -       HR AVG       65     69     65     75     67     67     71     72     60     74     63     62     70     70     68     67     78     67     69     70     64     66     66     66     67     63     66     61     59     66     65     64     67     64     65     62     62     65     60     66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74     59     62     69     65     66      
166233 -         MAX       115    140    158    148    112    110    142    114     81    113    113    107    165    191    166    130    110     93    124    107    157    151    160    130    102    153     99    102     99     97    112     98    111    102    109    145    112    158    108     97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117     93     97    128    118    114      
166234 -         Min        51     53     41     49     50     52     51     52     54     56     51     53     43     31     53     46     58     53     49     56     52     36     49     51     54     48     53     47     47     55     43     52     50     52     54     41     47     48     44     49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50     50     54     44     48     38      
166235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166238 -              https://flow.polar.com/training/analysis/5457032349                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166243 -   
166244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166248 -  ..
166249 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
166250 - Lunch - half sandwich peanut butter margarine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166251 - Dinner - pasta rice hamburger broccoli, cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166253 -  ..
166254 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166262 -         ..
166263 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
166264 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166265 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166266 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
166267 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
166268 -  353.  201218 0700............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166269 -               0710....BP HR..................................................... 125  80  65  Kardia ECG reports HR normal, see below. ref SDS 0 UWUS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166270 -               0715....BP HR..................................................... 122  80  64  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166271 -               0720....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166272 -               0000... 20 978680 CoQ10 Ubiquinol Liquid - paused on 201214 due to expense                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
166273 -               0720... 80 222200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
166274 -               0720... 05 2945 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166275 -               0720... 75 11750 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166276 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
166277 -               0000... Gabapentin 300MG  47900MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166278 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166279 -               1155... Oxycodone HCL Plain  5  365 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166280 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166281 -               1155....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
166282 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166283 -               1215....miles...........   4.0  57.0   66   963 minutes  temp 58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
166284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166285 -               0000... Oxycodone HCL Plain  5  345 mg RX90533728 took for pain management during hike not combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166286 -               0000....Tramadol 50 2250 for prevent feet knee pain at mile 14 in 24 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166287 -               0000... Gabapentin 300MG  47900MB took today, after pausing on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166288 -               0000... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
166289 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166291 -               1340....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166292 -               1345....BP HR..................................................... 121  72  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166293 -               1350....BP HR..................................................... 119  72  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166294 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166295 -               1700... 40 65120 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
166296 -               1830............ 10 14680  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166297 -               1830............ 10 14270  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166298 -               0000... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166299 -               0000... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
166300 -               2050... 40 45260 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166301 -               2120... 1000 1016000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166302 -               2130... 05 2950 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
166303 -               0000... 03    6 Melatonin sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166304 -               2200... 80 222280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
166305 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166307 -  ..
166308 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166309 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166311 -  ..
166312 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166313 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166314 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166316 -  ..
166317 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
166319 -  ..
166320 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166321 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
166323 -  ..
166324 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
166326 -  ..
166327 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166328 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166330 -  ..
166331 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166332 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166333 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
166334 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166335 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166336 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
166337 - NSAID that constricts blood vessels, which inhibits PRP and apixaban.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166338 - Vasoconstriction raises blood pressure and causes colitis.  Ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166339 - is another NSAID like naproxen that raises blood pressure; it also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166340 - raises LDL.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166341 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166342 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
166343 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166344 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166345 - concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
166346 - collagen that repairs joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
166347 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166348 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166350 -  ..
166351 - Today, in order to hike took 1 oxycodone starting hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
166353 -  ..
166354 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166355 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166357 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166358 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
166359 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
166360 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166361 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166362 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166363 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166364 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166365 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166366 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166367 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166368 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166369 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166370 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166371 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166372 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166373 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166374 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166375 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166376 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166377 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166378 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166379 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166380 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166381 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166382 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166383 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166384 -        Metatarsalgia left foot...PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166385 -        Metatarsalgia right foot..PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166386 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166387 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166388 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166389 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166390 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166391 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166392 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166393 -        Blister little toe right foot................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166394 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166395 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166396 -        Blister little toe left foot...blood blister.   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166397 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166398 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166399 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166400 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166401 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166402 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166403 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166404 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166406 -  ..
166407 - Today, energy okay starting hike.  After hiking 4 miles body not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
166408 - fatigued; not noticably wobbly/disoriented taking 1 oxycodone 5 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166409 - before starting.
166411 - -
166412 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166413 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166414 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166416 -  ..
166417 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166419 -  ..
166420 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166421 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166422 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166424 -  ..
166425 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166426 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166427 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166428 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166429 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166431 -  ..
166432 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166433 - 1344. ref SDS 79 SM4M  Had to remove 2nd sock on left foot after 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
166434 - miles to reduce pressure on little toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
166436 -  ..
166437 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166438 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166439 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166441 -  ..
166442 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166443 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
166444 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166445 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166446 - ref SDS 77 SM4M  After hike on 201217, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
166447 - Tailor's Bunions, and applied ammonium lactate lotion to feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166448 - above. ref SDS 0 UQSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166450 -  ..
166451 - Aptos 4 mile treadmill test - starting energy okay.  Took oxycodone 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166452 - mg starting hike.  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166453 - ref SDS 77 SM4M, that prevent feet and knee injuries.  Wore 2-pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
166454 - double-ply Wright socks received on 191010 1344, ref SDS 79 SM4M, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
166455 - prevent blisters.  Applied miconazole nitrate 2% (Thera antifungal)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166456 - foot powder ordered by Doctor Tang during the meeting in Podiatry at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166457 - VAMCSF on 201201 0930. ref SDS B8 PR6M  It was received on 201207                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
166458 - 1549. ref SDS B9 4G4N  Was effective entire hike today.  Warpped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166459 - little toes with hydrofera blue dressing today.  Hiked from Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166460 - uphill to Treat.  Breathed easily through nose entire test hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
166461 - Temperature reached 72.  Hiked on Microfit treadmill monitored by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166462 - Rob.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166464 -  ..
166465 - Kardia recorded HR 64 at 0723 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166466 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166467 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166468 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166471 -               ..
166472 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201218-ecg-072307_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166475 -  ..
166476 - EKG looks perfect, after cardiac ablation on 201210 0700, ref SDS C0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
166477 - 4H5J, to correct recurrance atrial flutter on 201031 1500, taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166478 - metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166479 - again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
166480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166483 -  ..
166484 - Polar HR study "low accuracy GPS used" in Aptos, California elevation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166485 - 100, 4-mile treadmill test - after cardiac ablation right atrial on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166486 - 201210 0700. ref SDS C0 4H5J, and 2nd ablation right atrial after the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
166487 - 1st on 200511 0546, ref SDS 94 968H, and which is 3rd ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166488 - following initial left atrial procedure on 200430 0700. ref SDS 93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
166489 - 7Y3O  HR profile rises and falls with changes in grade and speed of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166490 - treadmill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
166492 -  ..
166493 - Recorded Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166495 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                           Half Dome     
166496 -       Date       201218 201217 201216 201215 201214 201213 201212 201211 201210 201209 201208 201207 201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 200930 2009  
166497 -       Miles          4     15     13     14     11      0      0      0      0     15     24     15     23      0     23      0      0     15     21      0      0      0     25      0      0      0     12      0     11     16      0      7     21     22     22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     10        
166498 -       HR AVG       105    113    115    112    118     no     no     no     no    107    113    109    116     no    120     no     no     99    120     no     no     no    120     no     no     no    113     no    108    108     no    106    109    111    114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    115     n  
166499 -         MAX        130    131    128    127    129  report report report report   131    133    131    144  report   147  report report   130    147  report report report   150  report report report   129  report   125    128  report   128    133    134    152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   148  repo  
166500 -         Min         70     80     80     83     92                                 76     78     85     80            87                   59     90                          86                          83            79     87            69     83     86     80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        82        
166501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166504 -              https://flow.polar.com/training/analysis/5458422519                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166507 -               ..
166509 -   
166510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166512 -  ..
166513 - HR profile Aptos elevation 100, 4-mile route showing average 105 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166514 - max 130, aligns with temperature 72,  This treadmill test increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166515 - grade to 5% and speed to 3.5% with expected HR changes following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
166516 - cardiac ablation on 201210 0700, ref SDS C0 4H5J; and, following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166517 - treatment in ER injecting high concentrate metoprolol that slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166518 - atrial flutter HR 160, down to 60s and 70s, on 201007 2218.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
166519 - ref SDS B3 X36J  A second isolated episode of atrial flutter recurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
166520 - on 201031, with HR 150, and was treated with Metoprolol Tartrate pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166521 - that lowered HR into 70s. ref SDS 0 GZ4I  No further episodes of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
166522 - atrial fibrilltion nor flutter have occurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
166523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166556 -  ..
166557 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
166558 - Lunch - half sandwich ham cheese pickle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
166559 - Dinner - pasta hamburger broccoli, cookie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
166561 -  ..
166562 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166569 -         ..
166570 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
166571 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166572 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166573 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
166574 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166575 -  354.  201219 0750............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166576 -               0810....BP HR..................................................... 137  82  64  Kardia ECG reports HR normal, see below. ref SDS 0 VPRP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166577 -               0815....BP HR..................................................... 122  80  64  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166578 -               0820....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166579 -               0000... 20 978680 CoQ10 Ubiquinol Liquid - paused on 201214 due to expense                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
166580 -               0820... 80 222360 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
166581 -               0820... 05 2955 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166582 -               0820... 75 11825 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166583 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
166584 -               0000... Gabapentin 300MG  47900MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166585 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166586 -               1000... Oxycodone HCL Plain  5  370 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166587 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166588 -               1000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
166589 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166590 -               1005....miles...........  17.0  74.0  283  1246 minutes  temp 54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
166591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166592 -               0000... Oxycodone HCL Plain  5  345 mg RX90533728 took for pain management during hike not combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166593 -               0000....Tramadol 50 2250 for prevent feet knee pain at mile 14 in 24 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166594 -               0000... Gabapentin 300MG  47900MB took today, after pausing on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166595 -               1128... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
166596 -               1352... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
166597 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166599 -               1540....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166600 -               1545....BP HR..................................................... 119  76  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166601 -               1550....BP HR..................................................... 124  77  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166602 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166603 -               1700... 40 65160 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
166604 -             1 0000............ 10 14680  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166605 -             1 0000............ 10 14270  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166606 -               1950... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166607 -               0000... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
166608 -               2050... 40 45300 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166609 -               2120... 1000 1017000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166610 -               2130... 05 2960 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
166611 -               0000... 03    6 Melatonin sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166612 -               2200... 80 222440 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
166613 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166615 -  ..
166616 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166617 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166619 -  ..
166620 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166621 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166622 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166624 -  ..
166625 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
166627 -  ..
166628 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166629 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
166631 -  ..
166632 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
166634 -  ..
166635 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166636 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166638 -  ..
166639 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166640 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166641 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
166642 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166643 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166644 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
166645 - NSAID that constricts blood vessels, which inhibits PRP and apixaban.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166646 - Vasoconstriction raises blood pressure and causes colitis.  Ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166647 - is another NSAID like naproxen that raises blood pressure; it also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166648 - raises LDL.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166649 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166650 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
166651 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166652 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166653 - concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
166654 - collagen that repairs joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
166655 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166656 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166658 -  ..
166659 - Today, in order to hike took 1 oxycodone starting hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
166661 -  ..
166662 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166663 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166665 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166666 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
166667 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
166668 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166669 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166670 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166671 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166672 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166673 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166674 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166675 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166676 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166677 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166678 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166679 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166680 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166681 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166682 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166683 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166684 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166685 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166686 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166687 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166688 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166689 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166690 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166691 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166692 -        Metatarsalgia left foot...PRP 191009.........   1         10  last 2 miles, very tolerable with oxycodone at start, naproxen at 5 miles and at 13 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                    
166693 -        Metatarsalgia right foot..PRP 191009.........   1         10  last 2 miles, very tolerable with oxycodone at start, naproxen at 5 miles and at 13 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                    
166694 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166695 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166696 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166697 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166698 -        Callus big toe left foot.....................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166699 -        Callus big toe right foot....................   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166700 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166701 -        Blister little toe right foot................   1          5  healing - started feeling about mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166702 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166703 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166704 -        Blister little toe left foot...blood blister.   1         10  healing - started feeling about mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166705 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166706 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166707 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166708 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166709 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166710 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166711 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166712 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166714 -  ..
166715 - Today, energy good starting hike.  After hiking 17 miles body mildly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166716 - fatigued; not noticably wobbly/disoriented taking 1 oxycodone 5 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166717 - before starting, took naproxen 250 mg at 5 miles and another at 13                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166718 - miles.
166720 - -
166721 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166722 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166723 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166725 -  ..
166726 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166728 -  ..
166729 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166730 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166731 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166733 -  ..
166734 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166735 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166736 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166737 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166738 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166740 -  ..
166741 - Little toes both feet wrapped with hydrofera blue antibacterial foam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166742 - dressing to heal and protect wounds.  Provides additional cushioning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166743 - to prevent crimping during long hikes.  This worked well today for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166744 - about 12 miles, then pain level 1 rest of 17 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
166746 -  ..
166747 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166748 - 1344. ref SDS 79 SM4M  Had to remove 2nd sock on left foot after 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
166749 - miles to reduce pressure on little toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
166751 -  ..
166752 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166753 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166754 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166756 -  ..
166757 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166758 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
166759 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166760 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166761 - ref SDS 77 SM4M  After hike on 201219, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
166762 - Tailor's Bunions, and applied ammonium lactate lotion to feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166763 - above. ref SDS 0 TJ4N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166765 -  ..
166766 - Concord 17 mile route - starting energy okay.  Took oxycodone 5 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166767 - starting hike.  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166768 - ref SDS 77 SM4M, that prevent feet and knee injuries.  Wore 2-pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
166769 - double-ply Wright socks received on 191010 1344, ref SDS 79 SM4M, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
166770 - prevent blisters.  Applied miconazole nitrate 2% (Thera antifungal)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166771 - foot powder ordered by Doctor Tang during the meeting in Podiatry at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166772 - VAMCSF on 201201 0930. ref SDS B8 PR6M  It was received on 201207                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
166773 - 1549. ref SDS B9 4G4N  Was effective entire hike today.  Warpped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166774 - little toes with hydrofera blue dressing today.  Hiked from Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166775 - uphill to Treat.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
166776 - Temperature started at 34, and reached 54.  Hiked East normal pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166777 - Treat 1 mile to Clayton - time to 1.25 miles 20 minutes.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
166778 - corner hiking South on Clayton 2 miles at normal pace, mostly on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166779 - concrete sidewalk.  At mile 3.5, turned West onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166780 - hiking on concrete sidewalk another .5 mile.  About mile 4 crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166781 - South side Ygnacio Valley Road hiking West on asphalt shoulder aganist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166782 - East bound traffic.  Right foot at instep pain level 0 rest of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166783 - At mile 5 time 1123, stopped at Texaco gas station - EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166784 - 97 Normal - see below. ref SDS 0 X75O  Bought Coca Cola.  Ate half of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166785 - half sandwich peanut butter margarine and jam.  About 1128, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
166786 - naproxen, because both feet pain level 1.  Drank half of Coca Cola for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166787 - hydration and energy.  Hiked .25 mile on Ygnacio Valley Road to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166788 - Hollow; turned left and hiked about 50 yards.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
166789 - Campus Road.  Hiked 1-mile West uphill 3% - 4% grade to California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166790 - Sate University East Bay campus.  Energy seemed to improve.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166791 - 2-loops of about 1.5 miles through adjoining Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
166792 - Parking lots, with 1 sub-loop each.  Seemed to feel vasodilation surge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166793 - of energy and strength hiking up last long hill in Student parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166794 - lot.  At mile 8.5 back at Visitor Parking hiked North downhill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166795 - grade .3 mile to Ygnacio Valley Road.  Turned left and hiked West .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166796 - mile on Ygnacio Valley Road flat pavement.  Continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166797 - Ranch Road uphill 2% grade past Cowell.  Encountered Honorue running                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166798 - downhill.  Crossed from South side of Ygnacio Valley Road to the North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166799 - side in order to avoid severely sloped shoulder on South Side.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166800 - North side continued West uphill 3% grade over the summit past end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166801 - concrete traffic barriar.  Feeling good - strong, and pain level 0 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166802 - feet and knees.  At mile 11, crossed back to South side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166803 - Road to use wider, flatter roadway shoulder.  Hiked slow pace 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166804 - miles downhill. and crossed back to North Side of the road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166805 - another mile to Oak Grove.  Stopped at Burger Lounge - used table                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166806 - outside to record Kardia EKG time 1349 97 Normal - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
166807 - ref SDS 0 VQTT  Continued West .25 miles parallel to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166808 - Road using paved path around Safeway shopping center.  At Via Monte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166809 - turned right and hiked .25 miles to Shadelands.  Turned right and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166810 - hiked East .25 miles to Oak Grove.  Turned right hiking .25 miles back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166811 - to Ygnacio Valley Road.  Did another loop and turned left onto Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166812 - Grove and hiked North .75 miles to Treat.  Turned right and hike East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166813 - 3 miles home, including .75 miles uphill at San Miguel 4% grade.  EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166814 - at end of hike - time 1546, HR 112 Tachycardia, see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166815 - UTWU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166817 -  ..
166818 - Kardia recorded HR 68 at 0749 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166819 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166820 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166821 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166824 -               ..
166825 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201219-ecg-074906_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166828 -  ..
166829 - EKG little raggedy initial beats, then looks perfect, after cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166830 - ablation on 201210 0700, ref SDS C0 4H5J, to correct recurrance atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166831 - flutter on 201031 1500, taking metoprolol tartrate at 1640,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
166832 - ref SDS 0 SVXS, then pausing medication again the next day on 201101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166833 - per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
166834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166837 -  ..
166838 - Polar HR study in Concord, California elevation 100, 17-mile hike -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166839 - after cardiac ablation right atrial on 201210 0700. ref SDS C0 4H5J,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
166840 - and 2nd ablation right atrial after the 1st on 200511 0546,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
166841 - ref SDS 94 968H, and which is 3rd ablation following initial left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
166842 - atrial procedure on 200430 0700. ref SDS 93 7Y3O  HR profile rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166843 - falls with changes in grade...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
166845 -  ..
166846 - Recorded Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166848 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                           Half   
166849 -       Date       201219 201218 201217 201216 201215 201214 201213 201212 201211 201210 201209 201208 201207 201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 201001 2009  
166850 -       Miles         17      4     15     13     14     11      0      0      0      0     15     24     15     23      0     23      0      0     15     21      0      0      0     25      0      0      0     12      0     11     16      0      7     21     22     22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0      0     1  
166851 -       HR AVG       110    105    113    115    112    118     no     no     no     no    107    113    109    116     no    120     no     no     99    120     no     no     no    120     no     no     no    113     no    108    108     no    106    109    111    114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     no    11  
166852 -         MAX        134    130    131    128    127    129  report report report report   131    133    131    144  report   147  report report   130    147  report report report   150  report report report   129  report   125    128  report   128    133    134    152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report report   14  
166853 -         Min         83     70     80     80     83     92                                 76     78     85     80            87                   59     90                          86                          83            79     87            69     83     86     80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                        8  
166854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166857 -              https://flow.polar.com/training/analysis/5461488294                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166860 -               ..
166862 -   
166863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166865 -  ..
166866 - HR profile Concord elevation 100, 17-mile route showing average 110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166867 - and max 134, aligns with temperature 54, following cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166868 - 201210 0700, ref SDS C0 4H5J; and, following treatment in ER injecting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166869 - high concentrate metoprolol that slowed atrial flutter HR 160, down to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166870 - 60s and 70s, on 201007 2218. ref SDS B3 X36J  A second isolated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166871 - episode of atrial flutter recurred on 201031, with HR 150, and was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166872 - treated with Metoprolol Tartrate pill that lowered HR into 70s.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166873 - ref SDS 0 GZ4I  No further episodes of atrial fibrilltion nor flutter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166874 - have occurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
166875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166878 -  ..
166879 - EKG at mile 5 time 1123 HR 97 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166883 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201219-ecg-112336_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
166884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166886 -  ..
166887 - EKG looks good, after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166888 - HR 107 identical to last hike at 5 miles, 2 days ago, reported above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166889 - ref SDS 0 QVTR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
166890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166893 -  ..
166894 - EKG at mile 13 time 1349 HR 101- Kardia reported Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
166895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166898 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201219-ecg-134943_mile_13.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
166899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166901 -  ..
166902 - EKG looks erratic in places, after pausing metoprolol on 201101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
166903 - ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
166904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166908 -  ..
166909 - EKG 1 minute after 17-mile hike HR 110 time 1511 Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
166910 - tachychardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166914 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201219-ecg-151127_mile_17.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
166915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166917 -  ..
166918 - EKG looks good after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166951 -  ..
166952 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
166953 - Lunch - half sandwich peanut butter margarine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166954 - Dinner - salmon broccli onion avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166956 -  ..
166957 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166965 -         ..
166966 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
166967 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166968 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166969 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
166970 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
166971 -  355.  201220 0710............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166972 -               0720....BP HR..................................................... 132  81  67  Kardia ECG reports HR normal, see below. ref SDS 0 VTVP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166973 -               0725....BP HR..................................................... 130  80  66  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166974 -               0730....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166975 -               0000... 20 978680 CoQ10 Ubiquinol Liquid - paused on 201214 due to expense                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
166976 -               0730... 80 222520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
166977 -               0730... 05 2965 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166978 -               0730... 75 11900 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166979 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
166980 -               0000... Gabapentin 300MG  47900MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166981 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
166982 -               1000... Oxycodone HCL Plain  5  375 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
166983 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166984 -               1000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
166985 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166986 -               1040....miles...........  16.0  90.0  268  1514 minutes  temp 57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
166987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166988 -               0000... Oxycodone HCL Plain  5  345 mg RX90533728 took for pain management during hike not combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                             
166989 -               0000....Tramadol 50 2250 for prevent feet knee pain at mile 14 in 24 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166990 -               0000... Gabapentin 300MG  47900MB took today, after pausing on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
166991 -               1128... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
166992 -               1128... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
166993 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
166995 -               1625....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
166996 -               1635....BP HR..................................................... 108  66  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166997 -               1640....BP HR..................................................... 111  68  78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
166998 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
166999 -               1700... 40 65200 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
167000 -               1830............ 10 14690  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167001 -               1830............ 10 14280  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167002 -               2010... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
167003 -               0000... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
167004 -               2050... 40 45340 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167005 -               2120... 1000 1018000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167006 -               2130... 05 2970 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
167007 -               0000... 03    6 Melatonin sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167008 -               2200... 80 222600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
167009 -               2240....Tramadol 50 2300 for restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
167010 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167012 -  ..
167013 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167014 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167016 -  ..
167017 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167018 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167019 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167021 -  ..
167022 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
167024 -  ..
167025 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167026 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
167028 -  ..
167029 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
167031 -  ..
167032 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167033 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167035 -  ..
167036 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167037 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167038 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
167039 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167040 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167041 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
167042 - NSAID that constricts blood vessels, which inhibits PRP and apixaban.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167043 - Vasoconstriction raises blood pressure and causes colitis.  Ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167044 - is another NSAID like naproxen that raises blood pressure; it also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167045 - raises LDL.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167046 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167047 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
167048 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167049 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167050 - concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
167051 - collagen that repairs joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
167052 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167053 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167055 -  ..
167056 - Today, in order to hike took 1 oxycodone starting hike; took naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167057 - pill at mile 5, and a 2nd naproxen at mile 14, to complete 16 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167058 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167060 -  ..
167061 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167062 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167064 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167065 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
167066 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
167067 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167068 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167069 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167070 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167071 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167072 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167073 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167074 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167075 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167076 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167077 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167078 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167079 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167080 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167081 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167082 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167083 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167084 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167085 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167086 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167087 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167088 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167089 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167090 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167091 -        Metatarsalgia left foot...PRP 191009.........   2         10  last 2 miles difficult to tolerate with oxycodone at start, naproxen at 5 miles and at 13 miles                                                                                                                                                                                                                                                                                                                                                                                                                                              
167092 -        Metatarsalgia right foot..PRP 191009.........   2         10  last 2 miles difficult to tolerate with oxycodone at start, naproxen at 5 miles and at 13 miles                                                                                                                                                                                                                                                                                                                                                                                                                                              
167093 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167094 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167095 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167096 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167097 -        Callus big toe left foot.....................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167098 -        Callus big toe right foot....................   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167099 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167100 -        Blister little toe right foot................   2          5  healing - started feeling about mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
167101 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167102 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167103 -        Blister little toe left foot...blood blister.   1         10  healing - started feeling about mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
167104 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167105 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167106 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167107 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167108 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167109 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167110 -        Restless legs................................   2        100  late evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167111 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167113 -  ..
167114 - Today, energy good starting hike.  After hiking 16 miles body mildly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167115 - fatigued; not noticably wobbly/disoriented taking 1 oxycodone 5 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167116 - before starting, took naproxen 250 mg at 5 miles and another at 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167117 - miles.  Feet hurting at end of hike, but not after hike.
167119 - -
167120 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167121 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167122 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167124 -  ..
167125 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167127 -  ..
167128 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167129 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167130 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167132 -  ..
167133 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167134 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167135 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167136 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167137 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167139 -  ..
167140 - Little toes both feet wrapped with hydrofera blue antibacterial foam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167141 - dressing to heal and protect wounds.  Provides additional cushioning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167142 - to prevent crimping during long hikes.  This worked well today for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167143 - about 12 miles, then pain level 2 rest of 16 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
167145 -  ..
167146 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167147 - 1344. ref SDS 79 SM4M  Had to remove 2nd sock on left foot after 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
167148 - miles to reduce pressure on little toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
167150 -  ..
167151 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167152 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167153 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167155 -  ..
167156 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167157 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
167158 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167159 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167160 - ref SDS 77 SM4M  After hike on 201220, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
167161 - Tailor's Bunions, and applied ammonium lactate lotion to feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167162 - above. ref SDS 0 6I4I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167164 -  ..
167165 - Concord 16 mile route - starting energy okay.  Took oxycodone 5 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167166 - starting hike.  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167167 - ref SDS 77 SM4M, that prevent feet and knee injuries.  Wore 2-pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
167168 - double-ply Wright socks received on 191010 1344, ref SDS 79 SM4M, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
167169 - prevent blisters.  Applied miconazole nitrate 2% (Thera antifungal)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167170 - foot powder ordered by Doctor Tang during the meeting in Podiatry at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167171 - VAMCSF on 201201 0930. ref SDS B8 PR6M  It was received on 201207                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
167172 - 1549. ref SDS B9 4G4N  Was effective entire hike today.  Warpped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167173 - little toes with hydrofera blue dressing today.  Hiked from Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167174 - uphill to Treat.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
167175 - Temperature started at 34, and reached 57.  Hiked East normal pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167176 - Treat 1 mile to Clayton - time to 1.25 miles 20 minutes.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
167177 - corner hiking South on Clayton 2 miles at normal pace, mostly on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167178 - concrete sidewalk.  At mile 3.5, turned West onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167179 - hiking on concrete sidewalk another .5 mile.  About mile 4 crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167180 - South side Ygnacio Valley Road hiking West on asphalt shoulder aganist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167181 - East bound traffic.  Right foot at instep pain level 0 rest of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167182 - At mile 5 time 1123, stopped at Texaco gas station - EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167183 - 96 Normal - see below. ref SDS 0 VURQ  Bought Coca Cola and banana.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167184 - Ate half of banana and half sandwich peanut butter margarine and jam.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167185 - About 1205, took naproxen, because both feet pain level 1.  Drank half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167186 - of Coca Cola for hydration and energy.  Hiked .25 mile on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167187 - Valley Road to Pine Hollow; turned left and hiked about 50 yards.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167188 - Turned right onto Campus Road.  Hiked 1-mile West uphill 3% - 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167189 - to California Sate University East Bay campus.  Energy seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
167190 - improve.  Hiked 3-loops of about 1.5 miles through adjoining Faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167191 - and Student Parking lots, with 1 sub-loop each.  Burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167192 - occurred on balls of feet, likely from ending gabapentin.  Seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167193 - feel vasodilation surge of energy and strength hiking up last long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167194 - hill in Student parking lot.  At mile 9.75, back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167195 - hiked North downhill 3% grade .3 mile to Ygnacio Valley Road.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167196 - 10. turned left and hiked West .5 mile on Ygnacio Valley Road flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167197 - pavement.  Continued past Crystal Ranch Road uphill 2% grade past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167198 - Cowell.  Crossed from South side of Ygnacio Valley Road to the North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167199 - side in order to avoid severely sloped shoulder on South Side.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167200 - North side continued West uphill 3% grade over the summit past end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167201 - concrete traffic barriar.  Feeling good - strong, and pain level 0 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167202 - feet and knees.  At mile 12, crossed back to South side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167203 - Road to use wider, flatter roadway shoulder.  Hiked slow pace 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167204 - miles downhill. and crossed back to North Side of the road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167205 - another mile to Oak Grove.  Stopped at Burger Lounge - used table                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167206 - outside to record Kardia EKG time 1455 104 Normal - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
167207 - ref SDS 0 VUSV  Continued West .25 miles parallel to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167208 - Road using paved path around Safeway shopping center.  At Via Monte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167209 - turned right and hiked .25 miles to Shadelands.  Turned right and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167210 - hiked East .25 miles to Oak Grove.  Turned right hiking .25 miles back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167211 - to Ygnacio Valley Road.  Did another loop and turned left onto Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167212 - Grove and hiked North .75 miles to Treat.  Kathy drove us home for 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167213 - mile hike.  EKG at end of hike - time 1459, HR 108 Tachycardia, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167214 - below. ref SDS 0 UTWU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167216 -  ..
167217 - Kardia recorded HR 65 at 0719 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167218 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167219 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167220 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167223 -               ..
167224 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201220-ecg-071912_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
167225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167227 -  ..
167228 - EKG looks good after hiking 17 miles, and after cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167229 - 201210 0700, ref SDS C0 4H5J, to correct recurrance atrial flutter on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
167230 - 201031 1500, taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167231 - pausing medication again the next day on 201101, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
167232 - ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
167233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167236 -  ..
167237 - Polar HR study "low accuracy GPS used" in Concord, California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
167238 - elevation 100, 16-mile hike - after cardiac ablation right atrial on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167239 - 201210 0700. ref SDS C0 4H5J, and 2nd ablation right atrial after the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
167240 - 1st on 200511 0546, ref SDS 94 968H, and which is 3rd ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167241 - following initial left atrial procedure on 200430 0700. ref SDS 93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
167242 - 7Y3O  HR profile rises and falls with changes in grade...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
167244 -  ..
167245 - Recorded Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167247 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                           
167248 -       Date       201220 201219 201218 201217 201216 201215 201214 201213 201212 201211 201210 201209 201208 201207 201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 2010  
167249 -       Miles         16     17      4     15     13     14     11      0      0      0      0     15     24     15     23      0     23      0      0     15     21      0      0      0     25      0      0      0     12      0     11     16      0      7     21     22     22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0      0        
167250 -       HR AVG       109    110    105    113    115    112    118     no     no     no     no    107    113    109    116     no    120     no     no     99    120     no     no     no    120     no     no     no    113     no    108    108     no    106    109    111    114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     no     n  
167251 -         MAX        128    134    130    131    128    127    129  report report report report   131    133    131    144  report   147  report report   130    147  report report report   150  report report report   129  report   125    128  report   128    133    134    152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report report repo  
167252 -         Min         81     83     70     80     80     83     92                                 76     78     85     80            87                   59     90                          86                          83            79     87            69     83     86     80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                                    
167253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167256 -              https://flow.polar.com/training/analysis/5465221629                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167259 -               ..
167261 -   
167262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167264 -  ..
167265 - HR profile Concord elevation 100, 16-mile route showing average 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167266 - and max 128, aligns with temperature 57, following cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167267 - 201210 0700, ref SDS C0 4H5J; and, following treatment in ER injecting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
167268 - high concentrate metoprolol that slowed atrial flutter HR 160, down to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167269 - 60s and 70s, on 201007 2218. ref SDS B3 X36J  A second isolated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167270 - episode of atrial flutter recurred on 201031, with HR 150, and was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167271 - treated with Metoprolol Tartrate pill that lowered HR into 70s.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167272 - ref SDS 0 GZ4I  No further episodes of atrial fibrilltion nor flutter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167273 - have occurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
167274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167277 -  ..
167278 - EKG at mile 5 time 1157 HR 96 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167282 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201220-ecg-115725_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
167283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167285 -  ..
167286 - EKG looks good, after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167287 - HR 107 identical to last hike at 5 miles, 2 days ago, reported above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167288 - ref SDS 0 QVTR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
167289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167292 -  ..
167293 - EKG at mile 14 time 145537R 104- Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
167294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167297 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201220-ecg-145537_mile_14.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
167298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167300 -  ..
167301 - EKG looks perfect, after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167306 -  ..
167307 - EKG 1 minute after 16-mile hike HR 108 time 1549 Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
167308 - tachychardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
167309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167312 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201220-ecg-154921_mile_16.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
167313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167315 -  ..
167316 - EKG looks perfect after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167349 -  ..
167350 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
167351 - Lunch - half sandwich peanut butter margarine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167352 - Dinner - eggs bacon potatoes avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167354 -  ..
167355 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
167356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167363 -         ..
167364 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
167365 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
167366 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
167367 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
167368 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
167369 -  356.  201221 0620............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167370 -               0620....BP HR..................................................... 142  80  62  Kardia ECG reports HR normal, see below. ref SDS 0 VXUY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167371 -               0625....BP HR..................................................... 136  85  61  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167372 -               0650....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167373 -               0000... 20 978680 CoQ10 Ubiquinol Liquid - paused on 201214 due to expense                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
167374 -               0650... 80 222680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
167375 -               0650... 05 2975 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167376 -               0650... 75 11975 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167377 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
167378 -               0000... Gabapentin 300MG  47900MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167379 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167380 -               0930... Oxycodone HCL Plain  5  375 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167381 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167382 -               0930....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
167383 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167384 -        * cr   0935....miles...........  22.0  22.0  368   368 minutes  temp 59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
167385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167386 -               0000... Oxycodone HCL Plain  5  345 mg RX90533728 took for pain management during hike not combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167387 -               0000....Tramadol 50 2250 for prevent feet knee pain at mile 14 in 24 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
167388 -               0000... Gabapentin 300MG  47900MB took today, after pausing on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167389 -               1128... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
167390 -               1128... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
167391 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167393 -               1710....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167394 -               1720....BP HR..................................................... 122  71  84   BP elevated by taking 2 naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167395 -               1725....BP HR..................................................... 128  74  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
167396 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167397 -               1700... 40 65240 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
167398 -             1 0000............ 10 14690  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167399 -             1 0000............ 10 14280  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167400 -               2010... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
167401 -               0000... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
167402 -               2050... 40 45380 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167403 -               2120... 1000 1019000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167404 -               2130... 05 2980 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
167405 -               0000... 03    6 Melatonin sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167406 -               2200... 80 222760 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
167407 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167409 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167410 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167411 - daily hike. ref SDS 55 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
167412 - coming down .5 miles steep 5% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167413 - top of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
167414 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167415 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167416 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
167418 -  ..
167419 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167420 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167422 -  ..
167423 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167424 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167425 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167427 -  ..
167428 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
167430 -  ..
167431 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167432 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
167434 -  ..
167435 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
167437 -  ..
167438 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167439 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167441 -  ..
167442 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167443 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167444 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
167445 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167446 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167447 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
167448 - NSAID that constricts blood vessels, which inhibits PRP and apixaban.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167449 - Vasoconstriction raises blood pressure and causes colitis.  Ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167450 - is another NSAID like naproxen that raises blood pressure; it also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167451 - raises LDL.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167452 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167453 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
167454 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167455 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167456 - concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
167457 - collagen that repairs joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
167458 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167459 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167461 -  ..
167462 - Today, in order to hike took 1 oxycodone starting hike; took naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167463 - pill at mile 13, and a 2nd naproxen at mile 18, to complete 22 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167464 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167466 -  ..
167467 - Pain during hike today... see also continual study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167468 - ref SDS 83 SWTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167470 -                                                        2020 01 01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167471 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
167472 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
167473 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167474 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167475 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167476 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167477 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167478 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167479 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167480 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167481 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167482 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167483 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167484 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167485 -        Knee buckling left..PRP 191009...............   1         40  occurred numerous times going downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
167486 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167487 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167488 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167489 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167490 -        Hamstring left leg...........................   1         50  felt pull numerous times going uphill and on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167491 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167492 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167493 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167494 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167495 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167496 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167497 -        Metatarsalgia left foot...PRP 191009.........   2         10  last 3 miles well tolerated with oxycodone at start, naproxen at 13 miles and at 18 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                    
167498 -        Metatarsalgia right foot..PRP 191009.........   2         10  last 3 miles well tolerated with oxycodone at start, naproxen at 13 miles and at 18 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                    
167499 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167500 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167501 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167502 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167503 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167504 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167505 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167506 -        Blister little toe right foot................   0        100  healing - hydrofera blue dressing effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
167507 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167508 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167509 -        Blister little toe left foot...blood blister.   0        100  healing - hydrofera blue dressing effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
167510 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167511 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167512 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167513 -        Burning sensation right foot..PRP 190816.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167514 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167515 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167516 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167517 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167519 -  ..
167520 - Today, energy very good starting hike.  After hiking 22 miles body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167521 - mildly fatigued; not noticably wobbly/disoriented taking 1 oxycodone 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167522 - mg before starting, took naproxen 250 mg at 13 miles and another at 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167523 - miles.  Feet hurting at end of hike, but not after hike.
167525 - -
167526 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167527 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167528 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167530 -  ..
167531 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167533 -  ..
167534 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167535 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167536 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167538 -  ..
167539 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167540 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167541 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167542 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167543 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167545 -  ..
167546 - Little toe left foot wrapped with hydrofera blue antibacterial foam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167547 - dressing to heal and protect wounds.  Provides additional cushioning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167548 - to prevent crimping during long hikes.  This worked well today for 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167549 - miles.  Little toe right foot pain level 0 entire hike without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
167550 - dressing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
167552 -  ..
167553 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167554 - 1344. ref SDS 79 SM4M  Had to remove 2nd sock on left foot after 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
167555 - miles to reduce pressure on little toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
167557 -  ..
167558 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167559 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167560 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167562 -  ..
167563 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167564 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
167565 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167566 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167567 - ref SDS 77 SM4M  After hike on 201221, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
167568 - Tailor's Bunions, and applied ammonium lactate lotion to feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167569 - above. ref SDS 0 XV4F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167571 -  ..
167572 - Concord 22 mile route - starting energy good.  Took oxycodone 5 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167573 - starting hike.  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167574 - ref SDS 77 SM4M, that prevent feet and knee injuries.  Wore 2-pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
167575 - double-ply Wright socks received on 191010 1344, ref SDS 79 SM4M, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
167576 - prevent blisters.  Applied miconazole nitrate 2% (Thera antifungal)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167577 - foot powder ordered by Doctor Tang during the meeting in Podiatry at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167578 - VAMCSF on 201201 0930. ref SDS B8 PR6M  It was received on 201207                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
167579 - 1549. ref SDS B9 4G4N  Was effective entire hike today.  Warpped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167580 - little toe left foot with hydrofera blue dressing today.  Hiked from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167581 - Cuneo uphill to Treat.  Breathed easily through nose most of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167582 - Temperature started at 34, and reached 59.  Hiked East normal pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167583 - Treat 1 mile to Clayton - time to 1.25 miles 20 minutes.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
167584 - corner hiking South on Clayton 2 miles at normal pace, mostly on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167585 - concrete sidewalk.  At mile 3.5, turned West onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167586 - hiking on concrete sidewalk another .5 mile.  About mile 4 crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167587 - South side Ygnacio Valley Road hiking West on asphalt shoulder aganist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167588 - East bound traffic.  Right foot at instep pain level 0 rest of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167589 - At mile 5 time 1054, stopped at Texaco gas station - EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167590 - 88 Normal - see below. ref SDS 0 VYRP  Bought Coca Cola and banana.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167591 - Ate half sandwich peanut butter margarine and jam.  Feet pain level 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167592 - so did not take naproxen.  Drank half of Coca Cola for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167593 - energy.  Hiked .25 mile on Ygnacio Valley Road to Pine Hollow; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167594 - left and hiked about 50 yards.  Turned right onto Campus Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167595 - 1-mile West uphill 3% - 4% grade to California Sate University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167596 - Bay campus.  Energy seemed to improve.  Hiked 1-loop of about 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167597 - miles through adjoining Faculty and Student Parking lots, with 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
167598 - sub-loop.  Seemed to feel vasodilation surge of energy and strength                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167599 - hiking up last long hill in Student parking lot.  At mile 7, back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167600 - Visitor Parking hiked North downhill 3% grade .3 mile to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
167601 - Valley Road.  Turned left and hiked West .5 mile on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167602 - Road flat pavement.  At mile 8, turned left onto Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167603 - hiked 1 mile uphill 5% grade.  Breathed through nose 75% of the way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167604 - Continued on flat roadway .75 mile, then downhill .5 mile, past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167605 - Rolling Woods Way.  On downhill section, about 75% of way down, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167606 - knee buckled.  Continued on Crystal Ranch Road hiking uphill .5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167607 - with 5% grade and breathing through nose all the way to top of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
167608 - mountain.  Road dead ends.  Hiked downhill .5 mile.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167609 - Rolling Woods Way.  Hiked East .33 mile uphill 5% grade.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167610 - downhill .66 mile.  About halfway down, left knee buckled again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
167611 - Turned left and hiked North back to Ygnacio Valley Road.  At mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167612 - time 1324, stopped at Texaco gas station - EKG reported HR 97 Normal -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167613 - see below. ref SDS 0 VYSV  Ate some of half sandwich peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167614 - margarine, strawberry jam.  Took 1 naproxen 250 mg pill for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
167615 - management.  Hiked .25 mile on Ygnacio Valley Road to Pine Hollow;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167616 - turned left and hiked about 50 yards.  Turned right onto Campus Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167617 - Hiked 1-mile West uphill 3% - 4% grade to California Sate University                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167618 - East Bay campus.  Ate half banana purchased at mile 5 stop.  Energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167619 - seemed to improve.  Hiked 1-loop of about 1.5 miles through adjoining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167620 - Faculty and Student Parking lots, with 1 sub-loop.  At mile 15. back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167621 - at Visitor Parking hiked North downhill 3% grade .3 mile to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167622 - Valley Road.  Turned left and hiked West .5 mile on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167623 - Road flat pavement.  Continued past Crystal Ranch Road and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
167624 - uphill 2% grade past Cowell.  Crossed from South side of Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
167625 - Valley Road to the North side in order to avoid severely sloped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167626 - shoulder on South Side.  On North side continued West uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167627 - over the summit past end of concrete traffic barriar.  Feeling good -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167628 - strong, and pain level 0 in feet and knees.  At mile 17, crossed back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167629 - to South side Ygnacio Valley Road to use wider, flatter roadway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167630 - shoulder.  Hiked slow pace 1.5 miles downhill, ate rest of banana, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167631 - crossed back to North Side of the road.  Hiked another mile to Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167632 - Grove.  Stopped at Burger Lounge - used table outside to record Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167633 - EKG time 1529 105 Tachycardia - see below. ref SDS 0 VYWP  Took 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167634 - naproxen 250 mg pill for pain management.  Ate rest of half sandwich                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167635 - peanut butter, margarine, strawberry jam.  Continued West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167636 - parallel to Ygnacio Valley Road using paved path around Safeway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167637 - shopping center.  At Via Monte turned right and hiked .25 miles to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167638 - Shadelands.  Turned right and hiked East .25 miles to Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
167639 - Turned left onto Oak Grove and hiked North .75 miles to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
167640 - Sprinted 150 yards to make stop light in heavy commute traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167641 - Turned right to hike East on Treat 1.5 miles.  Nearing San Miguel a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167642 - young woman passed by.  Increased pace and caught her.  She turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167643 - right to cross Treat.  Continued uphill .75 miles with 5% grade.  The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167644 - 2nd naproxen shielded metatarsalgia feet pain.  Hiked last mile home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167645 - for 22 miles.  EKG at end of hike - time 1637, HR 99 Tachycardia, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167646 - below. ref SDS 0 VYTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167648 -  ..
167649 - Kardia recorded HR 61 at 0628 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167650 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167651 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167652 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167655 -               ..
167656 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201221-ecg-062835_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
167657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167659 -  ..
167660 - EKG looks perfect after hiking 16 miles yesterday, and after cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167661 - ablation on 201210 0700, ref SDS C0 4H5J, to correct recurrance atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
167662 - flutter on 201031 1500, taking metoprolol tartrate at 1640,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
167663 - ref SDS 0 SVXS, then pausing medication again the next day on 201101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167664 - per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
167665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167668 -  ..
167669 - Polar HR study in Concord, California elevation 100, 22-mile hike -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167670 - after cardiac ablation right atrial on 201210 0700. ref SDS C0 4H5J,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
167671 - and 2nd ablation right atrial after the 1st on 200511 0546,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
167672 - ref SDS 94 968H, and which is 3rd ablation following initial left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
167673 - atrial procedure on 200430 0700. ref SDS 93 7Y3O  HR profile rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
167674 - falls with changes in grade...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
167676 -  ..
167677 - Recorded Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167679 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                                    
167680 -       Date       201221 201220 201219 201218 201217 201216 201215 201214 201213 201212 201211 201210 201209 201208 201207 201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 2010  
167681 -       Miles         22     16     17      4     15     13     14     11      0      0      0      0     15     24     15     23      0     23      0      0     15     21      0      0      0     25      0      0      0     12      0     11     16      0      7     21     22     22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0      0        
167682 -       HR AVG       108    109    110    105    113    115    112    118     no     no     no     no    107    113    109    116     no    120     no     no     99    120     no     no     no    120     no     no     no    113     no    108    108     no    106    109    111    114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     no     n  
167683 -         MAX        145    128    134    130    131    128    127    129  report report report report   131    133    131    144  report   147  report report   130    147  report report report   150  report report report   129  report   125    128  report   128    133    134    152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report report repo  
167684 -         Min         73     81     83     70     80     80     83     92                                 76     78     85     80            87                   59     90                          86                          83            79     87            69     83     86     80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                             
167685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167688 -              https://flow.polar.com/training/analysis/5468074854                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167691 -               ..
167693 -   
167694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167696 -  ..
167697 - HR profile Concord elevation 100, 22-mile route showing average 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167698 - and max 145 (sprinting 150 yards to make traffic light), aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167699 - temperature 59, following cardiac ablation on 201210 0700, ref SDS C0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
167700 - 4H5J; and, following treatment in ER injecting high concentrate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167701 - metoprolol that slowed atrial flutter HR 160, down to 60s and 70s, on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167702 - 201007 2218. ref SDS B3 X36J  A second isolated episode of atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
167703 - flutter recurred on 201031, with HR 150, and was treated with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
167704 - Metoprolol Tartrate pill that lowered HR into 70s. ref SDS 0 GZ4I  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167705 - further episodes of atrial fibrilltion nor flutter have occurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167709 -  ..
167710 - EKG at mile 5 time 1054 HR 88 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167714 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201221-ecg-105403_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
167715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167717 -  ..
167718 - EKG shows 3 spikes, then rest looks good, after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167719 - 201101. ref SDS 0 P25F  HR 107 identical to last hike at 5 miles, 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167720 - days ago, reported above. ref SDS 0 QVTR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
167721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167724 -  ..
167725 - EKG at mile 13 time 1324 HR 97- Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167729 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201221-ecg-132414_mile_13.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
167730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167732 -  ..
167733 - EKG looks perfect, after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167737 -  ..
167738 - EKG at mile 18 time 1529 HR 105- Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
167739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167742 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201221-ecg-152921_mile_18.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
167743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167745 -  ..
167746 - EKG looks perfect, after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167751 -  ..
167752 - EKG 1 minute after 22-mile hike HR 99 time 1637 Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167753 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167756 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201221-ecg-163725_mile_22.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
167757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167759 -  ..
167760 - EKG looks perfect after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167793 -  ..
167794 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
167795 - Lunch - half sandwich peanut butter margarine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167796 - Dinner - chips hamburger squash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167798 -  ..
167799 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
167800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167806 -         ..
167807 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
167808 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
167809 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
167810 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
167811 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
167812 -  357.  201222 0720............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167813 -               0730....BP HR..................................................... 134  81  71  Kardia ECG reports HR normal, see below. ref SDS 0 8SQW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167814 -               0735....BP HR..................................................... 133  83  71  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167815 -               0740....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167816 -               0000... 20 978680 CoQ10 Ubiquinol Liquid - paused on 201214 due to expense                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
167817 -               0740... 80 222840 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
167818 -               0740... 05 2985 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167819 -               0740... 75 12050 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167820 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
167821 -               0000... Gabapentin 300MG  47900MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167822 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167823 -               1150... Oxycodone HCL Plain  5  380 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167824 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167825 -               1130....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
167826 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167827 -        * cr   1135....miles...........  18.0  40.0  313   681 minutes  temp 59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
167828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167829 -               0000... Oxycodone HCL Plain  5  345 mg RX90533728 took for pain management during hike not combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167830 -               0000....Tramadol 50 2250 for prevent feet knee pain at mile 14 in 24 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
167831 -               0000... Gabapentin 300MG  47900MB took today, after pausing on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167832 -               1252... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
167833 -               1522... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
167834 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167836 -               1740....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167837 -               1800....BP HR..................................................... 114  69  93   BP elevated by taking 2 naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167838 -               1805....BP HR..................................................... 110  75  83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
167839 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167840 -               1700... 40 65280 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
167841 -               1830............ 10 14700  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167842 -               1830............ 10 14290  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167843 -               2010... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
167844 -               0000... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
167845 -               2050... 40 45420 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167846 -               2120... 1000 1020000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167847 -               2130... 05 2990 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
167848 -               0000... 03    6 Melatonin sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167849 -               2200... 80 222920 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
167850 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167852 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167853 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167854 - daily hike. ref SDS 55 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
167855 - coming down .5 miles steep 5% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167856 - top of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
167857 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167858 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167859 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
167861 -  ..
167862 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167863 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167865 -  ..
167866 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167867 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167868 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167870 -  ..
167871 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
167873 -  ..
167874 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167875 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
167877 -  ..
167878 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
167880 -  ..
167881 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167882 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167884 -  ..
167885 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167886 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167887 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
167888 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167889 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167890 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
167891 - NSAID that constricts blood vessels, which inhibits PRP and apixaban.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167892 - Vasoconstriction raises blood pressure and causes colitis.  Ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167893 - is another NSAID like naproxen that raises blood pressure; it also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167894 - raises LDL.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167895 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167896 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
167897 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167898 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167899 - concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
167900 - collagen that repairs joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
167901 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167902 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167904 -  ..
167905 - Today, in order to hike took 1 oxycodone starting hike; took naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167906 - pill at mile 5, and a 2nd naproxen at mile 12, to complete 18 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167907 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167909 -  ..
167910 - Pain during hike today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
167911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
167912 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
167913 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
167914 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167915 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167916 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167917 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167918 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167919 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167920 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167921 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167922 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167923 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167924 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167925 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167926 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167927 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167928 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167929 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167930 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167931 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167932 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167933 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167934 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167935 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167936 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167937 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167938 -        Metatarsalgia left foot...PRP 191009.........   2         10  last 3 miles tolerated with oxycodone at start, naproxen at 5 miles and at 12 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                          
167939 -        Metatarsalgia right foot..PRP 191009.........   2         10  last 3 miles tolerated with oxycodone at start, naproxen at 5 miles and at 12 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                          
167940 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167941 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167942 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167943 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167944 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167945 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167946 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167947 -        Blister little toe right foot................   0        100  healing - no dressing effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167948 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167949 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167950 -        Blister little toe left foot...blood blister.   0        100  healing - no dressing effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167951 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167952 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167953 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167954 -        Burning sensation both feet..................   1         30  after ending gabapentin on 201209                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167955 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167956 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167957 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167958 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167960 -  ..
167961 - Today, energy low starting hike, after hiking 22 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167962 - After hiking 18 miles today, body mildly fatigued; not noticably                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
167963 - wobbly/disoriented taking 1 oxycodone 5 mg before starting, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
167964 - naproxen 250 mg at 5 miles and another at 12 miles.  Feet hurting at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167965 - end of hike, but not after hike.
167967 - -
167968 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167969 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167970 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
167972 -  ..
167973 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167975 -  ..
167976 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
167977 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167978 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167980 -  ..
167981 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167982 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167983 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167984 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167985 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
167987 -  ..
167988 - Little toe left foot did not wrap with hydrofera blue antibacterial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167989 - foam dressing to heal and protect wounds.  Provides additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
167990 - cushioning to prevent crimping during long hikes.  This worked well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167991 - today for 18 miles.  Little toe right foot pain level 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
167992 - without dressing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
167994 -  ..
167995 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
167996 - 1344. ref SDS 79 SM4M  Had to remove 2nd sock on left foot after 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
167997 - miles to reduce pressure on little toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
167999 -  ..
168000 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168001 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168002 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168004 -  ..
168005 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168006 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
168007 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168008 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168009 - ref SDS 77 SM4M  After hike on 201221, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
168010 - Tailor's Bunions, and applied ammonium lactate lotion to feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168011 - above. ref SDS 0 XV4F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168013 -  ..
168014 - Concord 18 mile route - starting very slow.  Took oxycodone 5 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168015 - starting hike.  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168016 - ref SDS 77 SM4M, that prevent feet and knee injuries.  Wore 2-pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
168017 - double-ply Wright socks received on 191010 1344, ref SDS 79 SM4M, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
168018 - prevent blisters.  Applied miconazole nitrate 2% (Thera antifungal)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168019 - foot powder ordered by Doctor Tang during the meeting in Podiatry at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168020 - VAMCSF on 201201 0930. ref SDS B8 PR6M  It was received on 201207                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
168021 - 1549. ref SDS B9 4G4N  Was effective entire hike today.  Did not wrap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
168022 - little toe left foot with hydrofera blue dressing today.  Hiked from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168023 - Cuneo uphill to Treat.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168024 - Temperature started at 34, and reached 59.  Hiked East normal pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168025 - Treat 1 mile to Clayton - time to 1.25 miles 22 minutes.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168026 - corner hiking South on Clayton 2 miles at slow pace, mostly on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168027 - concrete sidewalk.  At mile 2 feeling burning sensation bottom both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168028 - feet, reflects ending gabapentin on 201209.  At mile 3.5, turned West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168029 - onto Ygnacio Valley Road hiking on concrete sidewalk another .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168030 - About mile 4 crossed to South side Ygnacio Valley Road hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168031 - asphalt shoulder aganist East bound traffic.  Right foot at instep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168032 - pain level 0 rest of hike.  At mile 5 time 1252, stopped at Texaco gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168033 - station - EKG reported HR 107 Tachycardia - see below. ref SDS 0 WSWX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168034 - Bought Coca Cola and banana.  Ate half sandwich peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
168035 - margarine and jam.  Feet pain level 2, so took naproxen.  Drank half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168036 - of Coca Cola for hydration and energy.  Hiked .25 mile on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168037 - Valley Road to Pine Hollow; turned left and hiked about 50 yards.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168038 - Turned right onto Campus Road.  Hiked 1-mile West uphill 3% - 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168039 - to California Sate University East Bay campus.  Energy seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168040 - improve.  Hiked 1-loop of about 1.5 miles through adjoining Faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168041 - and Student Parking lots, with 1 sub-loop.  Ate half of banana for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168042 - potasium.  Seemed to feel vasodilation surge of energy and strength                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168043 - hiking up last long hill in Student parking lot.  At mile 7, back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168044 - Visitor Parking hiked North downhill 3% grade .3 mile to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168045 - Valley Road.  Turned left and hiked West .5 mile on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168046 - Road flat pavement.  At mile 8, turned left onto Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168047 - hiked 1 mile uphill 5% grade.  Breathed through nose all the way up,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168048 - improved from yesterday.  Continued on flat roadway .75 mile, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168049 - downhill .5 mile, past Rolling Woods Way.  Continued on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168050 - Road hiking uphill .5 mile with 5% grade and breathing through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168051 - all the way to top of mountain.  Saw Paloma - she was hiking with a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168052 - woman friend today.  Road dead ends.  Hiked downhill .5 mile.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168053 - right onto Rolling Woods Way.  Hiked East .33 mile uphill 5% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168054 - Continued downhill .66 mile.  Turned left and hiked North back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168055 - Ygnacio Valley Road.  At mile 12 time 1522, stopped at Texaco gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168056 - station - EKG reported HR 107 Tachycardia - see below. ref SDS 0 WSYS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168057 - Ate some of half sandwich peanut butter, margarine, strawberry jam.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168058 - Took 2nd naproxen 250 mg pill for pain management.  Hiked .25 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168059 - Ygnacio Valley Road to Pine Hollow; turned left and hiked about 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168060 - yards.  Turned right onto Campus Road.  Hiked 1-mile West uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168061 - 4% grade to California Sate University East Bay campus.  Ate half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168062 - banana purchased at mile 5 stop.  Energy seemed to improve.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168063 - 1-loop of about 1.5 miles through adjoining Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168064 - Parking lots, with 1 sub-loop.  At mile 15. back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168065 - hiked North downhill 3% grade .3 mile to Ygnacio Valley Road.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168066 - left and hiked West .5 mile on Ygnacio Valley Road flat pavement.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168067 - Continued past Crystal Ranch Road and hiked uphill 2% grade past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168068 - Cowell.  Crossed from South side of Ygnacio Valley Road to the North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168069 - side in order to avoid severely sloped shoulder on South Side.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168070 - North side continued West uphill 3% grade over the summit past end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168071 - concrete traffic barriar.  Feeling strong, but pain level 2 in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168072 - At mile 16+ turned around and hike back going East.  Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168073 - Cowell and hiked 1 mile North to Treat.  Turned West and hiked .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168074 - miles to Cuneo then home for 18 miles.  EKG at end of hike - time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168075 - 1717, HR 110 Unclassified, see below. ref SDS 0 WTRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168077 -  ..
168078 - Kardia recorded HR 71 at 0741 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168079 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168080 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168081 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168084 -               ..
168085 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201222-ecg-074157_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168088 -  ..
168089 - EKG looks perfect after hiking 22 miles yesterday, and after cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168090 - ablation on 201210 0700, ref SDS C0 4H5J, to correct recurrance atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168091 - flutter on 201031 1500, taking metoprolol tartrate at 1640,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
168092 - ref SDS 0 SVXS, then pausing medication again the next day on 201101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168093 - per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
168094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168097 -  ..
168098 - Polar HR study in Concord, California elevation 100, 18-mile hike -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168099 - after cardiac ablation right atrial on 201210 0700. ref SDS C0 4H5J,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
168100 - and 2nd ablation right atrial after the 1st on 200511 0546,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
168101 - ref SDS 94 968H, and which is 3rd ablation following initial left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
168102 - atrial procedure on 200430 0700. ref SDS 93 7Y3O  HR profile rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168103 - falls with changes in grade...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
168105 -  ..
168106 - Recorded Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168108 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                             
168109 -       Date       201222 201221 201220 201219 201218 201217 201216 201215 201214 201213 201212 201211 201210 201209 201208 201207 201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 2010  
168110 -       Miles         18     22     16     17      4     15     13     14     11      0      0      0      0     15     24     15     23      0     23      0      0     15     21      0      0      0     25      0      0      0     12      0     11     16      0      7     21     22     22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0      0        
168111 -       HR AVG       117    108    109    110    105    113    115    112    118     no     no     no     no    107    113    109    116     no    120     no     no     99    120     no     no     no    120     no     no     no    113     no    108    108     no    106    109    111    114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     no     n  
168112 -         MAX        135    145    128    134    130    131    128    127    129  report report report report   131    133    131    144  report   147  report report   130    147  report report report   150  report report report   129  report   125    128  report   128    133    134    152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report report repo  
168113 -         Min         83     73     81     83     70     80     80     83     92                                 76     78     85     80            87                   59     90                          86                          83            79     87            69     83     86     80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99                      
168114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168117 -              https://flow.polar.com/training/analysis/5471026179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168120 -               ..
168122 -   
168123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168125 -  ..
168126 - HR profile Concord elevation 100, 18-mile route showing average 117                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168127 - and max 135, aligns with temperature 59, following cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168128 - 201210 0700, ref SDS C0 4H5J; and, following treatment in ER injecting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168129 - high concentrate metoprolol that slowed atrial flutter HR 160, down to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168130 - 60s and 70s, on 201007 2218. ref SDS B3 X36J  A second isolated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168131 - episode of atrial flutter recurred on 201031, with HR 150, and was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168132 - treated with Metoprolol Tartrate pill that lowered HR into 70s.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168133 - ref SDS 0 GZ4I  No further episodes of atrial fibrilltion nor flutter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168134 - have occurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
168135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168138 -  ..
168139 - EKG at mile 5 time 1252 HR 107 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168143 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201222-ecg-125241_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
168144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168146 -  ..
168147 - EKG looks good with few irregularities, after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168148 - 201101. ref SDS 0 P25F  HR 107 identical to last hike at 5 miles, 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168149 - days ago, reported above. ref SDS 0 QVTR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
168150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168153 -  ..
168154 - EKG at mile 12 time 1522 HR 107 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
168155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168158 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201222-ecg-152215_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
168159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168161 -  ..
168162 - EKG looks perfect, after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168166 -  ..
168167 - EKG at mile 18 time 1529 HR 105- Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168171 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201221-ecg-152921_mile_18.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
168172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168174 -  ..
168175 - EKG looks perfect, after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168180 -  ..
168181 - EKG 1 minute after 18-mile hike HR 110 time 1717 Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168182 - Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168185 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201222-ecg-171709_mile_18.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
168186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168188 -  ..
168189 - EKG looks consistent, not clear why "unclassified," after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168190 - metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168194 -  ..
168195 - HR profile post-hike beginning 1914 until next day morning OA 0630                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168196 - shows mostly steady heart beat 68 +/-.  Max HR 154, and minimum HR 51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168197 - aligns with indoor activity - sleeping; 5 spikes above 130 indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168198 - possible atrial fibrillation and/or flutter, after 3rd cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
168199 - ablation which was the 2nd ablation on right atrial reported on 201210                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168200 - 0700. ref SDS C0 4H5J  Erratic HR profile seems prolematic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168204 -        ..
168205 -       Date      201222 201221 201220 201219 201218 201217 201216 201215 201214 201213 201212 201211 201210 201209 201208 201207 201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 201002 20  
168206 -        Hours       11     11     12     14     11     12     13     12     14     17     18     18     10      8      6     11     10     14     12     16     14      9      4     10     11     12     13     12      8      9      9     11     10      9      7      2      7     10     10     10      9      9      7      7     11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      8      
168207 -       HR AVG       68     65     67     66     68     65     69     65     75     67     67     71     72     60     74     63     62     70     70     68     67     78     67     69     70     64     66     66     66     67     63     66     61     59     66     65     64     67     64     65     62     62     65     60     66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60     74      
168208 -         MAX       154    113    119    127    103    115    140    158    148    112    110    142    114     81    113    113    107    165    191    166    130    110     93    124    107    157    151    160    130    102    153     99    102     99     97    112     98    111    102    109    145    112    158    108     97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85    117      
168209 -         Min        51     50     54     53     51     51     53     41     49     50     52     51     52     54     56     51     53     43     31     53     46     58     53     49     56     52     36     49     51     54     48     53     47     47     55     43     52     50     52     54     41     47     48     44     49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51     50      
168210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168213 -              https://flow.polar.com/training/analysis/5472314199                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168218 -   
168219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168223 -  ..
168224 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
168225 - Lunch - half sandwich peanut butter margarine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168226 - Dinner - broccoli salmon mashed potatoes onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
168228 -  ..
168229 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168235 -         ..
168236 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
168237 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168238 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168239 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
168240 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168241 -  358.  201223 0700............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168242 -               0830....BP HR..................................................... 128  81  72  Kardia ECG reports HR normal, see below. ref SDS 0 WWRX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168243 -               0835....BP HR..................................................... 130  78  72  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168244 -               0840....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168245 -               0000... 20 978680 CoQ10 Ubiquinol Liquid - paused on 201214 due to expense                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
168246 -               0840... 80 223000 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168247 -               0840... 05 2995 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168248 -               0840... 75 12125 Clopidogrel Bisulfate (Plavix) 75 MG tablet  - paused 201111 pending blood test, resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168249 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
168250 -               0000... Gabapentin 300MG  47900MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168251 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168252 -               0950... Oxycodone HCL Plain  5  385 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168253 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168254 -               0000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
168255 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168256 -        * cr   0955....miles...........  24.0  64.0  403  1084 minutes  temp  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168258 -               1250... Oxycodone HCL Plain  5  390 mg RX90533728 took for pain management during hike not combined with gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168259 -               1250....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
168260 -               0000....Tramadol 50 2250 for prevent feet knee pain at mile 14 in 24 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168261 -               0000... Gabapentin 300MG  47900MB took today, after pausing on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168262 -               1550... Naproxen (Aleve) 1 pill 250 mg - feet hurting need to hike home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168263 -               1615... Naproxen (Aleve) 1 pill 250 mg - feet hurting need to hike home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168264 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168266 -               1800....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168267 -               1835....BP HR..................................................... 128  81  89   BP elevated by taking 2 naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168268 -               1840....BP HR..................................................... 117  76  79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168269 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168270 -               1840... 40 65120 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
168271 -             1 0000............ 10 14700  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168272 -             1 0000............ 10 14290  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168273 -               2010... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168274 -               2040... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
168275 -               2050... 40 45460 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168276 -               2120... 1000 1021000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168277 -               2130... 05 3000 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
168278 -               0000... 03    6 Melatonin sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168279 -               2200... 80 223080 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
168280 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168282 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168283 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168284 - daily hike. ref SDS 55 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
168285 - coming down .5 miles steep 5% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168286 - top of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
168287 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168288 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168289 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
168291 -  ..
168292 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168293 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168295 -  ..
168296 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168297 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168298 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168300 -  ..
168301 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
168303 -  ..
168304 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168305 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
168307 -  ..
168308 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
168310 -  ..
168311 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168312 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168314 -  ..
168315 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168316 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168317 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
168318 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168319 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168320 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
168321 - NSAID that constricts blood vessels, which inhibits PRP and apixaban.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168322 - Vasoconstriction raises blood pressure and causes colitis.  Ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168323 - is another NSAID like naproxen that raises blood pressure; it also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168324 - raises LDL.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168325 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168326 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
168327 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168328 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168329 - concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168330 - collagen that repairs joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168331 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168332 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168334 -  ..
168335 - Today, in order to hike took 1 oxycodone starting hike; took 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168336 - oxycodone at mile 9; took naproxen pill at mile 5, and a 2nd naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168337 - at mile 15, to complete 19 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168339 -  ..
168340 - Pain during hike today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
168341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168342 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
168343 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
168344 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168345 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168346 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168347 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168348 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168349 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168350 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168351 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168352 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168353 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168354 -        Knee left meniscus...PRP 191009..............   2         15  forgot to take Glucosamine Chondroitin; hiked home and drank normal dose, took another oxycodone rest of hike 15 miles left knee pain level 0                                                                                                                                                                                                                                                                                                                                                                                                
168355 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168356 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168357 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168358 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168359 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168360 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168361 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168362 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168363 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168364 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168365 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168366 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168367 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168368 -        Metatarsalgia left foot...PRP 191009.........   3         20  last 6 miles tolerated with oxycodone at start, naproxen at 5 miles, 2nd oxycodone at 10 miles and 2nd naproxen at 18 miles                                                                                                                                                                                                                                                                                                                                                                                                                  
168369 -        Metatarsalgia right foot..PRP 191009.........   3         20  last 6 miles tolerated with oxycodone at start, naproxen at 5 miles, 2nd oxycodone at 10 miles and 2nd naproxen at 18 miles                                                                                                                                                                                                                                                                                                                                                                                                                  
168370 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168371 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168372 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168373 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168374 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168375 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168376 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168377 -        Blister little toe right foot................   0        100  healing - dressing effective hydrofera blue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168378 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168379 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168380 -        Blister little toe left foot...blood blister.   0        100  healing - dressing effective hydrofera blue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168381 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168382 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168383 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168384 -        Burning sensation both feet..................   1         30  after ending gabapentin on 201209                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168385 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168386 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168387 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168388 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168390 -  ..
168391 - Today, energy good starting hike, after hiking 18 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168392 - After hiking 24 miles today, body mildly fatigued; not noticably                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168393 - wobbly/disoriented taking 1 oxycodone 5 mg before starting, took 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168394 - oxycodone at 10 miles after returning home for Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168395 - for knees; took naproxen 250 mg at 10 miles and another at 18 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168396 - Feet hurting at end of hike, but not after hiking.
168398 - -
168399 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168400 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168401 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168403 -  ..
168404 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168406 -  ..
168407 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168408 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168409 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168411 -  ..
168412 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168413 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168414 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168415 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168416 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168418 -  ..
168419 - Little toe left foot did not wrap with hydrofera blue antibacterial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168420 - foam dressing to heal and protect wounds.  Provides additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
168421 - cushioning to prevent crimping during long hikes.  This worked well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168422 - today for 18 miles.  Little toe right foot pain level 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168423 - without dressing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168425 -  ..
168426 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168427 - 1344. ref SDS 79 SM4M  Had to remove 2nd sock on left foot after 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
168428 - miles to reduce pressure on little toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
168430 -  ..
168431 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168432 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168433 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168435 -  ..
168436 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168437 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
168438 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168439 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168440 - ref SDS 77 SM4M  After hike on 201223, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
168441 - Tailor's Bunions, and applied ammonium lactate lotion to feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168442 - above. ref SDS 0 729L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168444 -  ..
168445 - Concord 24 mile route - starting normal to fast speed.  Took oxycodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168446 - 5 mg starting hike.  Wearing Hoka Bondi 6 shoes received on 190927                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168447 - 1110, ref SDS 77 SM4M, that prevent feet and knee injuries.  Wore                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
168448 - 2-pair double-ply Wright socks received on 191010 1344, ref SDS 79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
168449 - SM4M, to prevent blisters.  Applied miconazole nitrate 2% (Thera                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168450 - antifungal) foot powder ordered by Doctor Tang during the meeting in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168451 - Podiatry at VAMCSF on 201201 0930. ref SDS B8 PR6M  It was received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168452 - 201207 1549. ref SDS B9 4G4N  Was effective entire hike today. wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168453 - little toes both feet with hydrofera blue dressing today.  Hiked from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168454 - Cuneo uphill to Treat.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168455 - Temperature started at 34, and reached 59.  Hiked East normal pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168456 - Treat 1 mile to Clayton - time to 1.25 miles 20 minutes.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168457 - corner hiking South on Clayton 2 miles at slow pace, mostly on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168458 - concrete sidewalk.  At mile 2 feeling burning sensation bottom both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168459 - feet, reflects ending gabapentin on 201209.  At mile 3.5, turned West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168460 - onto Ygnacio Valley Road hiking on concrete sidewalk another .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168461 - About mile 4 crossed to South side Ygnacio Valley Road hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168462 - asphalt shoulder aganist East bound traffic.  Right foot at instep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168463 - pain level 0 rest of hike.  At mile 5 time 1116, stopped at Texaco gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168464 - station - EKG reported HR 102 Tachycardia - see below. ref SDS 0 WWXY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168465 - Bought Coca Cola.  Ate half sandwich peanut butter margarine and jam.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168466 - Feet pain level 1, and left knee pain level 1.  Remembered forgot to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168467 - take Glucosamine Chondroitin.  Drank half of Coca Cola for hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168468 - and energy.  Hiked .25 mile on Ygnacio Valley Road to Pine Hollow;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168469 - turned left and hiked about 50 yards.  Turned right onto Campus Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168470 - Hiked 1-mile West uphill 3% - 4% grade to California Sate University                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168471 - East Bay campus.  Energy seemed to improve.  Hiked 1-loop of about 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168472 - miles through adjoining Faculty and Student Parking lots, with 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168473 - sub-loop.  Saw Lacy positioning her dogs for a picture.  They all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168474 - seemed to have a red scarf.  Today, a man, likely her husband, who                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168475 - also walks dogs, was helping Lacy handle the dogs setting up for a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168476 - Christmas picture.  Seemed to feel vasodilation surge of energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168477 - strength hiking up last long hill in Student parking lot.  On the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168478 - backstretch hiking up student parking found a red scarf rolling in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168479 - wind.  Likely fell off one of Lacy's dogs.  Picked it up.  At mile 7,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168480 - back at Visitor Parking, Lacy and the dogs were gone, so saved the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168481 - scarf to possibly return it tomorrow, if she is working.  Hiked North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168482 - downhill 3% grade .3 mile to Ygnacio Valley Road.  Turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168483 - hiked West .5 mile on Ygnacio Valley Road flat pavement.  Caught up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168484 - with a woman also hiking West.  She introduced herself - Leila, lives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168485 - in Crystal Ranch complex, and mentioned seeing me hiking the past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168486 - years.  Today, she hiked Rolling Woods Way to Pine Hollow, to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168487 - Valley Road.  She turned left onto Crystal Ranch Road heading home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168488 - Since left knee hurting, continued past Crystal Ranch Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168489 - uphill 2% grade to Cowell.  Turned right and hiked North 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168490 - Treat.  Turned left and hiked West .25 miles to Cuneo then home at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168491 - mile 9 in the hike - time 1248, EKG reported HR 103 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168492 - below. ref SDS 0 WXQP  Took 2nd oxycodone, becaue feet hurting.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168493 - Gludosamine Chondroitin for left knee, which forgot to take this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168494 - morning.  Ate 2nd half sandwich with oxycodone pill.  Made another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168495 - half sandwich to take pills on next phase of hiking today.  At 1300,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168496 - left house again and hiked up Cuneo to Treat.  Crossed street to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168497 - on South side heading West.  Hiked 2 miles to Oak Grove.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168498 - and hiked 1 mile to Shadelands.  Turned right and hiked .25 miles to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168499 - Via Monte, then left onto Via Monte.  Someone yelled out asking how                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168500 - far I am hiking today, and noting having seen me at various times on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168501 - Ygnacio Valley Road, Clayton, Treat.  Looked up and saw 2 men in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168502 - window of the 2nd story apartment.  The window was open and they                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168503 - waved.  Explained briefly may hike 20+ today.  Thanked them for their                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168504 - interest.  Hiked .25 miles to Ygnacio Valley Road using the paved path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168505 - around the Safeway shopping complex.  Hiked East .25 miles back to Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168506 - Grove.  Continued East on Ygnacio Valley Road 2 miles uphill 2% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168507 - over the summit, and downhill to Crystal Ranch Road.  About 1500 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168508 - mile 15 in the hike, took 1 naproxen pill 250 mg to complement 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168509 - oxycocone taken so far managing pain in feet.  Ate half of 2nd half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168510 - sandwich.  Turned right onto Crystal Ranch Road and hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168511 - uphill 5% grade.  Breathed through nose easily all the way up.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
168512 - Continued on flat roadway .75 mile, then downhill .5 mile, past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168513 - Rolling Woods Way.  Continued on Crystal Ranch Road hiking uphill .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168514 - mile with 5% grade and breathing through nose all the way to top of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168515 - mountain.  Road dead ends.  Hiked downhill .5 mile.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168516 - Rolling Woods Way.  Hiked East .33 mile uphill 5% grade.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168517 - downhill .66 mile.  Turned left and hiked North 1 mile back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168518 - Valley Road.  At mile 19 time 1615, stopped at Texaco gas station -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168519 - EKG reported HR 105 Tachycardia - see below. ref SDS 0 WXPT  Ate rest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168520 - of half sandwich peanut butter, margarine, strawberry jam.  Took 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168521 - naproxen 250 mg pill for pain management.  Hiked 1 mile East to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168522 - Clayton.  Turned left and hiked 2 miles on concrete sidewalk to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168523 - Feet hurting pain level 2 - 3.  Turned left and hiked 1.25 miles East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168524 - past Cowell to Cuneo and home for 24 miles.  EKG at end of hike - time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168525 - 1758, HR 107 Tachycardia, see below. ref SDS 0 WXUS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168527 -  ..
168528 - Kardia recorded HR 71 at 0826 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168529 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168530 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168531 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168534 -               ..
168535 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201223-ecg-082608_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168538 -  ..
168539 - EKG looks perfect after hiking 18 miles yesterday, and after cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168540 - ablation on 201210 0700, ref SDS C0 4H5J, to correct recurrance atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168541 - flutter on 201031 1500, taking metoprolol tartrate at 1640,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
168542 - ref SDS 0 SVXS, then pausing medication again the next day on 201101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168543 - per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
168544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168547 -  ..
168548 - Polar HR study in Concord, California elevation 100, 24-mile hike -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168549 - after cardiac ablation right atrial on 201210 0700. ref SDS C0 4H5J,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
168550 - and 2nd ablation right atrial after the 1st on 200511 0546,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
168551 - ref SDS 94 968H, and which is 3rd ablation following initial left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
168552 - atrial procedure on 200430 0700. ref SDS 93 7Y3O  HR profile rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168553 - falls with changes in grade...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
168555 -  ..
168556 - Recorded Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168558 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                                      
168559 -       Date       201223 201222 201221 201220 201219 201218 201217 201216 201215 201214 201213 201212 201211 201210 201209 201208 201207 201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 201005 2010  
168560 -       Miles         24     18     22     16     17      4     15     13     14     11      0      0      0      0     15     24     15     23      0     23      0      0     15     21      0      0      0     25      0      0      0     12      0     11     16      0      7     21     22     22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11      0        
168561 -       HR AVG       113    117    108    109    110    105    113    115    112    118     no     no     no     no    107    113    109    116     no    120     no     no     99    120     no     no     no    120     no     no     no    113     no    108    108     no    106    109    111    114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     no     n  
168562 -         MAX        134    135    145    128    134    130    131    128    127    129  report report report report   131    133    131    144  report   147  report report   130    147  report report report   150  report report report   129  report   125    128  report   128    133    134    152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  report repo  
168563 -         Min         87     83     73     81     83     70     80     80     83     92                                 76     78     85     80            87                   59     90                          86                          83            79     87            69     83     86     80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99               
168564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168567 -              https://flow.polar.com/training/analysis/5473786484                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168570 -               ..
168572 -   
168573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168575 -  ..
168576 - HR profile Concord elevation 100, 24-mile route showing average 113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168577 - and max 135, aligns with temperature 57, following cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168578 - 201210 0700, ref SDS C0 4H5J; and, following treatment in ER injecting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168579 - high concentrate metoprolol that slowed atrial flutter HR 160, down to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168580 - 60s and 70s, on 201007 2218. ref SDS B3 X36J  A second isolated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168581 - episode of atrial flutter recurred on 201031, with HR 150, and was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168582 - treated with Metoprolol Tartrate pill that lowered HR into 70s.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168583 - ref SDS 0 GZ4I  No further episodes of atrial fibrilltion nor flutter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168584 - have occurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
168585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168588 -  ..
168589 - EKG at mile 5 time 1116 HR 102 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168593 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201223-ecg-111616_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
168594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168596 -  ..
168597 - EKG looks perfect, after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168598 - HR 107 identical to last hike at 5 miles, 2 days ago, reported above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168599 - ref SDS 0 QVTR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
168600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168603 -  ..
168604 - EKG at mile 9 time 1248 HR 103 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168608 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201223-ecg-124842_mile_09.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
168609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168611 -  ..
168612 - EKG looks perfect, after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168613 - HR 107 identical to last hike at 5 miles, 2 days ago, reported above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168614 - ref SDS 0 QVTR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
168615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168619 -  ..
168620 - EKG at mile 19 time 1615 HR 105 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
168621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168624 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201223-ecg-161534_mile_19.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
168625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168627 -  ..
168628 - EKG looks perfect, after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168633 -  ..
168634 - EKG 1 minute after 24-mile hike HR 107 time 1758 Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168635 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
168636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168638 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201223-ecg-175832_mile_24.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
168639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168641 -  ..
168642 - EKG looks perfect, after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168646 -  ..
168647 - HR profile post-hike beginning 1952 until next day morning OA 0730                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168648 - shows mostly steady heart beat 67 +/-.  Max HR 117, and minimum HR 51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168649 - aligns with indoor activity - sleeping; 0 spikes above 130 indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168650 - no likely atrial fibrillation nor flutter, after 3rd cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168651 - (2nd ablation on right atrial) reported on 201210 0700. ref SDS C0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
168652 - 4H5J  Stable HR profile seems positive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
168653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168655 -        ..
168656 -       Date      201223 201222 201221 201220 201219 201218 201217 201216 201215 201214 201213 201212 201211 201210 201209 201208 201207 201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 201003 20  
168657 -        Hours       12     11     11     12     14     11     12     13     12     14     17     18     18     10      8      6     11     10     14     12     16     14      9      4     10     11     12     13     12      8      9      9     11     10      9      7      2      7     10     10     10      9      9      7      7     11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      3      
168658 -       HR AVG       67     68     65     67     66     68     65     69     65     75     67     67     71     72     60     74     63     62     70     70     68     67     78     67     69     70     64     66     66     66     67     63     66     61     59     66     65     64     67     64     65     62     62     65     60     66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60     60      
168659 -         MAX       117    154    113    119    127    103    115    140    158    148    112    110    142    114     81    113    113    107    165    191    166    130    110     93    124    107    157    151    160    130    102    153     99    102     99     97    112     98    111    102    109    145    112    158    108     97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103     85      
168660 -         Min        51     51     50     54     53     51     51     53     41     49     50     52     51     52     54     56     51     53     43     31     53     46     58     53     49     56     52     36     49     51     54     48     53     47     47     55     43     52     50     52     54     41     47     48     44     49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44     51      
168661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168664 -              https://flow.polar.com/training/analysis/5475439764                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168669 -   
168670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168674 -  ..
168675 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
168676 - Lunch - half sandwich peanut butter margarine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168677 - Dinner - broccoli salmon mashed potatoes onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
168679 -  ..
168680 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168687 -         ..
168688 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
168689 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168690 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168691 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
168692 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168693 -  359.  201224 0700............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168694 -               0830....BP HR..................................................... 129  78  66  Kardia ECG reports HR normal, see below. ref SDS 0 XQXW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168695 -               0835....BP HR..................................................... 135  83  68  smooth curve so sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168696 -               0840....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168697 -               0000... 20 978680 CoQ10 Ubiquinol Liquid - paused on 201214 due to expense                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
168698 -               0840... 80 223160 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168699 -               0840... 05 3005 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168700 -               0840... 75 12200 Clopidogrel Bisulfate (Plavix) - paused 201225 because lowers HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168701 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
168702 -               0000... Gabapentin 300MG  47900MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168703 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168704 -               1000... Oxycodone HCL Plain  5  395 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168705 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168706 -               1000....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
168707 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168708 -        * cr   1005....miles...........  19.0  83.0  325  1409 minutes  temp  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168710 -               0000... Oxycodone HCL Plain  5  395 mg RX90533728 took for pain management during hike not combined with gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168711 -               0000....Tramadol 50 2250 for prevent feet knee pain at mile 14 in 24 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168712 -               0000... Gabapentin 300MG  47900MB took today, after pausing on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168713 -               1410... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
168714 -               0000... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
168715 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168717 -               1640....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168718 -               1705....BP HR..................................................... 115  75  80   BP elevated by taking 1 naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168719 -               1710....BP HR..................................................... 124  78  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168720 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168721 -               1700... 40 65160 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
168722 -               1830............ 10 14710  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168723 -               1830............ 10 14300  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168724 -               2010... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168725 -               0000... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
168726 -               2050... 40 45500 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168727 -               2120... 1000 1022000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168728 -               2130... 05 3010 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
168729 -               0000... 03    6 Melatonin sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168730 -               2200... 80 223240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
168731 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168733 -  ..
168734 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168735 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168736 - daily hike. ref SDS 55 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
168737 - coming down .5 miles steep 5% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168738 - top of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
168739 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168740 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168741 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
168743 -  ..
168744 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168745 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168747 -  ..
168748 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168749 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168750 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168752 -  ..
168753 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
168755 -  ..
168756 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168757 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
168759 -  ..
168760 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
168762 -  ..
168763 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168764 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168766 -  ..
168767 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168768 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168769 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
168770 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168771 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168772 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
168773 - NSAID that constricts blood vessels, which inhibits PRP and apixaban.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168774 - Vasoconstriction raises blood pressure and causes colitis.  Ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168775 - is another NSAID like naproxen that raises blood pressure; it also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168776 - raises LDL.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168777 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168778 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
168779 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168780 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168781 - concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168782 - collagen that repairs joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168783 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168784 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168786 -  ..
168787 - Today, in order to hike took 1 oxycodone starting hike; took naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168788 - pill at mile 5, and a 2nd naproxen at mile 12, to complete 18 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168789 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168791 -  ..
168792 - Pain during hike today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
168793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168794 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
168795 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
168796 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168797 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168798 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168799 -        Trapezius right side neck/shoulder...........   6          1  few momentary episodes today, after long time of no episodes and only turning body, not turning head                                                                                                                                                                                                                                                                                                                                                                                                                                         
168800 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168801 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168802 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168803 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168804 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168805 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168806 -        Knee left meniscus...PRP 191009..............   2          5  took Glucosamine Chondroitin; occurred going downhill and recurred at mile 15.5 on Ygnacio Valley Road flat grade then subsided going uphill past Crystal Ranch Road to Cowell                                                                                                                                                                                                                                                                                                                                                               
168807 -        Knee left patalla...PRP 191009...............   2          5  took Glucosamine Chondroitin; occurred going downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
168808 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168809 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168810 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168811 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168812 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168813 -        Hamstring left leg...........................   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168814 -        Hamstring right leg..........................   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168815 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168816 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168817 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168818 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168819 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168820 -        Metatarsalgia left foot...PRP 191009.........   3         20  last 6 miles tolerated with oxycodone at start, naproxen at 5 miles, 2nd oxycodone at 10 miles and 2nd naproxen at 18 miles                                                                                                                                                                                                                                                                                                                                                                                                                  
168821 -        Metatarsalgia right foot..PRP 191009.........   3         20  last 6 miles tolerated with oxycodone at start, naproxen at 5 miles, 2nd oxycodone at 10 miles and 2nd naproxen at 18 miles                                                                                                                                                                                                                                                                                                                                                                                                                  
168822 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168823 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168824 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168825 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168826 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168827 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168828 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168829 -        Blister little toe right foot................   0        100  healing - dressing effective hydrofera blue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168830 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168831 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168832 -        Blister little toe left foot...blood blister.   1        100  healing - dressing hydrofera blue - hurt entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
168833 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168834 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168835 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168836 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168837 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168838 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168839 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168840 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168842 -  ..
168843 - Today, energy low starting hike, after hiking 24 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168844 - After hiking 19 miles today, body mildly fatigued; not noticably                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168845 - wobbly/disoriented taking 1 oxycodone 5 mg before starting, took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168846 - naproxen 250 mg at 13 miles.  Feet hurting at end of hike, but not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168847 - after hiking.
168849 - -
168850 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168851 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168852 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168854 -  ..
168855 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168857 -  ..
168858 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168859 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168860 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168862 -  ..
168863 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168864 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168865 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168866 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168867 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168869 -  ..
168870 - Little toe left foot did not wrap with hydrofera blue antibacterial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168871 - foam dressing to heal and protect wounds.  Provides additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
168872 - cushioning to prevent crimping during long hikes.  This worked well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168873 - today for 18 miles.  Little toe right foot pain level 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168874 - without dressing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168876 -  ..
168877 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168878 - 1344. ref SDS 79 SM4M  Had to remove 2nd sock on left foot after 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
168879 - miles to reduce pressure on little toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
168881 -  ..
168882 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168883 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168884 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168886 -  ..
168887 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168888 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
168889 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168890 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168891 - ref SDS 77 SM4M  After hike on 201224, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
168892 - Tailor's Bunions, and applied ammonium lactate lotion to feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168893 - above. ref SDS 0 UR3M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168895 -  ..
168896 - Concord 19 mile route - starting slow pace.  Took oxycodone 5 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168897 - starting hike.  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168898 - ref SDS 77 SM4M, that prevent feet and knee injuries.  Wore 2-pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
168899 - double-ply Wright socks received on 191010 1344, ref SDS 79 SM4M, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
168900 - prevent blisters.  Applied miconazole nitrate 2% (Thera antifungal)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168901 - foot powder ordered by Doctor Tang during the meeting in Podiatry at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168902 - VAMCSF on 201201 0930. ref SDS B8 PR6M  It was received on 201207                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
168903 - 1549. ref SDS B9 4G4N  Was effective entire hike today.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168904 - little toes both feet with hydrofera blue dressing today - more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168905 - effective on right toe; little toe left foot pain level 1 - 2 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168906 - hike.  Post hike no evident worsening of injury.  Hiked from Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168907 - uphill to Treat.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
168908 - Temperature started at 34, and reached 56.  Hiked East slow pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168909 - Treat 1 mile to Clayton - time to 1.25 miles 22 minutes.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168910 - corner hiking South on Clayton 2 miles at slow pace, mostly on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168911 - concrete sidewalk.  At mile 3.5, turned West onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168912 - hiking on concrete sidewalk another .5 mile.  About mile 4 crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168913 - South side Ygnacio Valley Road hiking West on asphalt shoulder aganist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168914 - East bound traffic.  Right foot at instep pain level 0 rest of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168915 - At mile 5 time 1126, stopped at Texaco gas station - EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168916 - 98 Normal - see below. ref SDS 0 XRTX  Bought Coca Cola.  Ate half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168917 - sandwich peanut butter margarine and jam.  Drank half of Coca Cola for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168918 - hydration and energy.  Hiked .25 mile on Ygnacio Valley Road to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168919 - Hollow; turned left and hiked about 50 yards.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168920 - Campus Road.  Hiked 1-mile West uphill 3% - 4% grade to California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168921 - Sate University East Bay campus.  Energy seemed to improve.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168922 - 1-loop of about 1.5 miles through adjoining Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168923 - Parking lots, with 1 sub-loop.  Seemed to feel vasodilation surge of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168924 - energy and strength hiking up last long hill in Student parking lot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168925 - mile 7, back at Visitor Parking, Hiked North downhill 3% grade .3 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168926 - to Ygnacio Valley Road.  Turned left and hiked West .5 mile on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168927 - Valley Road flat pavement.  Turned left onto Crystal Ranch Road and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168928 - hiked South 1 mile uphill 5% grade.  Breathed through nose easily all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168929 - the way up.  Continued on flat roadway .75 mile, then downhill .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168930 - mile, past Rolling Woods Way.  Continued on Crystal Ranch Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168931 - uphill .5 mile with 5% grade and breathing through nose all the way to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168932 - top of mountain.  About halfway up, saw Ted coming downhill.  He asked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168933 - if I had seen Caroline.  Said no.  Ted said Caroline is pushing a baby                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168934 - cart.  Conintued to the top - road dead ends.  Hiked downhill .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168935 - On the way down, saw Caroline and Ted was pushing the baby carriage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168936 - with 2 or 3 little dogs.  He got results of MRI on his knee.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168937 - Orthopedic surgeon told him the knee is too severely damaged for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168938 - trying injection treatments.  Expect the surgeon was referencing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168939 - cortizone and hylauronic acid injections.  Recommneded that Ted                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168940 - investigate PRP.  Turned right onto Rolling Woods Way.  Hiked East .33                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168941 - mile uphill 5% grade.  Continued downhill .66 mile.  Turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168942 - hiked North 1 mile back to Ygnacio Valley Road.  At mile 13 time 1403,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168943 - stopped at Texaco gas station - EKG reported HR 97 Normnal - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168944 - below. ref SDS 0 XRVT  Bought Coca Cola and drank half while eating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168945 - rest of half sandwich peanut butter, margarine, strawberry jam.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168946 - Decided not to take 2nd naproxen to reduce reliance on pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
168947 - medication, even though feet at pain level 3 - 4.  Hiked .25 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168948 - Ygnacio Valley Road to Pine Hollow; turned left and hiked about 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168949 - yards.  Turned right onto Campus Road.  Hiked 1-mile West uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168950 - 4% grade to California Sate University East Bay campus.  Hiked 1-loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168951 - of about 1.5 miles through adjoining Faculty and Student Parking lots,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168952 - with 1 sub-loop.  At mile 15, back at Visitor Parking, hiked North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168953 - downhill 3% grade .3 mile to Ygnacio Valley Road.  Turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168954 - hiked West .5 mile on Ygnacio Valley Road flat pavement.  At mile 15.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168955 - feeling left knee miniscus pain level 2, feet metatasalgia pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168956 - 3; continued past Crystal Ranch Road hiking uphill 2% grade past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168957 - Cowell.  Pain subsided in the knee going uphill, as usual.  At mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168958 - crossed from South to North side Ygnacio Valley Road.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
168959 - uphill 2% grade to about mile 16.5.  Reversed direction and hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168960 - back to Cowell.  At mile 17, turned left and hiked North, downhill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168961 - grade.  At mile 18, turned left and hiked West on Treat .25 miles to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168962 - Cuneo.  Turned into complex and hiked home for 19 miles.  EKG at end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
168963 - of hike - time 11619 HR 100 Normal, see below. ref SDS 0 XRYU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
168965 -  ..
168966 - Kardia recorded HR 67 at 0832 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
168967 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
168968 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168969 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168972 -               ..
168973 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201224-ecg-083231_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168976 -  ..
168977 - EKG looks raggedy initial 4 beats, then perfect after hiking 24 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
168978 - yesterday, and after cardiac ablation on 201210 0700, ref SDS C0 4H5J,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168979 - to correct recurrance atrial flutter on 201031 1500, taking metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
168980 - tartrate at 1640, ref SDS 0 SVXS, then pausing medication again the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168981 - next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
168982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168985 -  ..
168986 - Polar HR study in Concord, California elevation 100, 19-mile hike -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
168987 - after cardiac ablation right atrial on 201210 0700. ref SDS C0 4H5J,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
168988 - and 2nd ablation right atrial after the 1st on 200511 0546,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
168989 - ref SDS 94 968H, and which is 3rd ablation following initial left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
168990 - atrial procedure on 200430 0700. ref SDS 93 7Y3O  HR profile rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
168991 - falls with changes in grade...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
168993 -  ..
168994 - Recorded Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
168996 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                               
168997 -       Date       201224 201223 201222 201221 201220 201219 201218 201217 201216 201215 201214 201213 201212 201211 201210 201209 201208 201207 201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 201006 2010  
168998 -       Miles         19     24     18     22     16     17      4     15     13     14     11      0      0      0      0     15     24     15     23      0     23      0      0     15     21      0      0      0     25      0      0      0     12      0     11     16      0      7     21     22     22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     11        
168999 -       HR AVG       114    113    117    108    109    110    105    113    115    112    118     no     no     no     no    107    113    109    116     no    120     no     no     99    120     no     no     no    120     no     no     no    113     no    108    108     no    106    109    111    114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    123     n  
169000 -         MAX        131    134    135    145    128    134    130    131    128    127    129  report report report report   131    133    131    144  report   147  report report   130    147  report report report   150  report report report   129  report   125    128  report   128    133    134    152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    137  repo  
169001 -         Min         84     87     83     73     81     83     70     80     80     83     92                                 76     78     85     80            87                   59     90                          86                          83            79     87            69     83     86     80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     99        
169002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169005 -              https://flow.polar.com/training/analysis/5476142484                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169008 -               ..
169010 -   
169011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169013 -  ..
169014 - HR profile Concord elevation 100, 19-mile route showing average 114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169015 - and max 131, aligns with temperature 56, following cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169016 - 201210 0700, ref SDS C0 4H5J; and, following treatment in ER injecting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
169017 - high concentrate metoprolol that slowed atrial flutter HR 160, down to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169018 - 60s and 70s, on 201007 2218. ref SDS B3 X36J  A second isolated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169019 - episode of atrial flutter recurred on 201031, with HR 150, and was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169020 - treated with Metoprolol Tartrate pill that lowered HR into 70s.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169021 - ref SDS 0 GZ4I  No further episodes of atrial fibrilltion nor flutter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169022 - have occurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
169023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169026 -  ..
169027 - EKG at mile 5 time 1116 HR 98 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169031 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201224-ecg-112638_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
169032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169034 -  ..
169035 - EKG looks little raggedy initial beats, then perfect, after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169036 - metoprolol on 201101. ref SDS 0 P25F  HR 107 identical to last hike at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169037 - 5 miles, 2 days ago, reported above. ref SDS 0 QVTR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169041 -  ..
169042 - EKG at mile 13 time 1403 HR 97 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
169043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169046 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201224-ecg-140352_mile_13.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
169047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169049 -  ..
169050 - EKG looks little raggedy, after pausing metoprolol on 201101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
169051 - ref SDS 0 P25F  HR 107 identical to last hike at 5 miles, 2 days ago,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169052 - reported above. ref SDS 0 QVTR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
169053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169057 -  ..
169058 - EKG at mile 19 time 1615 HR 105 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
169059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169062 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201223-ecg-161534_mile_19.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
169063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169065 -  ..
169066 - EKG looks perfect, after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169071 -  ..
169072 - EKG 1 minute after 19-mile hike HR 100 time 1619 Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
169073 - Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169076 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201224-ecg-161949_mile_19.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
169077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169079 -  ..
169080 - EKG looks perfect, after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169084 -  ..
169085 - HR profile post-hike beginning 2011 until next day morning OA 0730                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169086 - shows mostly steady heart beat 65 +/-.  Max HR 126, and minimum HR 47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169087 - aligns with indoor activity - sleeping; 0 spikes above 130 indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169088 - no likely atrial fibrillation nor flutter, after 3rd cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169089 - (2nd ablation on right atrial) reported on 201210 0700. ref SDS C0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
169090 - 4H5J  Stable HR profile seems positive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
169091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169094 -        ..
169095 -       Date      201224 201223 201222 201221 201220 201219 201218 201217 201216 201215 201214 201213 201212 201211 201210 201209 201208 201207 201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 201004 20  
169096 -        Hours       11     12     11     11     12     14     11     12     13     12     14     17     18     18     10      8      6     11     10     14     12     16     14      9      4     10     11     12     13     12      8      9      9     11     10      9      7      2      7     10     10     10      9      9      7      7     11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      7      
169097 -       HR AVG       65     67     68     65     67     66     68     65     69     65     75     67     67     71     72     60     74     63     62     70     70     68     67     78     67     69     70     64     66     66     66     67     63     66     61     59     66     65     64     67     64     65     62     62     65     60     66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60     60      
169098 -         MAX       126    117    154    113    119    127    103    115    140    158    148    112    110    142    114     81    113    113    107    165    191    166    130    110     93    124    107    157    151    160    130    102    153     99    102     99     97    112     98    111    102    109    145    112    158    108     97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103    103      
169099 -         Min        47     51     51     50     54     53     51     51     53     41     49     50     52     51     52     54     56     51     53     43     31     53     46     58     53     49     56     52     36     49     51     54     48     53     47     47     55     43     52     50     52     54     41     47     48     44     49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44     44      
169100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169103 -              https://flow.polar.com/training/analysis/5477879434                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169108 -   
169109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169114 -  ..
169115 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
169116 - Lunch - half sandwich peanut butter margarine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169117 - Dinner - broccoli pasta cheese hamburger onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
169119 -  ..
169120 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
169121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169127 -         ..
169128 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
169129 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
169130 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
169131 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
169132 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
169133 -  360.  201225 0700............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169134 -               0830....BP HR..................................................... 142  84  67  Kardia ECG reports HR normal, see below. ref SDS 0 XVUP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169135 -               0835....BP HR..................................................... 139  83  66  smooth curve so sinus BP elevated taking naproxen for hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                        
169136 -               0840....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169137 -               0000... 20 978680 CoQ10 Ubiquinol Liquid - paused on 201214 due to expense                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
169138 -               0840... 80 223320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
169139 -               0840... 05 3015 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169140 -               0000... 75 12200 Clopidogrel Bisulfate (Plavix) - paused 201225 because lowers HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
169141 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
169142 -               0000... Gabapentin 300MG  47900MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169143 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169144 -               0945... Oxycodone HCL Plain  5  395 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169145 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169146 -               0945....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
169147 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169148 -               0950....miles...........  19.0 102.0  323  1732 minutes  temp  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169150 -               0000... Oxycodone HCL Plain  5  395 mg RX90533728 took for pain management during hike not combined with gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169151 -               0000....Tramadol 50 2250 for prevent feet knee pain at mile 14 in 24 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
169152 -               0000... Gabapentin 300MG  47900MB took today, after pausing on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169153 -               1120... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
169154 -               0000... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
169155 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169157 -               1550....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169158 -               1640....BP HR..................................................... 130  74  85   BP elevated by taking 1 naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169159 -               1645....BP HR..................................................... 130  76  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
169160 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169161 -               1700... 40 65200 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
169162 -             1 0000............ 10 14710  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169163 -             1 0000............ 10 14300  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169164 -               2010... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
169165 -               0000... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
169166 -               2050... 40 45540 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169167 -               2120... 1000 1023000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169168 -               2130... 05 3020 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
169169 -               0000... 03    6 Melatonin sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169170 -               2200... 80 223400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
169171 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169173 -  ..
169174 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169175 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169176 - daily hike. ref SDS 55 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
169177 - coming down .5 miles steep 5% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169178 - top of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
169179 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169180 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169181 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
169183 -  ..
169184 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169185 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169187 -  ..
169188 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169189 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169190 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169192 -  ..
169193 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
169195 -  ..
169196 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169197 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
169199 -  ..
169200 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
169202 -  ..
169203 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169204 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169206 -  ..
169207 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169208 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169209 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
169210 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169211 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169212 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
169213 - NSAID that constricts blood vessels, which inhibits PRP and apixaban.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169214 - Vasoconstriction raises blood pressure and causes colitis.  Ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169215 - is another NSAID like naproxen that raises blood pressure; it also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169216 - raises LDL.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169217 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169218 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
169219 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169220 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169221 - concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
169222 - collagen that repairs joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
169223 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169224 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169226 -  ..
169227 - Today, in order to hike took 1 oxycodone starting hike; took naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169228 - pill at mile 5, and a 2nd naproxen at mile 12, to complete 18 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169229 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169231 -  ..
169232 - Pain during hike today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
169233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169234 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
169235 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
169236 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169237 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169238 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169239 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169240 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169241 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169242 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169243 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169244 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169245 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169246 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169247 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169248 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169249 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169250 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169251 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169252 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169253 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169254 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169255 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169256 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169257 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169258 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169259 -        Electric shocks middle 3 toes right foot.....   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169260 -        Metatarsalgia left foot...PRP 191009.........   1         10  last 2 miles tolerated with oxycodone at start, naproxen at 5 miles, 2nd naproxen at 12 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                
169261 -        Metatarsalgia right foot..PRP 191009.........   1         10  last 2 miles tolerated with oxycodone at start, naproxen at 5 miles, 2nd naproxen at 12 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                
169262 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169263 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169264 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169265 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169266 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169267 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169268 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169269 -        Blister little toe right foot................   3         10  healing - dressing effective hydrofera blue part of hike, but had to be removed at mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169270 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169271 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169272 -        Blister little toe left foot...blood blister.   2         10  healing - dressing effective hydrofera blue part of hike, but had to be removed at mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169273 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169274 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169275 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169276 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169277 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169278 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169279 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169280 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169282 -  ..
169283 - Today, energy good starting hike, after hiking 19 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169284 - After hiking 19 miles again today, body mildly fatigued; not noticably                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169285 - wobbly/disoriented taking 1 oxycodone 5 mg before starting, took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169286 - naproxen 250 mg at 5 miles.  Took 2nd naproxen at 12 miles.  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169287 - hurting at end of hike, but less than past few days, and not after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169288 - hiking.
169290 - -
169291 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169292 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169293 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169295 -  ..
169296 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169298 -  ..
169299 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169300 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169301 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169303 -  ..
169304 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169305 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169306 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169307 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169308 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169310 -  ..
169311 - Little toe left foot did not wrap with hydrofera blue antibacterial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169312 - foam dressing to heal and protect wounds.  Provides additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
169313 - cushioning to prevent crimping during long hikes.  This worked well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169314 - today for 18 miles.  Little toe right foot pain level 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169315 - without dressing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169317 -  ..
169318 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169319 - 1344. ref SDS 79 SM4M  Had to remove 2nd sock on left foot after 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
169320 - miles to reduce pressure on little toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
169322 -  ..
169323 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169324 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169325 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169327 -  ..
169328 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169329 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
169330 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169331 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169332 - ref SDS 77 SM4M  After hike on 201225, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
169333 - Tailor's Bunions, and applied ammonium lactate lotion to feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169334 - above. ref SDS 0 V94J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169336 -  ..
169337 - Concord 19 mile route - starting slow pace.  Took oxycodone 5 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
169338 - starting hike.  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169339 - ref SDS 77 SM4M, that prevent feet and knee injuries.  Wore 2-pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
169340 - double-ply Wright socks received on 191010 1344, ref SDS 79 SM4M, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
169341 - prevent blisters.  Applied miconazole nitrate 2% (Thera antifungal)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169342 - foot powder ordered by Doctor Tang during the meeting in Podiatry at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169343 - VAMCSF on 201201 0930. ref SDS B8 PR6M  It was received on 201207                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
169344 - 1549. ref SDS B9 4G4N  Was effective entire hike today.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169345 - little toes both feet with hydrofera blue dressing today - more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169346 - effective on right toe; little toe left foot pain level 1 - 2 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169347 - hike.  Post hike no evident worsening of injury.  Hiked from Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169348 - uphill to Treat.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
169349 - Temperature started at 34, and reached 56.  Hiked East slow pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169350 - Treat 1 mile to Clayton - time to 1.25 miles 22 minutes.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
169351 - corner hiking South on Clayton 2 miles at slow pace, mostly on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169352 - concrete sidewalk.  At mile 3.5, turned West onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169353 - hiking on concrete sidewalk another .5 mile.  About mile 4 crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169354 - South side Ygnacio Valley Road hiking West on asphalt shoulder aganist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169355 - East bound traffic.  Right foot at instep pain level 0 rest of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169356 - At mile 5 time 1113, stopped at Texaco gas station - EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169357 - 97 Normal - see below. ref SDS 0 XWQQ  Bought Coca Cola.  Ate half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169358 - sandwich peanut butter margarine and jam.  Took 1 naproxen pill 250                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169359 - mg.  Drank half of Coca Cola for hydration and energy.  Hiked .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169360 - on Ygnacio Valley Road to Pine Hollow; turned left and hiked about 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169361 - yards.  Turned right onto Campus Road.  Hiked 1-mile West uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169362 - 4% grade to California Sate University East Bay campus.  Energy seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169363 - to improve.  Hiked 3-loops of about 1.5 miles - total 4.5 miles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169364 - through adjoining Faculty and Student Parking lots, with 1 sub-loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169365 - each.  Seemed to feel vasodilation surge of energy and strength hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169366 - up last long hill in Student parking lot. mile 10, back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169367 - Parking.  Feet hurting, so used bench at bus stop to sit and remove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169368 - shoes and socks to remove hydrofera blue dressing on little toes both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169369 - feet.  This reduced horizontal pressure.  Rest of hike feet seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169370 - less painful.  Hiked North downhill 3% grade .3 mile to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169371 - Road.  Turned left and hiked West .5 mile on Ygnacio Valley Road flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169372 - pavement.  Since today is Christmas decided not to hike through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169373 - residential Crystal Ranch Development.  Continued past Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169374 - Road hiking uphill 2% grade past Cowell.  At mile 11 crossed from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169375 - South to North side Ygnacio Valley Road.  Continued uphill 2% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169376 - and crossed over the summit.  At end of concrete traffic barriar about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169377 - mile 12 in the hike, crossed back to South side Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169378 - While hiking took 2nd naproxen pill 250 mg for pain management - at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169379 - few more bites of sandwich.  Hiked 1.5 miles West downhill 2% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169380 - Crossed to North side of the road.  Hiked .5 miles to Oak Grove.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169381 - mile 14 time 1416 took EKG reporting HR 101 Tachycardia. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169382 - XWRV  Hiked around Safeway shopping complex on paved path heading West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169383 - .25 miles parallel to Ygnacio Valley Road.  At Via Monte turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169384 - and hiked .25 miles to Shadelands.  Turned right and hiked East .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169385 - miles back to Oak Grove.  Turned right hiking South back Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
169386 - Valley Road.  Hiked another loop back to corner of Shadelands and Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169387 - Grove.  Turned left hiking North on Oak Grove 1 mile to Treat.  Used                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169388 - 3' wide asphalt shoulder for softer surface that reduces feet pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169389 - Crossed at traffic light to North side of Treat and hiked East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169390 - concrete shoulder 2 miles to San Miguel.  Hiked uphill 5% grade on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169391 - asphalt shoulder heading East on Treat another mile to Cuneo then home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169392 - for 19 miles.  EKG at end of hike - time 1541 HR 108 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169393 - below. ref SDS 0 4Z8L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169395 -  ..
169396 - Kardia recorded HR 65 at 0735 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169397 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169398 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169399 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169402 -               ..
169403 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201225-ecg-073552_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
169404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169406 -  ..
169407 - EKG looks very erratic initial 2 beats, then perfect after hiking 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169408 - miles yesterday, and after cardiac ablation on 201210 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
169409 - ref SDS C0 4H5J, to correct recurrance atrial flutter on 201031 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
169410 - taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
169411 - medication again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169415 -  ..
169416 - Polar HR study in Concord, California elevation 100, 19-mile hike -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169417 - after cardiac ablation right atrial on 201210 0700. ref SDS C0 4H5J,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
169418 - and 2nd ablation right atrial after the 1st on 200511 0546,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
169419 - ref SDS 94 968H, and which is 3rd ablation following initial left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
169420 - atrial procedure on 200430 0700. ref SDS 93 7Y3O  HR profile rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
169421 - falls with changes in grade...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
169423 -  ..
169424 - Recorded Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169426 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                        
169427 -       Date       201225 201224 201223 201222 201221 201220 201219 201218 201217 201216 201215 201214 201213 201212 201211 201210 201209 201208 201207 201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 201007 2010  
169428 -       Miles         19     19     24     18     22     16     17      4     15     13     14     11      0      0      0      0     15     24     15     23      0     23      0      0     15     21      0      0      0     25      0      0      0     12      0     11     16      0      7     21     22     22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     17     1  
169429 -       HR AVG       114    114    113    117    108    109    110    105    113    115    112    118     no     no     no     no    107    113    109    116     no    120     no     no     99    120     no     no     no    120     no     no     no    113     no    108    108     no    106    109    111    114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    131    12  
169430 -         MAX        131    131    134    135    145    128    134    130    131    128    127    129  report report report report   131    133    131    144  report   147  report report   130    147  report report report   150  report report report   129  report   125    128  report   128    133    134    152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   174    13  
169431 -         Min         84     84     87     83     73     81     83     70     80     80     83     92                                 76     78     85     80            87                   59     90                          86                          83            79     87            69     83     86     80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           102     9  
169432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169435 -              https://flow.polar.com/training/analysis/5478896839                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169438 -               ..
169440 -   
169441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169443 -  ..
169444 - HR profile Concord elevation 100, 19-mile route showing average 111                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169445 - and max 132, aligns with temperature 57, following cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169446 - 201210 0700, ref SDS C0 4H5J; and, following treatment in ER injecting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
169447 - high concentrate metoprolol that slowed atrial flutter HR 160, down to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169448 - 60s and 70s, on 201007 2218. ref SDS B3 X36J  A second isolated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169449 - episode of atrial flutter recurred on 201031, with HR 150, and was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169450 - treated with Metoprolol Tartrate pill that lowered HR into 70s.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169451 - ref SDS 0 GZ4I  No further episodes of atrial fibrilltion nor flutter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169452 - have occurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
169453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169456 -  ..
169457 - EKG at mile 5 time 1113 HR 97 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169461 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201225-ecg-111354_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
169462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169464 -  ..
169465 - EKG looks little raggedy few beats, mostly perfect, after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169466 - metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169470 -  ..
169471 - EKG at mile 14 time 1416 HR 101 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
169472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169475 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201225-ecg-141651_mile_14.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
169476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169478 -  ..
169479 - EKG looks little raggedy, after pausing metoprolol on 201101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
169480 - ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
169481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169485 -  ..
169486 - EKG 1 minute after 19-mile hike HR 108 time 1541 Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
169487 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
169488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169490 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201225-ecg-154140_mile_19.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
169491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169493 -  ..
169494 - EKG looks little raggedy, after pausing metoprolol on 201101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
169495 - ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
169496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169499 -  ..
169500 - HR profile post-hike no report today, after 3rd cardiac ablation (2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169501 - ablation on right atrial) reported on 201210 0700. ref SDS C0 4H5J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
169502 - Stable HR profile seems positive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169506 -        ..
169507 -       Date      201225 201224 201223 201222 201221 201220 201219 201218 201217 201216 201215 201214 201213 201212 201211 201210 201209 201208 201207 201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 201006 201005 20  
169508 -        Hours        0     11     12     11     11     12     14     11     12     13     12     14     17     18     18     10      8      6     11     10     14     12     16     14      9      4     10     11     12     13     12      8      9      9     11     10      9      7      2      7     10     10     10      9      9      7      7     11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      7      7      
169509 -       HR AVG       no     65     67     68     65     67     66     68     65     69     65     75     67     67     71     72     60     74     63     62     70     70     68     67     78     67     69     70     64     66     66     66     67     63     66     61     59     66     65     64     67     64     65     62     62     65     60     66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76     71     60      
169510 -         MAX     report   126    117    154    113    119    127    103    115    140    158    148    112    110    142    114     81    113    113    107    165    191    166    130    110     93    124    107    157    151    160    130    102    153     99    102     99     97    112     98    111    102    109    145    112    158    108     97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113    109    103      
169511 -         Min               47     51     51     50     54     53     51     51     53     41     49     50     52     51     52     54     56     51     53     43     31     53     46     58     53     49     56     52     36     49     51     54     48     53     47     47     55     43     52     50     52     54     41     47     48     44     49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47     53     44      
169512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169519 -  ..
169520 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
169521 - Lunch - half sandwich peanut butter margarine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169522 - Dinner - broccoli eggs sausage cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
169524 -  ..
169525 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
169526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169532 -         ..
169533 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
169534 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
169535 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
169536 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
169537 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169538 -  361.  201226 0700............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169539 -               0830....BP HR..................................................... 124  73  67  Kardia ECG reports HR normal, see below. ref SDS 0 YPUW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169540 -               0835....BP HR..................................................... 133  74  69  smooth curve so sinus BP elevated taking naproxen for hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                        
169541 -               0840....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169542 -               0000... 20 978680 CoQ10 Ubiquinol Liquid - paused on 201214 due to expense                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
169543 -               0840... 80 223480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
169544 -               0840... 05 3025 Apixaban blood thinner RX 7088121 for stroke - paused 201111 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169545 -               0000... 75 12200 Clopidogrel Bisulfate (Plavix) - paused 201225 because lowers HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
169546 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
169547 -               0000... Gabapentin 300MG  47900MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169548 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169549 -               0925... Oxycodone HCL Plain  5  400 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169550 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169551 -               0925....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
169552 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169553 -               0930....miles...........  20.0 122.0  338  2070 minutes  temp  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169555 -               0000... Oxycodone HCL Plain  5  400 mg RX90533728 took for pain management during hike not combined with gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169556 -               0000... Gabapentin 300MG  47900MB took today, after pausing on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169557 -               1120... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
169558 -               0000... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
169559 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169561 -               1620....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169562 -               1640....BP HR..................................................... 118  71  94   BP elevated by taking 1 naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169563 -               1645....BP HR..................................................... 115  70  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
169564 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169565 -               1700... 40 65240 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
169566 -               1830............ 10 14720  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169567 -               1830............ 10 14310  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169568 -               2010... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
169569 -               0000... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
169570 -               2050... 40 45580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169571 -               2120... 1000 1024000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169572 -               2130... 05 3030 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
169573 -               0000... 03    6 Melatonin sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169574 -               2200... 80 223560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
169575 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169576 -               2205....Tramadol 50 2300 for restless legs enable sleep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169578 -  ..
169579 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169580 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169581 - daily hike. ref SDS 55 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
169582 - coming down .5 miles steep 5% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169583 - top of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
169584 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169585 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169586 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
169588 -  ..
169589 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169590 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169592 -  ..
169593 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169594 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169595 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169597 -  ..
169598 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
169600 -  ..
169601 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169602 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
169604 -  ..
169605 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
169607 -  ..
169608 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169609 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169611 -  ..
169612 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169613 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169614 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
169615 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169616 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169617 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
169618 - NSAID that constricts blood vessels, which inhibits PRP and apixaban.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169619 - Vasoconstriction raises blood pressure and causes colitis.  Ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169620 - is another NSAID like naproxen that raises blood pressure; it also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169621 - raises LDL.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169622 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169623 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
169624 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169625 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169626 - concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
169627 - collagen that repairs joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
169628 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169629 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169631 -  ..
169632 - Today, in order to hike took 1 oxycodone starting hike; took naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169633 - pill at mile 13 to complete 20 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
169635 -  ..
169636 - Pain during hike today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
169637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169638 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
169639 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
169640 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169641 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169642 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169643 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169644 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169645 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169646 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169647 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169648 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169649 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169650 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169651 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169652 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169653 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169654 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169655 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169656 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169657 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169658 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169659 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169660 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169661 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169662 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169663 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169664 -        Metatarsalgia left foot...PRP 191009.........   1         10  last 2 miles tolerated with oxycodone at start, naproxen at 13 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
169665 -        Metatarsalgia right foot..PRP 191009.........   1         10  last 2 miles tolerated with oxycodone at start, naproxen at 13 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
169666 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169667 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169668 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169669 -        Ankle right possible fracture 200917.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169670 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169671 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169672 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169673 -        Blister little toe right foot................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169674 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169675 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169676 -        Blister little toe left foot...blood blister.   1         10  healing - applied single layer tape which seemed to have come off while hiking, but did not notice increase in pain nor discomfort                                                                                                                                                                                                                                                                                                                                                                                                           
169677 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169678 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169679 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169680 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169681 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169682 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169683 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169684 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169686 -  ..
169687 - Today, energy good starting hike, after hiking 19 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169688 - After hiking 20 miles today, body mildly fatigued; not noticably                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
169689 - wobbly/disoriented taking 1 oxycodone 5 mg before starting, took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169690 - naproxen 250 mg at 13 miles.  Feet hurting at end of hike less than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169691 - past few days, and not after hiking.
169693 - -
169694 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169695 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169696 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169698 -  ..
169699 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169701 -  ..
169702 - Legs 7 hours after hike late at night - body does not ache.  Restless                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169703 - legs, so took Tramadol - see study above. ref SDS 0 F25O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
169705 -  ..
169706 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169707 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169708 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169709 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169710 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169712 -  ..
169713 - Little toe left foot did not wrap with hydrofera blue antibacterial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169714 - foam dressing to heal and protect wounds.  Provides additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
169715 - cushioning to prevent crimping during long hikes.  This worked well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169716 - today for 18 miles.  Little toe right foot pain level 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169717 - without dressing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169719 -  ..
169720 - Socks - wore 2-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169721 - 1344. ref SDS 79 SM4M  Had to remove 2nd sock on left foot after 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
169722 - miles to reduce pressure on little toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
169724 -  ..
169725 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169726 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169727 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169729 -  ..
169730 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169731 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
169732 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169733 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169734 - ref SDS 77 SM4M  After hike on 201226, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
169735 - Tailor's Bunions, and applied ammonium lactate lotion to feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169736 - above. ref SDS 0 F25O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169738 -  ..
169739 - Concord 20 mile route - starting slow pace.  Took oxycodone 5 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
169740 - starting hike.  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169741 - ref SDS 77 SM4M, that prevent feet and knee injuries.  Wore 2-pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
169742 - double-ply Wright socks received on 191010 1344, ref SDS 79 SM4M, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
169743 - prevent blisters.  Applied miconazole nitrate 2% (Thera antifungal)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169744 - foot powder ordered by Doctor Tang during the meeting in Podiatry at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169745 - VAMCSF on 201201 0930. ref SDS B8 PR6M  It was received on 201207                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
169746 - 1549. ref SDS B9 4G4N  Was effective entire hike today.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169747 - little toes both feet with hydrofera blue dressing today - more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169748 - effective on right toe; little toe left foot pain level 1 - 2 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169749 - hike.  Post hike no evident worsening of injury.  Hiked from Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169750 - uphill to Treat.  Breathed easily through nose entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
169751 - Temperature started at 34, and reached 56.  Hiked East slow pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169752 - Treat 1 mile to Clayton - time to 1.25 miles 22 minutes.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
169753 - corner hiking South on Clayton 2 miles at slow pace, mostly on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169754 - concrete sidewalk.  At mile 3.5, turned West onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169755 - hiking on concrete sidewalk another .5 mile.  About mile 4 crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169756 - South side Ygnacio Valley Road hiking West on asphalt shoulder aganist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169757 - East bound traffic.  Right foot at instep pain level 0 rest of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169758 - At mile 5 time 1050, stopped at Texaco gas station - EKG reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169759 - 98 Unclassified - see below. ref SDS 0 YQQX  Bought Coca Cola and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169760 - banana for potasium for coronary care.  Ate half of banana and half of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169761 - sandwich peanut butter margarine and jam.  Drank half of Coca Cola for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169762 - hydration and energy.  Hiked .25 mile on Ygnacio Valley Road to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169763 - Hollow; turned left and hiked about 50 yards.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
169764 - Campus Road.  Hiked 1-mile West uphill 3% - 4% grade to California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169765 - Sate University East Bay campus.  Energy seemed to improve.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169766 - 1-loop of about 1.5 miles through adjoining Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169767 - Parking lots, with 1 sub-loop.  Saw Natalie again - she was hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169768 - South from Student parking, and I was on the upper parking lot hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169769 - North.  Just said hello, and talked briefly about her hiking 8-miles a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169770 - day.  Seemed to feel vasodilation surge of energy and strength hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169771 - up last long hill in Student parking lot. mile 10, back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169772 - Parking.  Hiked North downhill 3% grade .3 mile to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169773 - Road.  Turned left and hiked West .5 mile on Ygnacio Valley Road flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169774 - pavement.  At mile 8 turned South and hiked 1 mile up steep hill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169775 - grade on Crystal Ranch Road.  Hiked another mile on flat pavement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169776 - through residential area.  Hiked downhill .5 mile past Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169777 - Way.  Hiked up another steep hill 5% grade .5 mile to the end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
169778 - Crystal Ranch Road.  Handled these hills well with energy that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
169779 - maintained speed, and breathing easily through nose all the way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
169780 - Hiked back downhill on Crystal Ranch Road.  Turned East on Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169781 - Woods Way.  Hiked up steep hill 5% grade .33 mile, then downhill .66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169782 - miles.  Turned North onto Pine Hillow.  Hiked 1 mile to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169783 - Road.  At mile 13, stopped at Texaco Gas Station again - EKG time 1330                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169784 - reported HR 102 Tachycardia - see below. ref SDS 0 YQSR  Ate rest of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169785 - banana and few bites of half sandwich peanut butter margarine and jam.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169786 - Took 1 naproxen pill 250 mg with food.  Continued hike on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169787 - Valley Road to Pine Hollow; turned left and hiked about 50 yards.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169788 - Turned right onto Campus Road.  Hiked 1-mile West uphill 3% - 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169789 - to California Sate University East Bay campus.  Hiked 1-loop of about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169790 - 1.5 miles through adjoining Faculty and Student Parking lots, added                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169791 - sub-loop of .5 mile.  Heading South uphill in Student Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
169792 - encountered Ted and Caroline hiking North.  Caroline said Ted bought                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169793 - Hoka Bondi shoes, recommended a week or so ago hiking on Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169794 - Way, and to relieve pressure on his injured knee.  Ted said he                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
169795 - reviewed Doctor Tucker's website to consider PRP treatment for his                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169796 - knee.  He got an MRI at Kaiser, and the orthopedic doctor said the MRI                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169797 - shows "bone-on-bone", and so cannot be treated with injection therapy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169798 - Ted explained seeing on Doctor Tucker's website that PRP is not for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169799 - severe osteoarthritis.  Explained getting 12 PRP treatments for severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169800 - knee injury that occurred years ago falling 30' into a pump station.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169801 - Doctor Tucker's treatment enabled recovery to reach the top of Half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169802 - Dome twice, and hikng at therapeutic levels 20+ miles per day.  Back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169803 - at Visitor Parking mile 16.  Took Campus Drive North .33 mile downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169804 - to Ygnacio Valley Road.  Turned left onto Ygnacio Valley Road and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169805 - hiked West .5 miles.  Adrenalin seemed to kick in, because increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169806 - pace hiking West on Ygnacio Valley Road uphill 2% grade past Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169807 - At mile 17 crossed from South side of Ygnacio Valley Road to the North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169808 - side in order to avoid severely sloped shoulder on South Side.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169809 - North side continued West uphill 3% grade over the summit past end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169810 - concrete traffic barriar.  Continued downhill to mile 17.5.  Stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169811 - and turned around and hiked back uphill over the summit and downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169812 - back to Cowell.  Turned Left onto Cowell and hiked downhill 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169813 - Treat.  Turned left and hiked West .25 miles Cuneo.  Hiked another .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169814 - miles to Kaski, turned around and hiked back Treat, then turned again                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169815 - and hiked home for 20 miles.  EKG at end of hike - time 1549 HR 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169816 - Tachycardia - see below. ref SDS 0 YQTW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
169817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169818 -        [...on 201228 0950 Ted reported sending a letter to Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169819 -        Tucker asking about PRP treatment for his knee. ref SDS 0 YXUR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169821 -  ..
169822 - Kardia recorded HR 72 at 0841 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169823 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169824 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169825 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169828 -               ..
169829 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201226-ecg-084145_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
169830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169832 -  ..
169833 - EKG looks perfect after hiking 19 miles yesterday, and after cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169834 - ablation on 201210 0700, ref SDS C0 4H5J, to correct recurrance atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
169835 - flutter on 201031 1500, taking metoprolol tartrate at 1640,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
169836 - ref SDS 0 SVXS, then pausing medication again the next day on 201101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169837 - per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
169838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169841 -  ..
169842 - Polar HR study in Concord, California elevation 100, 20-mile hike -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169843 - after cardiac ablation right atrial on 201210 0700. ref SDS C0 4H5J,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
169844 - and 2nd ablation right atrial after the 1st on 200511 0546,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
169845 - ref SDS 94 968H, and which is 3rd ablation following initial left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
169846 - atrial procedure on 200430 0700. ref SDS 93 7Y3O  HR profile rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
169847 - falls with changes in grade...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
169849 -  ..
169850 - Recorded Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169852 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                                 
169853 -       Date       201226 201225 201224 201223 201222 201221 201220 201219 201218 201217 201216 201215 201214 201213 201212 201211 201210 201209 201208 201207 201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 201008 2010  
169854 -       Miles         20     19     19     24     18     22     16     17      4     15     13     14     11      0      0      0      0     15     24     15     23      0     23      0      0     15     21      0      0      0     25      0      0      0     12      0     11     16      0      7     21     22     22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21      0     1  
169855 -       HR AVG       113    114    114    113    117    108    109    110    105    113    115    112    118     no     no     no     no    107    113    109    116     no    120     no     no     99    120     no     no     no    120     no     no     no    113     no    108    108     no    106    109    111    114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     no    13  
169856 -         MAX        136    131    131    134    135    145    128    134    130    131    128    127    129  report report report report   131    133    131    144  report   147  report report   130    147  report report report   150  report report report   129  report   125    128  report   128    133    134    152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  report   17  
169857 -         Min         88     84     84     87     83     73     81     83     70     80     80     83     92                                 76     78     85     80            87                   59     90                          86                          83            79     87            69     83     86     80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74           10  
169858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169860 -              https://flow.polar.com/training/analysis/5482477599                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169863 -               ..
169865 -   
169866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169868 -  ..
169869 - HR profile Concord elevation 100, 20-mile route showing average 113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169870 - and max 136, aligns with temperature 61, following cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169871 - 201210 0700, ref SDS C0 4H5J; and, following treatment in ER injecting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
169872 - high concentrate metoprolol that slowed atrial flutter HR 160, down to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169873 - 60s and 70s, on 201007 2218. ref SDS B3 X36J  A second isolated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169874 - episode of atrial flutter recurred on 201031, with HR 150, and was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169875 - treated with Metoprolol Tartrate pill that lowered HR into 70s.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169876 - ref SDS 0 GZ4I  No further episodes of atrial fibrilltion nor flutter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169877 - have occurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
169878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169881 -  ..
169882 - EKG at mile 5 time 1050 HR 98 - Kardia reported Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
169883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169886 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201226-ecg-105024_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
169887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169889 -  ..
169890 - EKG looks little raggedy, after pausing metoprolol on 201101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
169891 - ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
169892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169895 -  ..
169896 - EKG at mile 13 time 1330 HR 102 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
169897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169900 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201226-ecg-133015_mile_13.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
169901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169903 -  ..
169904 - EKG looks mostly perfect, after pausing metoprolol on 201101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
169905 - ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
169906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169910 -  ..
169911 - EKG 1 minute after 20-mile hike HR 107 time 1549 Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
169912 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
169913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169915 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201226-ecg-154904_mile_20.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
169916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169918 -  ..
169919 - EKG looks very good, after pausing metoprolol on 201101. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
169920 - P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169954 -  ..
169955 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
169956 - Lunch - half sandwich peanut butter margarine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169957 - Dinner - salmon avocado tomato onion cottage cheese, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
169959 -  ..
169960 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
169961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169967 -         ..
169968 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
169969 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
169970 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
169971 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
169972 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
169973 -  362.  201227 0730............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169974 -               0740....BP HR..................................................... 136  79  65  Kardia ECG reports HR normal, see below. ref SDS 0 YTYW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
169975 -               0745....BP HR..................................................... 130  83  64  smooth curve so sinus BP elevated taking naproxen for hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                        
169976 -               0750....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169977 -               0000... 20 978680 CoQ10 Ubiquinol Liquid - paused on 201214 due to expense                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
169978 -               0750... 80 223480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
169979 -               0000... 05 3025 Apixaban blood thinner RX 7088121 for stroke - paused 201225 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169980 -               0000... 75 12200 Clopidogrel Bisulfate (Plavix) - paused 201225 because lowers HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
169981 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
169982 -               0000... Gabapentin 300MG  47900MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169983 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
169984 -               0905... Oxycodone HCL Plain  5  400 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169985 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169986 -               0905....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
169987 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169988 -               0910....miles...........  16.0 138.0  286  2356 minutes  temp  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169990 -               0000... Oxycodone HCL Plain  5  400 mg RX90533728 took for pain management during hike not combined with gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
169991 -               0000....Tramadol 50 2250 for prevent feet knee pain at mile 14 in 24 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
169992 -               0000... Gabapentin 300MG  47900MB took today, after pausing on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
169993 -               0000... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
169994 -               0000... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
169995 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
169997 -               1445....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
169998 -               1450....BP HR..................................................... 108  69  81   BP elevated by taking 1 naproxen yesterday                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
169999 -               1455....BP HR..................................................... 100  67  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
170000 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170001 -               1700... 40 65240 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
170002 -             1 0000............ 10 14720  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170003 -             1 0000............ 10 14310  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170004 -               2010... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
170005 -               0000... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
170006 -               2050... 40 45580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170007 -               2120... 1000 1024000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170008 -               2130... 05 3030 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
170009 -               0000... 03    6 Melatonin sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170010 -               2200... 80 223560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
170011 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170013 -  ..
170014 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170015 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170016 - daily hike. ref SDS 55 E55K   On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
170017 - coming down .5 miles steep 5% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170018 - top of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
170019 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170020 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170021 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
170023 -  ..
170024 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170025 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170027 -  ..
170028 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170029 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170030 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170032 -  ..
170033 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
170035 -  ..
170036 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170037 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
170039 -  ..
170040 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
170042 -  ..
170043 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170044 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170046 -  ..
170047 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170048 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170049 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
170050 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170051 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170052 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
170053 - NSAID that constricts blood vessels, which inhibits PRP and apixaban.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170054 - Vasoconstriction raises blood pressure and causes colitis.  Ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170055 - is another NSAID like naproxen that raises blood pressure; it also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170056 - raises LDL.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170057 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170058 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
170059 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170060 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170061 - concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
170062 - collagen that repairs joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
170063 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170064 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170066 -  ..
170067 - Today, in order to hike took 1 oxycodone starting hike; did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170068 - further drugs to manage pain on 16 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
170070 -  ..
170071 - Pain during hike today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
170072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170073 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
170074 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
170075 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170076 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170077 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170078 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170079 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170080 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170081 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170082 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170083 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170084 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170085 -        Knee left meniscus...PRP 191009..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170086 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170087 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170088 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170089 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170090 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170091 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170092 -        Hamstring left leg...........................   2          5  last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170093 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170094 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170095 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170096 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170097 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170098 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170099 -        Metatarsalgia left foot...PRP 191009.........   1         10  last 2 miles tolerated with oxycodone at start                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170100 -        Metatarsalgia right foot..PRP 191009.........   1         10  last 2 miles tolerated with oxycodone at start                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170101 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170102 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170103 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170104 -        Ankle right possible fracture 200917.........   2         20  pain comes and goes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
170105 -        Hallux Valgus right foot.....................   2         20  pain comes and goes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
170106 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170107 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170108 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170109 -        Blister little toe right foot................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170110 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170111 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170112 -        Blister little toe left foot...blood blister.   1         10  healing - applied single layer tape which seemed to have come off while hiking, but did not notice increase in pain nor discomfort                                                                                                                                                                                                                                                                                                                                                                                                           
170113 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170114 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170115 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170116 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170117 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170118 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170119 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170120 -        Wobbly disoriented staggering dizzy..........   0         70  became wobbly and disoriented after leaving gas station mile 5, to end of 16 mile hike - don't know the cause, possibly taking tramadol last night                                                                                                                                                                                                                                                                                                                                                                                           
170122 -  ..
170123 - Today, energy low starting hike, after hiking 20 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170124 - After hiking 5 miles, became wobbly, staggering hiking next 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170125 - After hiking 16 miles today, body fatigued, and noticably                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
170126 - wobbly/disoriented taking 1 oxycodone 5 mg before starting.  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170127 - hurting less wearing 1 pair Wightsocks and 1 pair smartwool socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170128 - than past few days wearing 2 pair Wrightsocks.  Feet do not hurt after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170129 - hiking.
170131 - -
170132 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170133 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170134 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170136 -  ..
170137 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170139 -  ..
170140 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170141 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170142 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170144 -  ..
170145 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170146 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170147 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170148 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170149 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170151 -  ..
170152 - Little toe left foot did not wrap with hydrofera blue antibacterial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170153 - foam dressing to heal and protect wounds.  Seemed to be additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170154 - stress crimping little toe and adjacent ring toe for 16 miles.  Little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170155 - toe right foot pain level 0 entire hike without dressing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
170157 -  ..
170158 - Socks - wore 1-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170159 - 1344. ref SDS 79 SM4M  Added 1-pair smartwool socks over wrightsocks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
170160 - Worked okay - feet hurt last 2 miles, but without taking naproxen at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170161 - mile 12.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
170163 -  ..
170164 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170165 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170166 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170168 -  ..
170169 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170170 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
170171 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170172 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170173 - ref SDS 77 SM4M  After hike on 201227, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
170174 - Tailor's Bunions, and applied ammonium lactate lotion to feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170175 - above. ref SDS 0 YI4G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170177 -  ..
170178 - Concord 16 mile route - starting slow pace.  Took oxycodone 5 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
170179 - starting hike.  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170180 - ref SDS 77 SM4M, that prevent feet and knee injuries.  Wore 1-pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
170181 - double-ply Wright socks received on 191010 1344, ref SDS 79 SM4M, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
170182 - prevent blisters.  Added 1-pair smartwool socks over wrightsocks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170183 - Applied miconazole nitrate 2% (Thera antifungal) foot powder ordered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170184 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 201201                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170185 - 0930. ref SDS B8 PR6M  It was received on 201207 1549. ref SDS B9 4G4N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170186 - Was effective entire hike today.  Did not Wrap little toes both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170187 - with hydrofera blue dressing today.  Will do so tomorrow.  Post hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170188 - no evident worsening of injury.  Hiked from Cuneo uphill to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170189 - Breathed easily through nose entire hike.  Temperature started at 42,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170190 - and reached 57.  Hiked East slow pace on Treat 1 mile to Clayton -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170191 - time to 1.25 miles 22 minutes.  Turned corner hiking South on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170192 - 2 miles at slow pace, mostly on flat concrete sidewalk.  At mile 3.5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170193 - turned West onto Ygnacio Valley Road hiking on concrete sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
170194 - another .5 mile.  About mile 4 crossed to South side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170195 - Road hiking West on asphalt shoulder aganist East bound traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
170196 - Haroon jogged by, and said hello.  At mile 5 time 1033, stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170197 - Texaco gas station - EKG reported HR 94 Unclassified, 2nd day in a row                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170198 - at mile 5 - see below. ref SDS 0 YUUW  Did not buy Coca Cola nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
170199 - banana for potasium for coronary care, because NPO for lab to test HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170200 - after hike.  Ate few bites of half sandwich peanut butter margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170201 - and jam.  Hiked .25 mile on Ygnacio Valley Road to Pine Hollow; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170202 - left and hiked about 50 yards.  Turned right onto Campus Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170203 - 1-mile West uphill 3% - 4% grade to California Sate University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170204 - Bay campus.  Energy seemed to decline, and became wobbly, disoriented,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170205 - staggering through rest of hike.  Hiked 1-loop of about 1.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170206 - through adjoining Faculty and Student Parking lots, with 1 sub-loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170207 - At mile 7, back at Visitor Parking hiked North downhill 3% grade .3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170208 - mile to Ygnacio Valley Road.  Turned left and hiked West .5 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170209 - Ygnacio Valley Road flat pavement.  At mile 7.5, turned South and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170210 - hiked 1 mile up steep hill 5% grade on Crystal Ranch Road.  Still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170211 - slow, wobbly staggering up the hill.  Hiked another mile on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
170212 - pavement through residential area.  Hiked downhill .5 mile past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170213 - Rolling Woods Way.  Hiked up another steep hill 5% grade .5 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170214 - the end of Crystal Ranch Road.  At top of mountain, mile 10, EKG time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170215 - 1222 reported HR 112 Tachycardia - see below. ref SDS 0 YUWR  Handled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170216 - these hills slow without energy, but breathing easily through nose all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170217 - the way.  Not clear why difficulty hiking today, that has not occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170218 - in past months.  Possibly not drinking Coca Cola, nor eating more of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170219 - peanut butter, margarine and jam sandwich.  Possibly taking tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170220 - pain pill last night with oxycodone this morning.  Possibly reaction                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170221 - to accumulation doing 20-mile hikes the past week.  Lab after the hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170222 - may shed light.  Hiked back downhill on Crystal Ranch Road.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170223 - East on Rolling Woods Way.  Hiked up steep hill 5% grade .33 mile,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170224 - then downhill .66 miles.  Turned North onto Pine Hillow.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170225 - to Ygnacio Valley Road.  At mile 12, stopped at Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170226 - again - EKG time 1308 reported HR 102 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
170227 - ref SDS 0 S26J  Continued hike on Ygnacio Valley Road to Pine Hollow;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170228 - turned left and hiked about 50 yards.  Turned right onto Campus Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170229 - Hiked 1-mile West uphill 3% - 4% grade to California Sate University                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170230 - East Bay campus.  Hiked 1-loop of about 1.5 miles through adjoining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170231 - Faculty and Student Parking lots, added sub-loop of .5 mile.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170232 - Visitor Parking mile 15.  Took Campus Drive North .33 mile downhill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170233 - Ygnacio Valley Road.  Turned left onto Ygnacio Valley Road and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170234 - West .5 miles.  Turned left onto Crystal Ranch Road.  Hiked .33 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170235 - South uphill 5% grade past 2nd storm drain and tall light post.  Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170236 - drove us home for 16 miles.  EKG at end of hike - time 1421 HR 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170237 - Tachycardia - see below. ref SDS 0 YUXV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
170239 -  ..
170240 - Kardia recorded HR 58 at 0322 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170241 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170242 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170243 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170246 -               ..
170247 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201227-ecg-032237_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
170248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170250 -  ..
170251 - EKG looks perfect after hiking 20 miles yesterday, and after cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170252 - ablation on 201210 0700, ref SDS C0 4H5J, to correct recurrance atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
170253 - flutter on 201031 1500, taking metoprolol tartrate at 1640,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
170254 - ref SDS 0 SVXS, then pausing medication again the next day on 201101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170255 - per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
170256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170259 -  ..
170260 - Polar HR study ***low accuracy GPS used*** in Concord, California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170261 - elevation 100, 16-mile hike - after cardiac ablation right atrial on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170262 - 201210 0700. ref SDS C0 4H5J, and 2nd ablation right atrial after the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
170263 - 1st on 200511 0546, ref SDS 94 968H, and which is 3rd ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170264 - following initial left atrial procedure on 200430 0700. ref SDS 93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
170265 - 7Y3O  HR profile rises and falls with changes in grade...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
170267 -  ..
170268 - Recorded Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170270 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                          
170271 -       Date       201227 201226 201225 201224 201223 201222 201221 201220 201219 201218 201217 201216 201215 201214 201213 201212 201211 201210 201209 201208 201207 201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 201009 2010  
170272 -       Miles         16     20     19     19     24     18     22     16     17      4     15     13     14     11      0      0      0      0     15     24     15     23      0     23      0      0     15     21      0      0      0     25      0      0      0     12      0     11     16      0      7     21     22     22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     21        
170273 -       HR AVG       105    113    114    114    113    117    108    109    110    105    113    115    112    118     no     no     no     no    107    113    109    116     no    120     no     no     99    120     no     no     no    120     no     no     no    113     no    108    108     no    106    109    111    114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    110     n  
170274 -         MAX        131    136    131    131    134    135    145    128    134    130    131    128    127    129  report report report report   131    133    131    144  report   147  report report   130    147  report report report   150  report report report   129  report   125    128  report   128    133    134    152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    132  repo  
170275 -         Min         88     88     84     84     87     83     73     81     83     70     80     80     83     92                                 76     78     85     80            87                   59     90                          86                          83            79     87            69     83     86     80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     74        
170276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170278 -              https://flow.polar.com/training/analysis/5486189954                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170281 -               ..
170283 -   
170284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170286 -  ..
170287 - Pace profile incorrect, because forgot to discontinue GPS system                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
170288 - before getting to car for ride home.  Therefore min/mile is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
170289 - corrupted.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
170291 -  ..
170292 - HR profile Concord elevation 100, 16-mile route showing average 105,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170293 - significantly lower than hikes the past month, and max 131, aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170294 - with temperature 57, following cardiac ablation on 201210 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170295 - ref SDS C0 4H5J; and, following treatment in ER injecting high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170296 - concentrate metoprolol that slowed atrial flutter HR 160, down to 60s                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170297 - and 70s, on 201007 2218. ref SDS B3 X36J  A second isolated episode of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
170298 - atrial flutter recurred on 201031, with HR 150, and was treated with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170299 - Metoprolol Tartrate pill that lowered HR into 70s. ref SDS 0 GZ4I  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170300 - further episodes of atrial fibrilltion nor flutter have occurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170304 -  ..
170305 - EKG at mile 5 time 1033 HR 94 - Kardia reported Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
170306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170309 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201227-ecg-103328_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
170310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170312 -  ..
170313 - EKG looks little raggedy - 2 days in a row HR unclassified, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170314 - pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
170315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170318 -  ..
170319 - EKG at mile 10 time 1222 HR 112 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
170320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170323 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201227-ecg-122224_mile_10.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
170324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170326 -  ..
170327 - EKG looks mostly perfect after hiking uphill .5 miles 5% grade, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170328 - after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170332 -  ..
170333 - EKG at mile 12 time 1308 HR 99 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
170334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170337 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201227-ecg-130806_mile_12.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
170338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170340 -  ..
170341 - EKG looks mostly perfect, after pausing metoprolol on 201101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
170342 - ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
170343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170347 -  ..
170348 - EKG 1 minute after 16-mile hike HR 109 time 1421 Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
170349 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
170350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170352 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201227-ecg-142124_mile_16.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
170353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170355 -  ..
170356 - EKG looks very good, after pausing metoprolol on 201101. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170357 - P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170361 -  ..
170362 - HR profile post-hike beginning 1842 until next day morning OA 0630                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170363 - shows mostly steady heart beat 67 +/-.  Max HR 132, and minimum HR 53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170364 - aligns with indoor activity - sleeping; 1 spike above 130 indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170365 - no likely atrial fibrillation nor flutter, after 3rd cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170366 - (2nd ablation on right atrial) reported on 201210 0700. ref SDS C0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
170367 - 4H5J  Stable HR profile seems positive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
170368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170371 -        ..
170372 -       Date      201227 201226 201225 201224 201223 201222 201221 201220 201219 201218 201217 201216 201215 201214 201213 201212 201211 201210 201209 201208 201207 201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015 201014 201013 201012 201011 201010 201009 201008 201007 20  
170373 -        Hours       12      7      0     11     12     11     11     12     14     11     12     13     12     14     17     18     18     10      8      6     11     10     14     12     16     14      9      4     10     11     12     13     12      8      9      9     11     10      9      7      2      7     10     10     10      9      9      7      7     11      8      8     10      4     10      8      9     16     11      5      7      6     10      6      8      6     10      8      4     10      8      9      8     10      9      9      8      7      5      9      7      6      
170374 -       HR AVG       67     65     no     65     67     68     65     67     66     68     65     69     65     75     67     67     71     72     60     74     63     62     70     70     68     67     78     67     69     70     64     66     66     66     67     63     66     61     59     66     65     64     67     64     65     62     62     65     60     66     64     69     69     62     69     57     67     75     66     62     67     66     60     69     66     66     69     68     74     70     62     65     81     72     81     69     66     59     61     61     63     76      
170375 -         MAX       132    153  report   126    117    154    113    119    127    103    115    140    158    148    112    110    142    114     81    113    113    107    165    191    166    130    110     93    124    107    157    151    160    130    102    153     99    102     99     97    112     98    111    102    109    145    112    158    108     97    115    107    122     86    115     96    102    160    117     98    111    113    109     99     99    131    117    105     95    134    108    102    112    115    115    108    150    123     84    138    102    113      
170376 -         Min        53     50            47     51     51     50     54     53     51     51     53     41     49     50     52     51     52     54     56     51     53     43     31     53     46     58     53     49     56     52     36     49     51     54     48     53     47     47     55     43     52     50     52     54     41     47     48     44     49     44     45     40     48     53     45     50     35     47     51     57     49     48     56     46     52     46     49     57     52     46     49     61     54     64     53     48     47     54     42     51     47      
170377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170380 -              https://flow.polar.com/training/analysis/5487988429                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170385 -   
170386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170391 -  ..
170392 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
170393 - Lunch - NPO for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170394 - Dinner - ham broccoli mashed potatoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170396 -  ..
170397 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
170398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170404 -         ..
170405 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
170406 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
170407 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
170408 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
170409 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
170410 -  363.  201228 0730............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170411 -               0740....BP HR..................................................... 132  79  70  Kardia ECG reports HR normal, see below. ref SDS 0 YYQT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170412 -               0745....BP HR..................................................... 125  79  66  smooth curve so sinus BP elevated taking naproxen for hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                        
170413 -               0750....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170414 -               0000... 20 978680 CoQ10 Ubiquinol Liquid - paused on 201214 due to expense                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
170415 -               0750... 80 223640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
170416 -               0000... 05 3025 Apixaban blood thinner RX 7088121 for stroke - paused 201225 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170417 -               0000... 75 12200 Clopidogrel Bisulfate (Plavix) - paused 201225 because lowers HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
170418 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
170419 -               0000... Gabapentin 300MG  47900MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170420 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170421 -               0905... Oxycodone HCL Plain  5  405 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170422 -               0000... Diclofenac applied topically left knee manage pain left knee hamstring tendon paused because causes skin lesions                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170423 -               0905....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
170424 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170425 -               0935....miles...........  22.0  22.0  386   386 minutes  temp  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170427 -               0000... Oxycodone HCL Plain  5  400 mg RX90533728 took for pain management during hike not combined with gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170428 -               0000....Tramadol 50 2250 for prevent feet knee pain at mile 14 in 24 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
170429 -               0000... Gabapentin 300MG  47900MB took today, after pausing on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170430 -               1330... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
170431 -               0000... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
170432 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170434 -               1725....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170435 -               1740....BP HR..................................................... 122  68  80   BP elevated by taking 1 naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170436 -               1745....BP HR..................................................... 121  69  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
170437 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170438 -               1700... 40 65280 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
170439 -               1830............ 10 14730  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170440 -               1830............ 10 14320  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170441 -               2010... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
170442 -               0000... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
170443 -               2050... 40 45620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170444 -               2120... 1000 1025000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170445 -               0000... 05 3030 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
170446 -               0000... 03    6 Melatonin sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170447 -               2200... 80 223720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
170448 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170450 -  ..
170451 - * cr - twice hiked Crystal Ranch Road 8-mile loop with 5 major hills;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170452 - only once previously this year on 200918, ref SDS 0 FY9M - South 1 On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170453 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170454 - daily hike. ref SDS 55 E55K  On 191004 increased route going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
170455 - coming down .5 miles steep 5% grade to end of Crystal Ranch Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170456 - top of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
170457 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170458 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170459 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
170461 -  ..
170462 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170463 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170465 -  ..
170466 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170467 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170468 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170470 -  ..
170471 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
170473 -  ..
170474 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170475 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
170477 -  ..
170478 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
170480 -  ..
170481 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170482 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170484 -  ..
170485 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170486 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170487 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
170488 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170489 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170490 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
170491 - NSAID that constricts blood vessels, which inhibits PRP and apixaban.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170492 - Vasoconstriction raises blood pressure and causes colitis.  Ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170493 - is another NSAID like naproxen that raises blood pressure; it also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170494 - raises LDL.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170495 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170496 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
170497 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170498 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170499 - concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
170500 - collagen that repairs joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
170501 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170502 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170504 -  ..
170505 - Today, in order to hike took 1 oxycodone starting hike; took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
170506 - naproxen 250 mg pill at mile 13 to manage feet pain - didn't work                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170507 - well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170509 -  ..
170510 - Pain during hike today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
170511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170512 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
170513 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
170514 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170515 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170516 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170517 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170518 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170519 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170520 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170521 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170522 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170523 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170524 -        Knee left meniscus...PRP 191009..............   1         20  on 2nd pass Crystal Ranch Road left knee hurt rest of hike, about 4 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
170525 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170526 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170527 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170528 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170529 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170530 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170531 -        Hamstring left leg...........................   1          5  hiking up Crystal Ranch Road both times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
170532 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170533 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170534 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170535 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170536 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170537 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170538 -        Metatarsalgia left foot...PRP 191009.........   3         20  seemed like entire hike, tolerated with oxycodone at start and naproxen at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                                           
170539 -        Metatarsalgia right foot..PRP 191009.........   3         20  seemed like entire hike, tolerated with oxycodone at start and naproxen at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                                           
170540 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170541 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170542 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170543 -        Foot right possible fracture 200917.........    2         30  pain comes and goes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
170544 -        Hallux Valgus right foot.....................   2         30  pain comes and goes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
170545 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170546 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170547 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170548 -        Blister little toe right foot................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170549 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170550 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170551 -        Blister little toe left foot...blood blister.   2         10  healing - applied single layer tape also adjacent ring toe both may be getting better but hurt during hike, no blood at end of hike                                                                                                                                                                                                                                                                                                                                                                                                          
170552 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170553 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170554 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170555 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170556 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170557 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170558 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170559 -        Wobbly disoriented staggering dizzy..........   0        100  did not recur from yesterday - didn't take Tramadol last night, and ate more food during stops today                                                                                                                                                                                                                                                                                                                                                                                                                                         
170561 -  ..
170562 - Today, energy good starting hike, after hiking 16 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170563 - After hiking 22 miles today, body fatigued, but not noticably                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
170564 - wobbly/disoriented like yesterday, and after taking 1 oxycodone 5 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170565 - before starting.  Feet hurting during hike and at end of hike more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170566 - than past few days, and less after hiking.
170568 - -
170569 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170570 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170571 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170573 -  ..
170574 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170576 -  ..
170577 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170578 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170579 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170581 -  ..
170582 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170583 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170584 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170585 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170586 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170588 -  ..
170589 - Little toe left foot did not wrap with hydrofera blue antibacterial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170590 - foam dressing to heal and protect wounds.  Seemed to be additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170591 - stress crimping little toe and adjacent ring toe for 16 miles.  Little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170592 - toe right foot pain level 0 entire hike without dressing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
170594 -  ..
170595 - Socks - wore 1-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170596 - 1344. ref SDS 79 SM4M  Added 1-pair smartwool socks over wrightsocks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
170597 - Worked okay - feet hurt last 2 miles, but without taking naproxen at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170598 - mile 12.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
170600 -  ..
170601 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170602 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170603 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170605 -  ..
170606 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170607 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
170608 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170609 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170610 - ref SDS 77 SM4M  After hike on 201228, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
170611 - Tailor's Bunions, and applied ammonium lactate lotion to feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170612 - above. ref SDS 0 VB7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170614 -  ..
170615 - Concord 22 mile route - starting normal pace.  Took oxycodone 5 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170616 - starting hike.  Wearing Hoka Bondi 6 shoes received on 190927 1110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170617 - ref SDS 77 SM4M, that prevent feet and knee injuries.  Wore 1-pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
170618 - double-ply Wright socks received on 191010 1344, ref SDS 79 SM4M, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
170619 - prevent blisters.  Added 1-pair smartwool socks over wrightsocks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170620 - Applied miconazole nitrate 2% (Thera antifungal) foot powder ordered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170621 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 201201                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170622 - 0930. ref SDS B8 PR6M  It was received on 201207 1549. ref SDS B9 4G4N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170623 - Was effective entire hike today.  Wrapped with special tape little toe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170624 - and adjacent ring toe left foot.  Omitted hydrofera blue dressing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170625 - today.  Post hike no evident worsening of injury - may be healing..                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170626 - Hiked from Cuneo uphill to Treat.  Breathed easily through nose entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170627 - hike.  Temperature started at 42, and reached 54.  Hiked East on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170628 - 1 mile to Clayton - time to 1.25 miles 21 minutes.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170629 - hiking South on Clayton 2 miles at slow pace, mostly on flat concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170630 - sidewalk.  At mile 3.5, turned West onto Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170631 - concrete sidewalk another .5 mile.  About mile 4 crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170632 - Ygnacio Valley Road hiking West on asphalt shoulder aganist East bound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170633 - traffic.  Haroon jogged by, and said hello.  At mile 5 time 1156,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170634 - stopped at Texaco gas station - EKG reported HR 98 Normal, at mile 5 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170635 - see below. ref SDS 0 YYWY  Bought Coca Cola and banana for potasium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170636 - that provides coronary care.  Drank half of softdrink for hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170637 - and energy.  Ate few bites of half sandwich peanut butter margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170638 - and jam, for energy.  Hiked .25 mile on Ygnacio Valley Road to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170639 - Hollow; turned left and hiked about 50 yards.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
170640 - Campus Road.  Hiked 1-mile West uphill 3% - 4% grade to California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170641 - Sate University East Bay campus.  Energy seemed to increase; did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170642 - become wobbly, disoriented, staggering like yesterday.  Hiked 1-loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170643 - of about 1.5 miles through adjoining Faculty and Student Parking lots,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170644 - with 1 sub-loop.  At mile 7, back at Visitor Parking hiked North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
170645 - downhill 3% grade .3 mile to Ygnacio Valley Road.  Turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170646 - hiked West .5 mile on Ygnacio Valley Road flat pavement.  At mile 7.5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170647 - turned left and hiked South 1 mile up steep hill 5% grade on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170648 - Ranch Road.  Hiked another mile on flat pavement through residential                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170649 - area.  Hiked downhill .5 mile past Rolling Woods Way.  Hiked up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170650 - another steep hill 5% grade .5 mile to the end of Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170651 - At top of mountain, mile 10, EKG time 1245 reported HR 115 Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170652 - - see below. ref SDS 0 YYYS  Handled these hills well with energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170653 - breathing easily through nose all the way.  Still not clear why                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170654 - difficulty hiking yesterday, that has not occurred in past months, nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170655 - today.  Hiked back downhill on Crystal Ranch Road.  Turned East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170656 - Rolling Woods Way.  Hiked up steep hill 5% grade .33 mile, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170657 - downhill .66 miles.  Turned North onto Pine Hillow.  Hiked 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170658 - Ygnacio Valley Road.  At mile 13, stopped at Texaco Gas Station again                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170659 - - EKG time 1330 reported HR 95 Normal - see below. ref SDS 0 PPPW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170660 - Continued hike on Ygnacio Valley Road to Pine Hollow; turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170661 - hiked about 50 yards.  Turned right onto Campus Road.  Hiked 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170662 - West uphill 3% - 4% grade to California Sate University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
170663 - campus.  Hiked 1-loop of about 1.5 miles through adjoining Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170664 - Student Parking lots, added sub-loop of .5 mile.  Back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170665 - Parking mile 15.  Took Campus Drive North .33 mile downhill.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170666 - left onto Ygnacio Valley Road and hiked West .5 miles.  At mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170667 - turned left and hiked rare 2nd loop through Crystal Ranch Development;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170668 - only once previously this year on 200918, ref SDS 0 FY9M - South 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170669 - mile up steep hill 5% grade on Crystal Ranch Road.  Hiked another mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170670 - on flat pavement through residential area.  Hiked downhill .5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170671 - past Rolling Woods Way.  Hiked up another steep hill 5% grade .5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170672 - to the end of Crystal Ranch Road.  At top of mountain, mile 18, EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170673 - time 1530 reported HR 116 Possible Atrial Fibrillation - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170674 - ref SDS 0 MI7F  Handled these hills well with energy, and breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170675 - easily through nose all the way - feet pain level 3.  Hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
170676 - downhill on Crystal Ranch Road.  Turned East on Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170677 - Hiked up steep hill 5% grade .33 mile.  On the way down, encountered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170678 - Ted going same direction.  He reported sending a letter to Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170679 - Tucker asking about PRP for his knee, as discussed 2 days ago, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170680 - prior record. ref SDS 0 XYYX  Ted hiked on ahead.  There is no evident                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170681 - limp indicating a severe knee problem.  Continued downhill .66 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170682 - and turned right onto Pine Hollow.  Hiked South 2 miles to Mitchell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170683 - Canyon Road.  Turned left and hiked .25 mile East.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170684 - Clayton and hiked to Skipolini's.  Kathy had already bought pizza.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170685 - Drove home for 22 mile hike.  EKG at end of hike - time 1638 HR 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170686 - Tachycardia - see below. ref SDS 0 PPRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
170688 -  ..
170689 - Kardia recorded HR 68 at 0808 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170690 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170691 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170692 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170695 -               ..
170696 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201228-ecg-080828_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
170697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170699 -  ..
170700 - EKG looks perfect after hiking 16 miles yesterday, and after cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170701 - ablation on 201210 0700, ref SDS C0 4H5J, to correct recurrance atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
170702 - flutter on 201031 1500, taking metoprolol tartrate at 1640,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
170703 - ref SDS 0 SVXS, then pausing medication again the next day on 201101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170704 - per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
170705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170708 -  ..
170709 - Polar HR study in Concord, California elevation 100, 22-mile hike -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170710 - after cardiac ablation right atrial on 201210 0700. ref SDS C0 4H5J,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
170711 - and 2nd ablation right atrial after the 1st on 200511 0546,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
170712 - ref SDS 94 968H, and which is 3rd ablation following initial left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
170713 - atrial procedure on 200430 0700. ref SDS 93 7Y3O  HR profile rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
170714 - falls with changes in grade...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
170716 -  ..
170717 - Recorded Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170719 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                                   
170720 -       Date       201228 201227 201226 201225 201224 201223 201222 201221 201220 201219 201218 201217 201216 201215 201214 201213 201212 201211 201210 201209 201208 201207 201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 201010 2010  
170721 -       Miles         22     16     20     19     19     24     18     22     16     17      4     15     13     14     11      0      0      0      0     15     24     15     23      0     23      0      0     15     21      0      0      0     25      0      0      0     12      0     11     16      0      7     21     22     22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     22     2  
170722 -       HR AVG       115    105    113    114    114    113    117    108    109    110    105    113    115    112    118     no     no     no     no    107    113    109    116     no    120     no     no     99    120     no     no     no    120     no     no     no    113     no    108    108     no    106    109    111    114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    104    11  
170723 -         MAX        136    131    136    131    131    134    135    145    128    134    130    131    128    127    129  report report report report   131    133    131    144  report   147  report report   130    147  report report report   150  report report report   129  report   125    128  report   128    133    134    152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    127    13  
170724 -         Min         82     88     88     84     84     87     83     73     81     83     70     80     80     83     92                                 76     78     85     80            87                   59     90                          86                          83            79     87            69     83     86     80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     73     7  
170725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170727 -              https://flow.polar.com/training/analysis/5489956074                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170730 -               ..
170732 -   
170733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170735 -  ..
170736 - HR profile Concord elevation 100, 22-mile route showing average 115,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170737 - and max 131, aligns with temperature 54, following cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170738 - 201210 0700, ref SDS C0 4H5J; and, following treatment in ER injecting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
170739 - high concentrate metoprolol that slowed atrial flutter HR 160, down to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170740 - 60s and 70s, on 201007 2218. ref SDS B3 X36J  A second isolated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170741 - episode of atrial flutter recurred on 201031, with HR 150, and was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170742 - treated with Metoprolol Tartrate pill that lowered HR into 70s.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170743 - ref SDS 0 GZ4I  No further episodes of atrial fibrilltion nor flutter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170744 - have occurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
170745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170748 -  ..
170749 - EKG at mile 5 time 1056 HR 98 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170753 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201228-ecg-105619_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
170754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170756 -  ..
170757 - EKG looks little raggedy - after pausing metoprolol on 201101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
170758 - ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
170759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170762 -  ..
170763 - EKG at mile 10 time 1245 HR 115 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
170764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170767 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201228-ecg-124551_mile_10.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
170768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170770 -  ..
170771 - EKG looks initially raggedy then perfect, after hiking uphill .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170772 - 5% grade, and after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
170773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170776 -  ..
170777 - EKG at mile 13 time 1320 HR 95 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
170778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170781 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201228-ecg-133038_mile_13.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
170782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170784 -  ..
170785 - EKG looks mostly perfect, after pausing metoprolol on 201101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
170786 - ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
170787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170791 -  ..
170792 - EKG at mile 18 time 1530 HR 116 - Kardia reported Possible Atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170793 - Fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
170794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170796 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201228-ecg-153037_mile_18.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
170797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170799 -  ..
170800 - EKG looks consistent, not clear why AF, after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170801 - 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170806 -  ..
170807 - EKG 1 minute after 22-mile hike HR 99 time 1638 Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170808 - Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
170809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170811 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201228-ecg-163844_mile_22.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
170812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170814 -  ..
170815 - EKG looks little raggedy, mostly consistent, after pausing metoprolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170816 - on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
170817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170851 -  ..
170852 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
170853 - Lunch - half sandwich peanut butter margarine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170854 - Dinner - pizza, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170856 -  ..
170857 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
170858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170864 -         ..
170865 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
170866 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
170867 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
170868 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
170869 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
170870 -  364.  201229 0700............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170871 -               0740....BP HR..................................................... 128  77  64  Kardia ECG reports HR normal, see below. ref SDS 0 PSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170872 -               0745....BP HR..................................................... 130  80  64  smooth curve so sinus BP elevated taking naproxen for hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                        
170873 -               0750....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170874 -               0000... 20 978680 CoQ10 Ubiquinol Liquid - paused on 201214 due to expense                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
170875 -               0750... 80 223800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
170876 -               0000... 05 3025 Apixaban blood thinner RX 7088121 for stroke - paused 201225 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170877 -               0000... 75 12200 Clopidogrel Bisulfate (Plavix) - paused 201225 because lowers HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
170878 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
170879 -               0000... Gabapentin 300MG  47900MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170880 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170881 -               0905... Diclofenac applied topically left knee meniscus and both feet metatarsalgia Tailor's Bunion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170882 -               0910... Oxycodone HCL Plain  5  410 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170883 -               0910....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
170884 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170885 -               0915....miles...........  17.0  39.0  286   662 minutes  temp  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170887 -               0000... Oxycodone HCL Plain  5  400 mg RX90533728 took for pain management during hike not combined with gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170888 -               0000....Tramadol 50 2250 for prevent feet knee pain at mile 14 in 24 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
170889 -               0000... Gabapentin 300MG  47900MB took today, after pausing on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170890 -               1330... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
170891 -               0000... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
170892 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170894 -               1550....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170895 -               1555....BP HR..................................................... 120  73  87   BP elevated by taking 1 naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170896 -               1600....BP HR..................................................... 109  72  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
170897 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170898 -               1700... 40 65320 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
170899 -             1 0000............ 10 14730  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170900 -             1 0000............ 10 14320  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170901 -               2010... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
170902 -               0000... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
170903 -               2050... 40 45660 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170904 -               2120... 1000 1026000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170905 -               0000... 05 3030 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
170906 -               0000... 03    6 Melatonin sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170907 -               2200... 80 223880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
170908 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170910 -  ..
170911 - * cr - twice hiked Crystal Ranch Road 8-mile loop with 5 major hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170912 - On 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170913 - of daily hike. ref SDS 55 E55K   On 191004 increased route going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
170914 - and coming down .5 miles steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170915 - at top of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
170916 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170917 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170918 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
170920 -  ..
170921 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170922 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170924 -  ..
170925 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170926 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170927 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170929 -  ..
170930 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
170932 -  ..
170933 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170934 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
170936 -  ..
170937 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
170939 -  ..
170940 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170941 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170943 -  ..
170944 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
170945 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170946 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
170947 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170948 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170949 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
170950 - NSAID that constricts blood vessels, which inhibits PRP and apixaban.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170951 - Vasoconstriction raises blood pressure and causes colitis.  Ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170952 - is another NSAID like naproxen that raises blood pressure; it also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
170953 - raises LDL.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170954 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170955 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
170956 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
170957 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170958 - concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
170959 - collagen that repairs joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
170960 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
170961 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170963 -  ..
170964 - Today, in order to hike applied Diclofenac both feet and to left knee,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170965 - took 1 oxycodone starting hike; took 1 naproxen 250 mg pill at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
170966 - to manage feet pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170968 -  ..
170969 - Pain during hike today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
170970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
170971 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
170972 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
170973 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170974 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170975 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170976 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170977 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170978 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170979 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170980 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170981 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170982 -        Knee left skin lesions left side.............   0        100  none today starting Diclofenac again                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
170983 -        Knee left meniscus...PRP 191009..............   0        100  after applying Diclofenac (naproxen) before starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
170984 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170985 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170986 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170987 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170988 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170989 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170990 -        Hamstring left leg...........................   1          5  hiking up Crystal Ranch Road both times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
170991 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170992 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170993 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170994 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170995 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170996 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
170997 -        Metatarsalgia left foot...PRP 191009.........   2         10  tolerated with oxycodone at start and naproxen at mile 13 after applying Diclofenac (naproxen) before starting hike                                                                                                                                                                                                                                                                                                                                                                                                                          
170998 -        Metatarsalgia right foot..PRP 191009.........   2         10  tolerated with oxycodone at start and naproxen at mile 13 after applying Diclofenac (naproxen) before starting hike                                                                                                                                                                                                                                                                                                                                                                                                                          
170999 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171000 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171001 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171002 -        Foot right possible fracture 200917.........    1         10  tolerated with oxycodone at start and naproxen at mile 13 after applying Diclofenac (naproxen) before starting hike                                                                                                                                                                                                                                                                                                                                                                                                                          
171003 -        Hallux Valgus right foot.....................   1         10  tolerated with oxycodone at start and naproxen at mile 13 after applying Diclofenac (naproxen) before starting hike                                                                                                                                                                                                                                                                                                                                                                                                                          
171004 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171005 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171006 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171007 -        Blister little toe right foot................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171008 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171009 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171010 -        Blister little toe left foot...blood blister.   3         25  healing - applied single layer tape also adjacent ring toe both may be getting better but hurt during hike, so removed at mile 5, no blood                                                                                                                                                                                                                                                                                                                                                                                                   
171011 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171012 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171013 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171014 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171015 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171016 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171017 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171018 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171020 -  ..
171021 - Today, energy good starting hike, after hiking 22 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171022 - After hiking 17 miles today, body fatigued, but not noticably                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
171023 - wobbly/disoriented like yesterday, and after taking 1 oxycodone 5 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171024 - before starting, Feet hurting during hike and at end of hike less than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171025 - past few days, and less after hiking, after starting hike with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
171026 - Diclofenac gel, and taking naproxen pill 250 mg at mile 13.  Not sure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171027 - pill was affective.
171029 - -
171030 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171031 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171032 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171034 -  ..
171035 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171037 -  ..
171038 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171039 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171040 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171042 -  ..
171043 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171044 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171045 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171046 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171047 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171049 -  ..
171050 - Little toe left foot did not wrap with hydrofera blue antibacterial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171051 - foam dressing to heal and protect wounds.  Seemed to be additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171052 - stress crimping little toe and adjacent ring toe for 16 miles.  Little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171053 - toe right foot pain level 0 entire hike without dressing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
171055 -  ..
171056 - Socks - wore 1-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171057 - 1344. ref SDS 79 SM4M  Added 1-pair smartwool socks over wrightsocks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
171058 - Worked okay - feet hurt last 2 miles, but without taking naproxen at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171059 - mile 12.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
171061 -  ..
171062 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171063 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171064 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171066 -  ..
171067 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171068 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
171069 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171070 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171071 - ref SDS 77 SM4M  After hike on 201229, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
171072 - Tailor's Bunions, and applied ammonium lactate lotion to feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171073 - above. ref SDS 0 JH4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171075 -  ..
171076 - Concord 17 mile route - starting normal pace.  Took oxycodone 5 mg and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171077 - applied Diclofenac gel topically to bottom both feet, Tailor's Bunions                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171078 - and to right foot instep, where bone fracture may have occurred, all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171079 - before starting hike.  Wearing Hoka Bondi 6 shoes received on 190927                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171080 - 1110, ref SDS 77 SM4M, that prevent feet and knee injuries.  Wore                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
171081 - 1-pair double-ply Wright socks received on 191010 1344, ref SDS 79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
171082 - SM4M, to prevent blisters.  Wore 2 pair dual-ply wrightsocks.  Applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171083 - miconazole nitrate 2% (Thera antifungal) foot powder ordered by Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171084 - Tang during the meeting in Podiatry at VAMCSF on 201201 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
171085 - ref SDS B8 PR6M  It was received on 201207 1549. ref SDS B9 4G4N  Was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171086 - effective entire hike today.  Wrapped with special tape ring toe next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171087 - to little toe on left foot.  Applied hydrofera blue dressing today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171088 - but had to remove at mile 5.  Post hike no evident worsening of injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171089 - - may be healing..  Hiked from Cuneo uphill to Treat.  Breathed easily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171090 - through nose entire hike.  Temperature started at 34, and reached 64.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171091 - Hiked East on Treat 1 mile to Clayton - time to 1.25 miles 21 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171092 - Turned corner hiking South on Clayton 2 miles at normal pace, mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171093 - on flat concrete sidewalk.  At mile 3.5, turned West onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171094 - Valley Road hiking on concrete sidewalk another .5 mile.  About mile 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171095 - crossed to South side Ygnacio Valley Road hiking West on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
171096 - shoulder aganist East bound traffic.  At mile 5 time 1038, stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171097 - Texaco gas station - EKG reported HR 86 Normal, at mile 5 - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171098 - ref SDS 0 PTUT  Bought Coca Cola and banana for potasium that provides                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171099 - coronary care.  Drank half of softdrink for hydration and energy.  Ate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171100 - few bites of half sandwich peanut butter margarine and jam, for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171101 - energy.  Hiked .25 mile on Ygnacio Valley Road to Pine Hollow; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171102 - left and hiked about 50 yards.  Turned right onto Campus Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171103 - 1-mile West uphill 3% - 4% grade to California Sate University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171104 - Bay campus.  Energy seemed to increase.  Hiked 1-loop of about 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171105 - miles through adjoining Faculty and Student Parking lots, with 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
171106 - sub-loop.  At mile 7.5, back at Visitor Parking hiked North downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171107 - 3% grade .3 mile to Ygnacio Valley Road.  Turned left and hiked West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171108 - .5 mile on Ygnacio Valley Road flat pavement.  At mile 8, turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171109 - and hiked South 1 mile up steep hill 5% grade on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171110 - Hiked another mile on flat pavement through residential area.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171111 - downhill .5 mile past Rolling Woods Way.  Hiked up another steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171112 - 5% grade .5 mile to the end of Crystal Ranch Road.  Encountered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171113 - Caroline coming downhill pushing baby carriage with 2 little dogs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171114 - She explained Ted met with orthopedic doctor at Kaiser yesterday.  The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171115 - doctor advised Ted that he does not need knee replacement at this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171116 - time, because he is hiking 5-miles per day.  Discussed with Caroline                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171117 - using Diclofenac gel applied topically to feet and left knee this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171118 - morning, per above. ref SDS 0 JH4H  She asked to send letter notifying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171119 - Ted about Diclofenac.  Caroline also asked about cost of PRP?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
171120 - Indicated cost may be in the range of $2,000.  At top of mountain,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171121 - mile 10.5, EKG time 1250 reported HR 104 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171122 - ref SDS 0 PTVX  Handled these hills well with energy, and breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171123 - easily through nose all the way.  Hiked back downhill on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171124 - Road.  Turned East on Rolling Woods Way.  Hiked up steep hill 5% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171125 - .33 mile, then downhill .66 miles.  Encountered Caroline again coming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171126 - uphill on Rolling Woods Way.  Helped her send letter to Ted about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171127 - Diclofenac gel.  Turned North onto Pine Hillow.  Hiked 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
171128 - Ygnacio Valley Road.  At mile 13, stopped at Texaco Gas Station again                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171129 - - EKG time 1334 reported HR 94 Normal - see below. ref SDS 0 PTXR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171130 - Continued hike on Ygnacio Valley Road to Pine Hollow; turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171131 - hiked about 50 yards.  Turned right onto Campus Road.  Hiked 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171132 - West uphill 3% - 4% grade to California Sate University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
171133 - campus.  Hiked 1-loop of about 1.5 miles through adjoining Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171134 - Student Parking lots, added sub-loop of .5 mile.  Back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171135 - Parking mile 15.  Took Campus Drive North .33 mile downhill.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171136 - left onto Ygnacio Valley Road and hiked West .5 miles.  At mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171137 - turned left and hiked South 1 mile up steep hill 5% grade on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171138 - Ranch Road.  About halfway up the hill was passed by a young boy (7th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171139 - or 8th grade) and his mother hiking on other side of the road.  Raced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171140 - them to the top.  They opnened a lead, but caught up at the top.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
171141 - Kathy drove us home 17 mile hike.  EKG at end of hike - time 1512 HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171142 - 109 Tachycardia - see below. ref SDS 0 PUQR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
171144 -  ..
171145 - Kardia recorded HR 63 at 0709 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171146 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171147 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171148 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171151 -               ..
171152 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201229-ecg-070924_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
171153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171155 -  ..
171156 - EKG looks perfect after hiking 22 miles yesterday, and after cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171157 - ablation on 201210 0700, ref SDS C0 4H5J, to correct recurrance atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
171158 - flutter on 201031 1500, taking metoprolol tartrate at 1640,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
171159 - ref SDS 0 SVXS, then pausing medication again the next day on 201101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171160 - per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
171161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171164 -  ..
171165 - Polar HR study in Concord, California elevation 100, 17-mile hike -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171166 - after cardiac ablation right atrial on 201210 0700. ref SDS C0 4H5J,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
171167 - and 2nd ablation right atrial after the 1st on 200511 0546,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
171168 - ref SDS 94 968H, and which is 3rd ablation following initial left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
171169 - atrial procedure on 200430 0700. ref SDS 93 7Y3O  HR profile rises and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
171170 - falls with changes in grade...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
171172 -  ..
171173 - Recorded Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171175 -                  x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x      x                                                               Sparks..................Sparks                            
171176 -       Date       201229 201228 201227 201226 201225 201224 201223 201222 201221 201220 201219 201218 201217 201216 201215 201214 201213 201212 201211 201210 201209 201208 201207 201206 201205 201204 201203 201202 201201 201130 201129 201128 201127 201126 201125 201124 201123 201122 201121 201120 201119 201118 201117 201116 201115 201114 201113 201112 201111 201110 201109 201108 201107 201106 201105 201104 201103 201102 201101 201031 201030 201029 201028 201027 201026 201025 201024 201023 201022 201021 201020 201019 201018 201017 201016 201015a5a1 201014 201013 201013 201012 201011 2010  
171177 -       Miles         17     22     16     20     19     19     24     18     22     16     17      4     15     13     14     11      0      0      0      0     15     24     15     23      0     23      0      0     15     21      0      0      0     25      0      0      0     12      0     11     16      0      7     21     22     22      0     16     23      0      0      0     21      0     13     15      0     15     13     16     16     20     15     16     13     23     21     20     23      0     20     18      0      7     10       10        6      9     12     23      6     2  
171178 -       HR AVG       105    115    105    113    114    114    113    117    108    109    110    105    113    115    112    118     no     no     no     no    107    113    109    116     no    120     no     no     99    120     no     no     no    120     no     no     no    113     no    108    108     no    106    109    111    114     no    113    119     no     no     no    121     no    111    118     no    102    100    119    118    116    108    106     92    112    111    111    112     no    121    125     no    117    116      126      119    120    119    118    112    10  
171179 -         MAX        141    136    131    136    131    131    134    135    145    128    134    130    131    128    127    129  report report report report   131    133    131    144  report   147  report report   130    147  report report report   150  report report report   129  report   125    128  report   128    133    134    152  report   130    140  report report report   143  report   126    137  report   129    117    172    145    136    135    132    132    134    132    131    131  report   143    149  report   133    135      143      138    146    144    140    127    12  
171180 -         Min         76     82     88     88     84     84     87     83     73     81     83     70     80     80     83     92                                 76     78     85     80            87                   59     90                          86                          83            79     87            69     83     86     80            77     82                          84            87     94            84     73     81     78     88     75     73     47     75     85     87     73            85     90            83    101       97       82     93     86     88     73     7  
171181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171183 -              https://flow.polar.com/training/analysis/5493561219                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171186 -               ..
171188 -   
171189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171191 -  ..
171192 - HR profile Concord elevation 100, 17-mile route showing average 105,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171193 - and max 141, aligns with temperature 64, following cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171194 - 201210 0700, ref SDS C0 4H5J; and, following treatment in ER injecting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
171195 - high concentrate metoprolol that slowed atrial flutter HR 160, down to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171196 - 60s and 70s, on 201007 2218. ref SDS B3 X36J  A second isolated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171197 - episode of atrial flutter recurred on 201031, with HR 150, and was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171198 - treated with Metoprolol Tartrate pill that lowered HR into 70s.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171199 - ref SDS 0 GZ4I  No further episodes of atrial fibrilltion nor flutter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171200 - have occurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
171201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171204 -  ..
171205 - EKG at mile 5 time 1038 HR 86 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171209 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201229-ecg-103803_mile_05.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
171210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171212 -  ..
171213 - EKG looks little raggedy - after pausing metoprolol on 201101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
171214 - ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
171215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171218 -  ..
171219 - EKG at mile 10 time 1250 HR 104 - Kardia reported Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
171220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171223 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201229-ecg-125021_mile_10.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
171224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171226 -  ..
171227 - EKG looks perfect, after hiking uphill .5 miles 5% grade, and after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171228 - pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
171229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171232 -  ..
171233 - EKG at mile 13 time 1334 HR 94 - Kardia reported Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
171234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171237 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201229-ecg-133452_mile_13.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
171238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171240 -  ..
171241 - EKG looks perfect, after pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171246 -  ..
171247 - EKG at mile 18 time 1530 HR 116 - Kardia reported Possible Atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171248 - Fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
171249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171251 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201228-ecg-153037_mile_18.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
171252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171254 -  ..
171255 - EKG looks consistent, not clear why AF, after pausing metoprolol on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171256 - 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171261 -  ..
171262 - EKG 1 minute after 17-mile hike HR 112 time 1512 Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
171263 - Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
171264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171266 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201229-ecg-151257_mile_17.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
171267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171269 -  ..
171270 - EKG looks perfect, after racing uphill 1 mile 5% grade, and after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171271 - pausing metoprolol on 201101. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
171272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171305 -  ..
171306 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
171307 - Lunch - half sandwich peanut butter margarine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171308 - Dinner - rice broccoli ham onion, pizza                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
171310 -  ..
171311 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
171312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171318 -         ..
171319 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
171320 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
171321 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
171322 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
171323 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
171324 -  365.  201230 0700............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171325 -               0740....BP HR..................................................... 134  80  64  Kardia ECG reports HR normal, see below. ref SDS 0 PXTW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171326 -               0745....BP HR..................................................... 135  81  64  smooth curve so sinus BP elevated taking naproxen for hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                        
171327 -               0750....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171328 -               0000... 20 978680 CoQ10 Ubiquinol Liquid - paused on 201214 due to expense                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
171329 -               0750... 80 223960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
171330 -               0000... 05 3025 Apixaban blood thinner RX 7088121 for stroke - paused 201225 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171331 -               0000... 75 12200 Clopidogrel Bisulfate (Plavix) - paused 201225 because lowers HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
171332 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
171333 -               0000... Gabapentin 300MG  47900MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171334 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171335 -               0940... Diclofenac applied topically left knee meniscus and both feet metatarsalgia Tailor's Bunion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171336 -               0000... Oxycodone HCL Plain  5  410 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171337 -               1010....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
171338 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171339 -               1015....miles...........  22.0  61.0  371  1033 minutes  temp  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171341 -               0000... Oxycodone HCL Plain  5  400 mg RX90533728 took for pain management during hike not combined with gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171342 -               0000....Tramadol 50 2250 for prevent feet knee pain at mile 14 in 24 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
171343 -               0000... Gabapentin 300MG  47900MB took today, after pausing on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171344 -               1415... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
171345 -               0000... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
171346 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171348 -               1730....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171349 -               1740....BP HR..................................................... 130  68  87   BP elevated by taking 1 naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171350 -               1745....BP HR..................................................... 132  77  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
171351 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171352 -               1700... 40 65360 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
171353 -               1830............ 10 14740  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171354 -               1830............ 10 14330  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171355 -               2010... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
171356 -               0000... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
171357 -               2050... 40 45700 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171358 -               2120... 1000 1027000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171359 -               0000... 05 3030 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
171360 -               0000... 03    6 Melatonin sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171361 -               2200... 80 224040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
171362 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171364 -  ..
171365 - * cr - hiked Crystal Ranch Road with 8-mile loop with 5 major hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171366 - On 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171367 - of daily hike. ref SDS 55 E55K   On 191004 increased route going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
171368 - and coming down .5 miles steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171369 - at top of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
171370 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171371 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171372 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
171374 -  ..
171375 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171376 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171378 -  ..
171379 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171380 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171381 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171383 -  ..
171384 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
171386 -  ..
171387 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171388 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
171390 -  ..
171391 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
171393 -  ..
171394 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171395 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171397 -  ..
171398 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171399 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171400 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
171401 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171402 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171403 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
171404 - NSAID that constricts blood vessels, which inhibits PRP and apixaban.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171405 - Vasoconstriction raises blood pressure and causes colitis.  Ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171406 - is another NSAID like naproxen that raises blood pressure; it also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171407 - raises LDL.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171408 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171409 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
171410 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171411 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171412 - concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
171413 - collagen that repairs joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
171414 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171415 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171417 -  ..
171418 - Today, in order to hike applied Diclofenac both feet and to left knee,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171419 - took 1 naproxen 250 mg pill at mile 13 to manage feet pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
171421 -  ..
171422 - Pain during hike today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
171423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171424 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
171425 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
171426 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171427 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171428 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171429 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171430 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171431 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171432 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171433 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171434 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171435 -        Knee left skin lesions left side.............   0        100  none today starting Diclofenac again                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
171436 -        Knee left meniscus...PRP 191009..............   0        100  after applying Diclofenac (naproxen) before starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
171437 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171438 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171439 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171440 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171441 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171442 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171443 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171444 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171445 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171446 -        Tailor's Bunion left foot.. PRP 190612.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171447 -        Tailor's Bunion right foot..PRP 190816.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171448 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171449 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171450 -        Metatarsalgia left foot...PRP 191009.........   0         95  diclofenac applied to feet before hike, took 1 naproxen at mile 13 pain level 3 last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171451 -        Metatarsalgia right foot..PRP 191009.........   0         95  diclofenac applied to feet before hike, took 1 naproxen at mile 13 pain level 3 last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171452 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171453 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171454 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171455 -        Foot right possible fracture 200917.........    1         10  tolerated with diclofenac at start and naproxen at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171456 -        Hallux Valgus right foot.....................   1         10  tolerated with diclofenac at start and naproxen at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171457 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171458 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171459 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171460 -        Blister little toe right foot................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171461 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171462 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171463 -        Blister little toe left foot...blood blister.   1         50  healing - applied single layer tape also adjacent ring toe both may be getting better but hurt during hike, so removed at mile 5, no blood                                                                                                                                                                                                                                                                                                                                                                                                   
171464 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171465 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171466 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171467 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171468 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171469 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171470 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171471 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171473 -  ..
171474 - Today, energy good starting hike, after hiking 17 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171475 - After hiking 22 miles today, body fatigued, but not noticably                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
171476 - wobbly/disoriented like yesterday, and not taking 1 oxycodone 5 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171477 - before starting today.  Feet hurting during hike and at end of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171478 - less than past few days, and less after hiking, after starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171479 - with Diclofenac gel, and taking naproxen pill 250 mg at mile 13.  Not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171480 - sure pill was affective.
171482 - -
171483 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171484 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171485 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171487 -  ..
171488 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171490 -  ..
171491 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171492 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171493 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171495 -  ..
171496 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171497 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171498 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171499 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171500 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171502 -  ..
171503 - Little toe left foot wrapped with alternate thinner neoprene foam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171504 - dressing to heal and protect wounds.  Seemed to work better than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
171505 - Hydrofera Blue, because thinner, so less pressure on toe.  Little toe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171506 - right foot pain level 0 entire hike without dressing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171508 -  ..
171509 - Socks - wore 1-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171510 - 1344. ref SDS 79 SM4M  Added 1-pair smartwool socks over wrightsocks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
171511 - Worked okay - feet hurt less last 2 miles, but with taking naproxen at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171512 - mile 13.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
171514 -  ..
171515 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171516 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171517 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171519 -  ..
171520 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171521 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
171522 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171523 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171524 - ref SDS 77 SM4M  After hike on 201230, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
171525 - Tailor's Bunions, and applied ammonium lactate lotion to feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171526 - above. ref SDS 0 3P9M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171528 -  ..
171529 - Concord 22 mile route - starting normal pace.  Did not take oxycodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171530 - 5 mg first time in about a month.  Applied Diclofenac gel topically to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171531 - left knee, and to bottom both feet, Tailor's Bunions and to right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171532 - instep, where bone fracture may have occurred, all before starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171533 - hike.  Wearing Hoka Bondi 6 shoes received on 190927 1110, ref SDS 77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
171534 - SM4M, that prevent feet and knee injuries.  Wore 1-pair double-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171535 - Wright socks received on 191010 1344, ref SDS 79 SM4M, to prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
171536 - blisters.  Wore 1 pair smartwool socks.  Applied miconazole nitrate 2%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171537 - (Thera antifungal) foot powder ordered by Doctor Tang during the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
171538 - meeting in Podiatry at VAMCSF on 201201 0930. ref SDS B8 PR6M  It was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
171539 - received on 201207 1549. ref SDS B9 4G4N  Was effective entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
171540 - today.  Wrapped with special tape ring toe next to little toe on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171541 - foot.  Omitted hydrofera blue dressing today.  Applied thinner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
171542 - neoprene foam to separate little toe from adjacent ring toe - worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171543 - better today.  Post hike no evident worsening of injury - may be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
171544 - healing..  Hiked from Cuneo uphill to Treat.  Breathed easily through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171545 - nose entire hike.  Temperature started at 34, and reached 61.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171546 - East on Treat 1 mile to Clayton - time to 1.25 miles 21 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
171547 - Turned corner hiking South on Clayton 2 miles at normal pace, mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171548 - on flat concrete sidewalk.  At mile 3.5, turned West onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171549 - Valley Road hiking on concrete sidewalk another .5 mile.  About mile 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171550 - crossed to South side Ygnacio Valley Road hiking West on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
171551 - shoulder aganist East bound traffic.  At mile 5 time 1136, stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171552 - Texaco gas station - EKG reported HR 97 Normal, at mile 5 - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171553 - ref SDS 0 PYPW  Bought Coca Cola and banana for potasium that provides                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171554 - coronary care.  Drank half of softdrink for hydration and energy.  Ate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171555 - few bites of half sandwich peanut butter margarine and jam, for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171556 - energy.  Hiked .25 mile on Ygnacio Valley Road to Pine Hollow; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171557 - left and hiked about 50 yards.  Turned right onto Campus Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171558 - 1-mile West uphill 3% - 4% grade to California Sate University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171559 - Bay campus.  Energy seemed to increase.  Hiked 1-loop of about 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171560 - miles through adjoining Faculty and Student Parking lots, with 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
171561 - sub-loop.  At mile 7.5, back at Visitor Parking hiked North downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171562 - 3% grade .3 mile to Ygnacio Valley Road.  Turned left and hiked West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171563 - .5 mile on Ygnacio Valley Road flat pavement.  At mile 8, turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171564 - and hiked South 1 mile up steep hill 5% grade on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171565 - Hiked another mile on flat pavement through residential area.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171566 - downhill .5 mile past Rolling Woods Way.  Hiked up another steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171567 - 5% grade .5 mile to the end of Crystal Ranch Road.  At top of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
171568 - mountain, mile 10.5, EKG time 1329 reported HR 117 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171569 - below. ref SDS 0 PYRQ  Handled these hills well with energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
171570 - breathing easily through nose all the way.  Hiked back downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171571 - Crystal Ranch Road.  Turned East on Rolling Woods Way.  Hiked up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171572 - hill 5% grade .33 mile, then downhill .66 miles.  Turned North onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171573 - Pine Hillow.  Hiked 1 mile to Ygnacio Valley Road.  Saw Caroline                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
171574 - hiking South on other side of the road.  She waved and yelled hello.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171575 - At mile 13, stopped at Texaco Gas Station again - EKG time 1412                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171576 - reported HR 105 Normal - see below. ref SDS 0 PYSU  Continued hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171577 - Ygnacio Valley Road to Pine Hollow; turned left and hiked about 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171578 - yards.  Turned right onto Campus Road.  Hiked 1-mile West uphill 3% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171579 - 4% grade to California Sate University East Bay campus.  Hiked 1-loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171580 - of about 1.5 miles through adjoining Faculty and Student Parking lots,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171581 - added sub-loop of .5 mile.  Back at Visitor Parking mile 15.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171582 - Campus Drive North .33 mile downhill.  Turned left onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171583 - Road and hiked West .5 miles.  Continued at mile 16 past Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171584 - Road, hiking uphill 2% grade past Cowell.  At mile 17 crossed from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171585 - South to North side Ygnacio Valley Road.  Continued uphill 2% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171586 - and crossed over the summit.  At end of concrete traffic barriar about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171587 - mile 18 in the hike, crossed back to South side Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171588 - Hiked 1.5 miles West downhill 2% grade.  Crossed to North side of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171589 - road.  Hiked .5 miles to Oak Grove.  At mile 19, Hiked around Safeway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171590 - shopping complex on paved path heading West .25 miles parallel to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171591 - Ygnacio Valley Road.  At Via Monte turned right and hiked .25 miles to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171592 - Shadelands.  Turned right and hiked East .25 miles back to Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171593 - Turned right hiking South back Ygnacio Valley Road.  Hiked another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171594 - loop back to corner of Shadelands and Oak Grove.  Turned left hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171595 - North on Oak Grove 1 mile using 3' wide asphalt shoulder for softer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171596 - surface that reduces feet pain.  At Oak Grove and Treat, Kathy drove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171597 - us home for 22 miles.  EKG at end of hike - time 1657 HR 110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
171598 - Tachycardia - see below. ref SDS 0 PYVT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
171599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171601 -  ..
171602 - Kardia recorded HR 65 at 0722 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171603 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171604 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171605 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171608 -               ..
171609 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201230-ecg-072205_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
171610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171612 -  ..
171613 - EKG looks perfect after hiking 17 miles yesterday, including final                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171614 - race uphill 1 mile, and after cardiac ablation on 201210 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
171615 - ref SDS C0 4H5J, to correct recurrance atrial flutter on 201031 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
171616 - taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
171617 - medication again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171747 -  ..
171748 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
171749 - Lunch - half sandwich peanut butter margarine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171750 - Dinner - pork roast lettuce onion tomato avocado olives mushrooms,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171751 - ice cream                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
171753 -  ..
171754 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
171755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171761 -         ..
171762 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
171763 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
171764 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
171765 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
171766 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171767 -  366.  201231 0700............................................. summary vitals, ref SDS 83 XZ8H                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171768 -               0740....BP HR..................................................... 141  85  65  Kardia ECG reports HR normal, see below. ref SDS 0 QRYR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171769 -               0745....BP HR..................................................... 145  82  64  smooth curve so sinus BP elevated taking naproxen for hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                        
171770 -               0750....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171771 -               0000... 20 978680 CoQ10 Ubiquinol Liquid - paused on 201214 due to expense                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
171772 -               0750... 80 224120 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
171773 -               0000... 05 3025 Apixaban blood thinner RX 7088121 for stroke - paused 201225 pending blood test  dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171774 -               0000... 75 12200 Clopidogrel Bisulfate (Plavix) - paused 201225 because lowers HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
171775 -               0000... Naproxen (Aleve) 2 pill 250 mg - paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                                                             
171776 -               0000... Gabapentin 300MG  47900MB paused on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171777 -               0000... hydrocodone 5MG/Acetaminophen 325MG TAB RX#90532004 try to avoid acetaminophen lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171778 -               0855... Diclofenac applied topically left knee meniscus and both feet metatarsalgia Tailor's Bunion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171779 -               0000... Oxycodone HCL Plain  5  410 mg RX90533728 took for pain management during hike combined with gabapentin, replacing naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171780 -               0910....Glucosamine Chondroitin taking until next PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
171781 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171782 -               0916....miles...........  22.0  83.0  376  1033 minutes  temp  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171784 -               0000... Oxycodone HCL Plain  5  415 mg RX90533728 took for pain management during hike not combined with gabapentin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171785 -               0000....Tramadol 50 2250 for prevent feet knee pain at mile 14 in 24 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
171786 -               0000... Gabapentin 300MG  47900MB took today, after pausing on 201102, because lowers HDL and raises LDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171787 -               0000... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
171788 -               0000... Naproxen (Aleve) 1 pill 250 mg - resumed to enable hiking and avoid oxycodone paused 201102 becauses raises blood pressure and LDL resumed on 201019 because low on oxycodone; paused seems to cause neurology effects shuffling feet and wobbly when hiking also on 200716 Doctor Lee biopsy found naproxen causing colitis                                                                                                                                                                                                                                                                
171789 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171791 -               1645....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171792 -               1655....BP HR..................................................... 120  65  80   BP elevated by taking 1 naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171793 -               1700....BP HR..................................................... 116  66  78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
171794 -               0000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171795 -               1700... 40 65400 Pantoprazole Rx 25009443 replace Omeprazole complement Famotidine on 190416 Doctor Lee prescribed taking Pantoprazole every day due to continuing ulceration LESV                                                                                                                                                                                                                                                                                                                                                                                                                  
171796 -             1 0000............ 10 14740  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171797 -             1 0000............ 10 14330  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171798 -               2010... Amonium Lactate 12% lotion applied to feet, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
171799 -               0000... Urea 20 lotion applied to feet, see below, replace ammonium lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
171800 -               2050... 40 45740 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171801 -               2120... 1000 1028000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171802 -               0000... 05 3030 Apixaban blood thinner RX 7088121 for stroke - pause pending blood test pause for EGD procedure tomorrow resume 200908 after EGD dilation on 200908 0930                                                                                                                                                                                                                                                                                                                                                                                                                            
171803 -               0000... 03    6 Melatonin sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171804 -               2200... 80 224200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
171805 -               2315....Tramadol 50 2350 for restless legs enable sleep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171806 -               0000... Simethicone 80  6560 relieve stomach bloating ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171808 -  ..
171809 - * cr - hiked Crystal Ranch Road with 8-mile loop with 5 major hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171810 - On 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171811 - of daily hike. ref SDS 55 E55K   On 191004 increased route going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
171812 - and coming down .5 miles steep 5% grade to end of Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171813 - at top of mountain. ref SDS 69 2T9L  Also added Campus Road from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
171814 - Hollow hiking 1 mile uphill to Cal State East Bay college, with 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171815 - miles of loops through Visitor, faculty and student parking, and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171816 - to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
171818 -  ..
171819 - Peripheral neuropathy - not feeling in feet today, -- see study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171820 - 200101 0701. ref SDS 83 PXSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171822 -  ..
171823 - Orthopedic 12th treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171824 - Doctor Gloria Tucker at her clinic in Novato, CA, reported on 191009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171825 - 1500. ref SDS 78 0001 - see history above. ref SDS 83 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171827 -  ..
171828 - ** Pushups - pause due to injury right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
171830 -  ..
171831 - Pushaways against kitchen sink.  Right elbow not clicking past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171832 - days, but not recovered enough to do pushaways - need PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
171834 -  ..
171835 - Vitals history from 181223, listed on 200101, above. ref SDS 83 TTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
171837 -  ..
171838 - Frequent urination and Pantoprazole, also shown on 181231, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171839 - ref SDS 83 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171841 -  ..
171842 - Pain medication - see study in another record. ref SDS 83 QPYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171843 - Learned on 201102 cannot take Gabapentin received on 191107 1338.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171844 - ref SDS 80 888O, because it lowers HDL and raises LDL, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
171845 - 201102. ref SDS B6 4G4N  Cannot take hydrocodone (Norco) from VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171846 - because it is combined with 324 mg acetaminophen which lowers HDL 30%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171847 - shown in research on 180724 1645. ref SDS 62 EZ7G  Naproxen is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
171848 - NSAID that constricts blood vessels, which inhibits PRP and apixaban.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171849 - Vasoconstriction raises blood pressure and causes colitis.  Ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171850 - is another NSAID like naproxen that raises blood pressure; it also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171851 - raises LDL.  Can take oxycodone to manage pain during hiking from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171852 - patellofemoral osteophytes and quadriceps insertional enthesophyte,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171853 - shown in xray on 190607 0810. ref SDS 74 TB5V  PRP on 190925 1330,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
171854 - ref SDS 76 0001, performed with 180 cc at 300% normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171855 - concentration, and supplemented 2 weeks later with 60 cc normal blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171856 - concentration reduces inflammation, and stimulates production of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
171857 - collagen that repairs joint spacing, so need for pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
171858 - declines.  After several months, hiking miles degrade knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171859 - so pain rises; then need another PRP treatment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171861 -  ..
171862 - Today, in order to hike applied Diclofenac both feet and to left knee,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171863 - took 1 oxycodone 5 mg pill at mile 5 to manage feet pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
171865 -  ..
171866 - Pain during hike today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
171867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171868 -        Location                                   Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
171869 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
171870 -        Stomach pain colitis.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171871 -        Chest pain...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171872 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171873 -        Trapezius right side neck/shoulder...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171874 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171875 -        Arm left swelled inflamed shingles shot......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171876 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171877 -        Back lower side..............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171878 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171879 -        Knee left skin lesions left side.............   0        100  none today starting Diclofenac again                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
171880 -        Knee left meniscus...PRP 191009..............   0        100  after applying Diclofenac (naproxen) before starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
171881 -        Knee left patalla...PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171882 -        Knee buckling left..PRP 191009...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171883 -        Knee left cruciate ligaments back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171884 -        Knee right cruciate ligaments back of knee...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171885 -        Knee right..PRP 190816.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171886 -        Hamstring tendon left leg.PRP 191009.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171887 -        Hamstring left leg...........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171888 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171889 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171890 -        Tailor's Bunion left foot.. PRP 190612.......   2          2  occurred about mile 20 for .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
171891 -        Tailor's Bunion right foot..PRP 190816.......   1          2  occurred about mile 20 for .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
171892 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171893 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171894 -        Metatarsalgia left foot...PRP 191009.........   0         90  diclofenac applied to feet before hike, took 1 oxycodone at mile 5 pain level 3 last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171895 -        Metatarsalgia right foot..PRP 191009.........   0         90  diclofenac applied to feet before hike, took 1 oxycodone at mile 5 pain level 3 last 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171896 -        Ankle left twisted in fall on 200319.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171897 -        Ankle left achiles heel on 201107............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171898 -        Ankle right heel bone pain on 200407.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171899 -        Foot right possible fracture 200917.........    1         10  tolerated with diclofenac at start and oxycodone at mile 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171900 -        Hallux Valgus right foot.....................   1         10  tolerated with diclofenac at start and oxycodone at mile 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
171901 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171902 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171903 -        Blister forefoot toes left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171904 -        Blister little toe right foot................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171905 -        Blister ring toe right foot..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171906 -        Blister ring toe left foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171907 -        Blister little toe left foot...blood blister.   0        100  healing - applied single layer tape also adjacent ring toe both may be getting better but hurt during hike, so removed at mile 5, no blood                                                                                                                                                                                                                                                                                                                                                                                                   
171908 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171909 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171910 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171911 -        Burning sensation both feet..................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171912 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171913 -        Peripheral neruopathy top left hand..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171914 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171915 -        Wobbly disoriented staggering dizzy..........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171917 -  ..
171918 - Today, energy good starting hike, after hiking 22 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171919 - After hiking 22 miles today, body fatigued, but not noticably                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
171920 - wobbly/disoriented like yesterday, and taking 1 oxycodone 5 mg at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171921 - 5 in the hike.  Feet hurting during hike and at end of hike more than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171922 - past few days, and less after hiking, after starting hike with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
171923 - Diclofenac gel, and taking naproxen pill 250 mg at mile 13.  Not sure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171924 - pill was affective.
171926 - -
171927 - After hike left knee patella pain level 0; left knee meniscus swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171928 - slightly pain level 0, and knee just a little stiff standing up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171929 - sitting position; cruciate ligaments pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171931 -  ..
171932 - Several hours after hike, feet pain level 0; left knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171934 -  ..
171935 - Legs 6 hours after hike late at night - body does not ache.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171936 - pain level 0, so did not take Tramadol - see study above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171937 - QYYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171939 -  ..
171940 - Shoes wearing new Hoka Bondi 6 Wide and with new set Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171941 - orthotic inserts protect against blisters, and with heel inserts to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171942 - protect against plantarfaciitis, and for rebound energy.  Tied shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
171943 - laces loose to reduce pressure Tailor's Bunions.  Worked well during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171944 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171946 -  ..
171947 - Little toe left foot wrapped with alternate thinner neoprene foam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171948 - dressing to heal and protect wounds.  Seemed to work better than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
171949 - Hydrofera Blue, because thinner, so less pressure on toe.  Little toe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171950 - right foot pain level 0 entire hike without dressing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171952 -  ..
171953 - Socks - wore 1-pair double layer Wrightsock socks received on 191010                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171954 - 1344. ref SDS 79 SM4M  Added 1-pair smartwool socks over wrightsocks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
171955 - Worked okay - feet hurt less last 2 miles, but with taking naproxen at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171956 - mile 13.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
171958 -  ..
171959 - Orthotic inserts - Satallite Elite inserts purchased from On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171960 - shoe store; did not use set with groove cut in the bottom, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171961 - 171229 1010. ref SDS 54 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171963 -  ..
171964 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171965 - reduce pressure, shown above, ref SDS 83 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
171966 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171967 - lightweith wocks, and Hoka Bondi 6 wide shoes received on 190927 1110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171968 - ref SDS 77 SM4M  After hike on 201231, shaved calluses big toes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
171969 - Tailor's Bunions, and applied ammonium lactate lotion to feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171970 - above. ref SDS 0 6N3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171972 -  ..
171973 - Concord 22 mile route - starting normal pace.  Did not take oxycodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171974 - 5 mg first time in about a month.  Applied Diclofenac gel topically to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171975 - left knee, and to bottom both feet, Tailor's Bunions and to right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171976 - instep, where bone fracture may have occurred, all before starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171977 - hike.  Wearing Hoka Bondi 6 shoes received on 190927 1110, ref SDS 77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
171978 - SM4M, that prevent feet and knee injuries.  Wore 1-pair double-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171979 - Wright socks received on 191010 1344, ref SDS 79 SM4M, to prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
171980 - blisters.  Wore 1 pair smartwool socks.  Applied miconazole nitrate 2%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171981 - (Thera antifungal) foot powder ordered by Doctor Tang during the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
171982 - meeting in Podiatry at VAMCSF on 201201 0930. ref SDS B8 PR6M  It was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
171983 - received on 201207 1549. ref SDS B9 4G4N  Was effective entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
171984 - today.  Wrapped with special tape ring toe next to little toe on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171985 - foot.  Omitted hydrofera blue dressing today.  Applied thinner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
171986 - neoprene foam to separate little toe from adjacent ring toe - worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171987 - well today.  Post hike no evident worsening of injury - may be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
171988 - healing..  Hiked from Cuneo uphill to Treat.  Breathed easily through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171989 - nose entire hike.  Temperature started at 34, and reached 61.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171990 - East on Treat 1 mile to Clayton - time to 1.25 miles 21 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
171991 - Turned corner hiking South on Clayton 2 miles at normal pace, mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171992 - on flat concrete sidewalk.  At mile 3.5, turned West onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
171993 - Valley Road hiking on concrete sidewalk another .5 mile.  About mile 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
171994 - crossed to South side Ygnacio Valley Road hiking West on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
171995 - shoulder aganist East bound traffic.  At mile 5 time 1039, stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
171996 - Texaco gas station - EKG reported HR 89 Unclassified at mile 5 - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171997 - below. ref SDS 0 QSUR  Bought Coca Cola and banana for potasium that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
171998 - provides coronary care.  Drank half of softdrink for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
171999 - energy.  Ate few bites of half sandwich peanut butter margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
172000 - jam, for energy.  Hiked .25 mile on Ygnacio Valley Road to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172001 - Hollow; turned left and hiked about 50 yards.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
172002 - Campus Road.  Hiked 1-mile West uphill 3% - 4% grade to California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
172003 - Sate University East Bay campus.  Energy seemed to increase.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
172004 - 1-loop of about 1.5 miles through adjoining Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172005 - Parking lots, with 1 sub-loop.  Ate half of banana.  At mile 7.5, back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
172006 - at Visitor Parking hiked North downhill 3% grade .3 mile to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
172007 - Valley Road.  Turned left and hiked West .5 mile on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
172008 - Road flat pavement.  At mile 8, turned left and hiked South 1 mile up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
172009 - steep hill 5% grade on Crystal Ranch Road.  Hiked another mile on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
172010 - pavement through residential area.  Hiked downhill .5 mile past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172011 - Rolling Woods Way.  Hiked up another steep hill 5% grade .5 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
172012 - the end of Crystal Ranch Road.  At top of mountain, mile 10.5, EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
172013 - time 1228 reported HR 112 Tachycardia - see below. ref SDS 0 QSVV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
172014 - Handled these hills well with energy, and breathing easily through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
172015 - nose all the way.  Hiked back downhill on Crystal Ranch Road.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
172016 - East on Rolling Woods Way.  Hiked up steep hill 5% grade .33 mile,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
172017 - then downhill .66 miles.  Encountered Caroline hiking uphill - just                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
172018 - said hello, and wished her and Ted Happy New Year.  Turned North onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
172019 - Pine Hillow.  Hiked 1 mile to Ygnacio Valley Road.  At mile 13,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172020 - stopped at Texaco Gas Station again - EKG time 1311 reported HR 99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
172021 - Normal - see below. ref SDS 0 Q2X9  Continued hike on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
172022 - Road to Pine Hollow; turned left and hiked about 50 yards.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
172023 - right onto Campus Road.  Hiked 1-mile West uphill 3% - 4% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
172024 - California Sate University East Bay campus.  Hiked 2-loops of about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
172025 - 1.5 miles each through adjoining Faculty and Student Parking lots,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
172026 - added sub-loop of .5 mile.  Back at Visitor Parking mile 16.5.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
172027 - Campus Drive North .33 mile downhill.  Turned left onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
172028 - Road and hiked West .5 miles.  Continued at mile 17 past Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
172029 - Road, hiking uphill 2% grade past Cowell.  Crossed from South to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
172030 - side Ygnacio Valley Road.  Continued uphill 2% grade and crossed over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
172031 - the summit.  At end of concrete traffic barriar about mile 18 in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
172032 - hike, crossed back to South side Ygnacio Valley Road.  Hiked 1.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
172033 - West downhill 2% grade.  Crossed to North side of the road.  Hiked .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
172034 - miles to Oak Grove.  At mile 20, stopped at Burger Lounge used table                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
172035 - outside to record EKG time 1542 showing HR 103 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
172036 - below. ref SDS 0 Q2S2  Hiked around Safeway shopping complex on paved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
172037 - path heading West .25 miles parallel to Ygnacio Valley Road.  At Via                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
172038 - Monte turned right and hiked .25 miles to Shadelands.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
172039 - and hiked East .25 miles back to Oak Grove.  Turned left hiking North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
172040 - on Oak Grove 1 mile using 3' wide asphalt shoulder for softer surface                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
172041 - that reduces feet pain.  At Oak Grove and Treat, Kathy drove us home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
172042 - for 22 miles.  EKG at end of hike - time 1611 HR 102 Unclassified -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
172043 - see below. ref SDS 0 QSYS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
172044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172046 -  ..
172047 - Kardia recorded HR 65 at 0635 - Normal - after pausing Metorpolol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
172048 - Tartrate on 201031 1640, per above, ref SDS 0 7Z4N, to calm atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
172049 - flutter that occurred at 1500, after pausing metoprolol on 201101, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
172050 - above. ref SDS 0 KP4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
172051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172053 -               ..
172054 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_201231-ecg-063538_mile_0.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
172055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172057 -  ..
172058 - EKG looks perfect after hiking 17 miles yesterday, including final                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
172059 - race uphill 1 mile, and after cardiac ablation on 201210 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
172060 - ref SDS C0 4H5J, to correct recurrance atrial flutter on 201031 1500,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
172061 - taking metoprolol tartrate at 1640, ref SDS 0 SVXS, then pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
172062 - medication again the next day on 201101, per above. ref SDS 0 P25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
172063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172207 -  ..
172208 - Breakfast - cream of wheat - few bites with medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
172209 - Lunch - half sandwich peanut butter margarine jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
172210 - Dinner - roast beef potatoes carots onion, ice cream                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
172212 -  ..
172213 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
172214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172241 -  ..
172242 - Hiking Summary Past 10 Years Month to Month                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
172243 - 
172244 - Follow up ref SDS 69 XY4M, ref SDS 55 XY4M.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
172245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172246 -                                            x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
172247 -               <------ 2 0 2 0 -------->    <------ 2 0 1 9 -------->    <------ 2 0 1 8 -------->    <------ 2 0 1 7 -------->    <------ 2 0 1 6 -------->    <------ 2 0 1 5 -------->    <------ 2 0 1 4 -------->      <------ 2 0 1 3 -------->    <-------- 2 0 1 2 ----------->    <-------- 2 0 1 1 ----------->    <-------- 2 0 1 0 ----------->
172248 -        Month  Miles   Minutes  Min/Mile    Miles   Minutes  Min/Mile    Miles   Minutes  Min/Mile    Miles   Minutes  Min/Mile    Miles   Minutes  Min/Mile    Miles   Minutes  Min/Mile    Miles   Minutes  Min/Mile      Miles   Minutes  Min/Mile    Miles     Minutes     Min/Mile    Miles     Minutes     Min/Mile    Miles     Minutes     Min/Mile                                                                                                                                                                                                                                                        
172249 -         Jan      69     1128    15.35        156     2342    15.01        117     1866    15.95         20      331    16.55        229     3612    15.78        242     3687    15.24        347     5424    15.63          168     2561    15.24        78       1235        15.83        18        294        16.33                                                                                                                                                                                                                                                                                            
172250 -         Feb     248     3958    15.96         56      863    15.41        287     4541    15.82        122     2082    17.07         83     1337    16.11        256     3941    15.39        237     3714    15.67          111     1776    16.00        12        174        14.50        30        470        15.67                                                                                                                                                                                                                                                                                            
172251 -         Mar     186     2993    16.09        240     3764    15.68        221     3397    15.37        115     1904    16.56         48      813    16.94        189     2941    15.56        207     3265    15.77           78     1238    15.87        42        707        16.83       141       2369        16.80                                                                                                                                                                                                                                                                                            
172252 -         Apr     359     5912    16.47        175     2823    16.13        278     4255    15.31         27      430    15.93        103     1828    17.75        240     3698    15.41        302     4837    16.02          129     2101    16.29        29        547        18.86        79       1328        16.81                                                                                                                                                                                                                                                                                            
172253 -         May     167     2778    16.63        310     4857    15.67        328     5227    15.94        165     2678    16.23        129     2205    17.09        230     3485    15.15        328     5253    16.02          313     5063    16.18       130       2147        16.52        53        835        15.75                                                                                                                                                                                                                                                                                            
172254 -         Jun     225     3793    16.86        200     3146    15.73        267     4190    15.69         72     1220    16.94        218     3628    16.64        233     3571    15.33        167     2697    16.15           94     1563    16.63        99       1702        17.19       119       2015        16.93                                                                                                                                                                                                                                                                                            
172255 -         Jul     228     3780    16.58        226     3604    15.95        311     4935    15.87        106     1827    17.24        228     3909    17.14        230     3559    15.47         77     1274    16.55          189     3077    16.28        42        694        16.52        60       1037        17.28                                                                                                                                                                                                                                                                                            
172256 -         Aug     320     5340    16.69        301     4765    15.83        343     5358    15.62        169     2915    17.25        183     3262    17.83        142     2241    15.78        108     1942    17.98          299     4881    16.32        87       1550        17.82       166       2834        17.07                                                                                                                                                                                                                                                                                            
172257 -         Sep     273     4450    16.30        196     3295    16.81        273     4548    16.66         89     1460    16.40        276     4854    17.59        212     3658    17.25        136     2855    20.99          221     4005    18.12       101       1639        16.23       111       2029        18.28                                                                                                                                                                                                                                                                                            
172258 -         Oct     397     6683    16.83        381     6120    16.06        364     5569    15.30        248     3858    16.01        269     4298    15.98        323     5337    16.52        215     3525    16.40          373     5826    15.62       247       3961        16.04       105       1799        17.13        54        884        16.37                                                                                                                                                                                                                                                          
172259 -         Nov     239     4013    16.79        188     3004    15.98        402     6206    15.44        248     3969    16.00         85     1397    16.44        152     2461    16.19        314     4839    15.41          173     2889    16.70       332       5203        15.67        57        945        16.58        52        878        16.88                                                                                                                                                                                                                                                          
172260 -         Dec                                  298     4708    15.80        232     3550    15.30        136     2157    15.86         60     1012    16.87         72     1158    15.86        284     4575    16.11          231     3529    15.28       210       3227        15.37       221       3659        16.56         0          0
172261 -         ..
172262 -        Totals  2711    44828    16.54       2727    43291    15.87       3423    53642    15.67       1517    24954    16.45       1911    32062    16.78       2543    40089    15.76       2733    44367    16.23         2385    38495    16.14      1409      22786        16.17      1160      19614        16.91       106       1762        16.62                                                                                                                                                                                                                                                          
172263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172265 -  ..
172266 - Total exercise hiking 5,335 hours in past 9 years, contributes to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
172267 - cardiac remodeling, which affects heart function; no evidence causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
172268 - AF, reported in the record on 191206 1425. ref SDS 81 5790                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
172269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172271 -  ..
172272 - Total from 101009 to 191121 = 19,589 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
172273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172275 -         ..
172276 -        Lipid History                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
172277 -        
172278 -        Follow up ref SDS 69 9C4G, ref SDS 55 9C4G.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
172279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172280 -                                                                         Small   LDL   LP-IR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
172281 -        Collection DT        CHOL    TRIGL   HDL   LDL-C   LDL-P  HDL-P  LDL-P  SIZE   SCORE  LDL-D                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
172282 -        05/12/2018 16:52                                ........................................... ref SDS 72 N64J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172283 -        11/12/2018 17:22     222       89    83     121 ........................................... ref SDS 68 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172284 -        10/29/2018 14:51     197       84    73     107 ........................................... ref SDS 67 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172285 -        09/13/2018 13:54     189       84    68     105 ........................................... ref SDS 66 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172286 -        08/24/2018 11:45     196       75    67     113 ........................................... ref SDS 64 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172287 -        08/02/2018 05:44     195      104    66     109 ........................................... ref SDS 63 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172288 -        07/13/2018 08:30     182       67    55     114 ........................................... ref SDS 61 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172289 -        05/14/2018 15:53     196       82    67     112 ........................................... ref SDS 59 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172290 -        05/04/2018 14:07     219      103    64     134 ........................................... ref SDS 58 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172291 -        04/10/2018 14:50     221       99    67     134 ...1603....40.9...847...20.5......26....... ref SDS 57 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172292 -        02/22/2018 15:26     181       81    67      97 ........................................... ref SDS 56 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172293 -        11/24/2017 15:08     191      103    61     109 ...1090....37.9...376...20.9....< 25....... ref SDS 53 U45J
172294 -        10/11/2017 07:13     179       81    55     108 ........................................... ref SDS 52 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172295 -        10/01/2017 12:51     211      158    57     122 ...1272....35.8...626...20.4....< 37....... ref SDS 51 U45J
172296 -        04/12/2017 07:00     184       67    54     117 ........................................... ref SDS 49 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172297 -        02/16/2017 16:39     242 H    103    72     149 H .1678....42.5...943...20.6....< 25....... ref SDS 47 U45J
172298 -        02/06/2017 10:49     196       72    61     121 ........................................... ref SDS 46 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172299 -        10/11/2016 11:14     231       66    62     156 ........................................... ref SDS 45 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172300 -        10/09/2016 13:37     245       98    65     160 ...1619....40.4...543...21.2....< 25....... ref SDS 44 U45J
172301 -        07/17/2016 10:55     229       70    67     148 ...1346....39.4...436...21.2....< 25....... ref SDS 43 U45J
172302 -        06/18/2016 00:54     230       66    63     153 ........................................... ref SDS 42 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172303 -        05/03/2016 11:45     196       55    57     128 ........................................... ref SDS 40 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172304 -        04/01/2016 14:43     197       88    56     123 ...1379....33.9...636...20.6......27....... ref SDS 39 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172305 -        02/02/2016 13:34     177       61    69      96 ........................................... ref SDS 38 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172306 -        01/31/2016 17:14     183       61    73      98 ....699....41.9...176...20.9....< 25....... ref SDS 37 U45J
172307 -        10/27/2015 13:49     315 H     59    60     243 H ......................................... ref SDS 35 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172308 -        07/28/2015 11:54     153       54    65      78 ........................................... ref SDS 34 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172309 -        06/02/2015 13:00     199 H     77    69     115 H .1158....42.3...417...20.9....< 25....... ref SDS 33 U45J
172310 -        05/12/2015 13:49     299 H    103    58     220 H ......................................... ref SDS 32 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172311 -        02/09/2015 11:21     161       50    70      81   ......................................... ref SDS 31 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172312 -        02/08/2015 14:52     162       66    66      83   ..709....39.5...153...21.0....< 25....... ref SDS 30 U45J
172313 -        12/01/2014 08:40     157       73    63      79   ..656....38.9...310...20.4....< 25....... ref SDS 29 U45J
172314 -        11/06/2014 07:14     137       85    53      67   ..997....35.2...387...20.8......30....... ref SDS 28 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172315 -        10/21/2014 11:48     159       65    57      90   ......................................... ref SDS 27 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172316 -        08/14/2014 15:28     161       72    55      92   ......................................... ref SDS 26 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172317 -        05/14/2014 10:16     164       58    66      87   .................................... 93.. ref SDS 25 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172318 -        05/08/2014 11:49     162       59    67      83   ..851....38.1...<90...21.2....< 25  ..... ref SDS 24 U45J
172319 -        02/03/2014 12:28     160       47    58      93   ......................................... ref SDS 23 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172320 -        02/01/2014 12:31     156       68    61      81   ..861....31.4...<90...21.3....< 25....... ref SDS 22 HW5M
172321 -        10/15/2013 08:25     321 H    109    50     249 H ......................................... ref SDS 20 BE6O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172322 -        05/29/2013 08:18     307 H     85    50     240 H ......................................... ref SDS 19 BE6O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172323 -        02/28/2013 08:39     310 H     73    47     248 H ......................................... ref SDS 16 BE6O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172324 -        11/30/2012 10:01     173       53    57     105   ......................................... ref SDS 15 BE6O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172325 -        08/31/2012 15:25     176       94    47     110   ......................................... ref SDS 14 U89N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172326 -        05/09/2012 11:24     158       76    49      94   ......................................... ref SDS 13 U89N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172327 -        02/09/2012 11:18     285       82    41     228 H ......................................... ref SDS 12 2A4G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172328 -        11/17/2011 14:27     260       84    43     200 H ......................................... ref SDS 10 2A4G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
172329 -        07/27/2011 12:58     163       81    45     102   ......................................... ref SDS 9 E19L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
172330 -        12/07/2010 09:17     151       41    47      96   ......................................... ref SDS 7 E19L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
172331 -        07/21/2010 08:54     261 H     87    35 L   209 H ......................................... ref SDS 4 E19L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
172332 -        06/10/2010 10:33     217 H     83    36 L   164 H ......................................... ref SDS 3 QV4F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
172333 -        12/14/2009 11:10     241 H    136    44     170 H ......................................... 100928 0706, ref SDS 5 VW6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
172334 -        08/13/2009 15:09     233 H    118    30 L   179 H ......................................... 100610 1046, ref SDS 3 U45G                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
172335 -        06/16/2006 10:59     238 H     68    32 L   192 H ......................................... 091002 0900, ref SDS 2 LJ5H                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
172336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
172350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
1724 -